Baltimore, MD - July 31, 2018 - I am writing this brief article, in part as a response to a Baltimore Jewish Life (BJL) reader who questioned why BJL would bother publishing a piece on the rise of drug deaths due to fentanyl in Maryland?

Unfortunately, in the last few years and increasingly in the last few months, overdose deaths have occurred in the Orthodox community. Addiction to opioids and other pain medicines is a growing issue for neighbors and friends alike. It may just be that it is hard to tell on the outside when people are struggling with these issues because families often choose to keep a loved one’s mental health or substance use disorders and their cause of death a private matter.  The epidemic of addiction is affecting our community just as it is everywhere else. It can happen to any of our families.

Orthodox people using heroin mixed with fentanyl—who ever heard of such a thing?  We have.  Often the sequence starts with the person taking pain medications, their own or someone else’s post injury or surgical prescriptions.  The relief or euphoria experienced by certain individuals is enormously profound; more so than it is for the average person.  A strong attraction soon becomes a compulsion.  Tolerance sets in requiring increasing amount of the substance.  The medicine soon runs out and the desperate search for substitutes to offset the pain of withdrawal begins.  Enter heroin, its cousin, which in Baltimore is plentiful and so much cheaper.  Adding to the danger, fentanyl from China, which has become 10 to 100 times more potent in the last few years, has been unevenly mixed into much of the heroin that is around.  The consequences can be fatal to the consumer who is unable to tell the potency of what is contained in what he is using.

Last fall, Jewish Community Services held a community-wide forum at the Edward A. Myerberg Center that addressed the opioid epidemic and included overdose reversal (Narcan) training.  The event was attended by over 120 people, many of whom were from the community. Those attending cited the critical need for additional programming on the subject. In response, JCS and community partners are hosting “Understanding Addiction and Recovery” on October 9 at the Weinberg Park Heights JCC, which will feature a keynote followed by breakout sessions including, Increasing Resiliency in our Children, The Unique Challenges of the Orthodox Family, and How Can We Help the Addict We Love?  We urge all members of the community to attend.

Howard Reznick, MSW, LCSW-C is Manager, Prevention/Education for Jewish Community Services