NYC’s Opioid Treatment Deserts and the self-reinforcing mechanism of Systemic Racism GreaterHarlem.nyc | [email protected] 1 The Greater Harlem Coalition Block Associations CentralCasting Solutions LLC SottoCasa Pizzeria 100 Block Association of West 118th Street Chaiwali T.H.E. Works 100-168 West 121st Street Resident Block Association Chocolat Restaurant & Bar Upholstery Lab 118 Street Block Association Clay Uptown Townhouse 120th Street Block Association Columbus Distributors Valeries Signature Salon 124 East 117th Street Tenants Association Compass Realty Virgo Hardware 128th Street Block Association D and D Enterprise Wynn Optics 1775 Houses Tenants Association DR3J Consultants 97-98 Lexington & Park Ave. Neighbors Edward Jones Non-Profit Organizations A. Philip Randolph Square Neighborhood Alliance Elaine Perry Associates 125th Street Business Improvement District A.K. Houses Tenants Association Eye Cycle Advocates 4 The Community Dorrence Brooks Property Owners & Residents Association Freeland Liqour ATAPE Group, LLC Graham Court Renters Association Gastiaburo + Stella Real Estate CIVITAS Hamilton Terrace Block Association Ginjan Cafe Ephesus SDA Church Harlem Neighborhood Block Association Hakimian Organization Friendly Hands Ministry Lenox to 5th 124th Street Block Association Halstead Manhattan Friends of the Harriett Tubman Monument LenoxFive 127th Street Block Association Harlem American Future Giants Organization Mirada Home Owners Association Harlem Lofts Greater Calvary Baptist Church Mount Morris Park Community Improvement Association Harlem Properties Inc. Harlem Arts Foundation Neighbors United of West 132nd Street Block Association Harlem Shake Harlem Business Alliance New 123rd Street Block Association (Lenox - 7th) Harlem Wine Gallery Harlem Lacrosse Sugar Hill Concerned Neighbors Group HarlemHome Harlem Park to Park West 119th Block Association HarlemHoopz Heart to Heart Community Outreach West 121st Street Block Association Il Cafe Latte 1 MXB United West 126th Street Block Association Il Cafe Latte 2 New York Council for Housing Development Fund Companies, Inc. West 130th Street Homeowners Association Indian Summer Harlem Open Hands Legal Services West 132nd Street Block Association Jacqueline Allmond Cuisine Inc Progressives Educating New Yorkers, Inc. West 135th Street Block Association Le Petit Parisien Sayers and Doers West 136th Street Block Association Lido Silent Procession Nyc4pr Malcolm Pharmacy Silicon Harlem Businesses MoHo Dance StreetSquash 314 - Pizza, Pasta & Wine Bar Paris Blues Jazz Club Union Settlement House Asberry and Associates, LLC Pativity, LLC United New Church of Christ R. Kenyatta Punter and Associates Uptown Democratic Club Rubys Vintage The Greater Harlem Coalition In order to visualize both the oversaturation of addiction programs in communities of color and (conversely) Opioid Treatment Deserts, GHC has submitted numerous Freedom of Information (FOIL) requests to NYS + NYC agencies The visualizations in this presentation are from our latest FOIL to the Office of Alcohol and Substance Abuse Services (OASAS) that licenses every addiction program located in New York State The data is pre-COVID, from March 1, 2019 to February 29, 2020 New York City has 193 Zip Codes Admission to OASAS‐certified Opioid Treatment Programs in NYC by Zip Code of Residence, March 1, 2019 through February 29, 2020 - NYS OASAS Data Warehouse 11/1/2020 80% of NYC Zip Codes Have No Opioid Treatment Programs Admission to OASAS‐certified Opioid Treatment Programs in NYC by Zip Code of Residence, March 1, 2019 through February 29, 2020 - NYS OASAS Data Warehouse 11/1/2020 No Opioid Treatment Programs 90% of NYC Zip Codes Have Residents in Opioid Treatment Programs Admission to OASAS‐certified Opioid Treatment Programs in NYC by Zip Code of Residence, March 1, 2019 through February 29, 2020 - NYS OASAS Data Warehouse 11/1/2020 Residents in Opioid Treatment Programs 16 Fort Totten LaGuardia Airport World Trade Center North Shore Towers - 11005 Brooklyn Navy Yard Fort Totten LaGuardia Airport World Trade Center North Shore Towers - 11005 ● 96.5% White ● 1800 People Brooklyn Navy Yard ● Gated Luxury Condominium ● $183,000 Average Income If (all) New York zip codes have residents who attend Opioid Treatment Programs, but the programs are concentrated in low-income communities of color, How many residents are living in Opioid Treatment Deserts? 65% of People in Opioid Treatment Have No Local Opioid Program Admission to OASAS‐certified Opioid Treatment Programs in NYC by Zip Code of Residence, March 1, 2019 through February 29, 2020 - NYS OASAS Data Warehouse 11/1/2020 Opioid Treatment Commuters 75% of the People Attending Harlem’s Opioid Treatment Programs Commute for Care Admission to OASAS‐certified Opioid Treatment Programs in NYC by Zip Code of Residence, March 1, 2019 through February 29, 2020 - NYS OASAS Data Warehouse 11/1/2020 The practice of Oversaturating low-income communities of color with addiction programs and asking residents of wealthier neighborhoods to commute for care, is a cycle that exemplifies how Systemic Racism simultaneously reinforces racial stereotypes regarding addiction and further burdens vulnerable communities with programs that wealthier (and frequently whiter) neighborhoods have been successfully able to resist Patients Commute for Treatment More Programs are Treatment Sites are Located in Communities of Concentrated in Low-Income Color Communities of Color Perception that Addiction is a Community of Color Issue is Reinforced NYC’s Opioid Treatment Deserts and the self-reinforcing mechanism of Systemic Racism GreaterHarlem.nyc | [email protected] 19.