As fatal opioid overdoses increase, pioneering police effort evolves

GLOUCESTER, Mass. (AP) — The city is seeing more heroin overdoses today than it did two years ago when it introduced a unique amnesty program replicated by hundreds of police departments across the nation that encourages addicts to turn in their drugs to police without fear of arrest to get fast-tracked for treatment.

About halfway through the year, Gloucester, a historic fishing city north of Boston, has had 16 confirmed or suspected fatal opioid overdoses, police Chief John McCarthy said. That's on pace to exceed the nine confirmed cases the city saw last year and 10 in 2015, when the ANGEL program launched, according to state data.

At the same time, the number of addicts walking through the police station doors has declined. The department has helped 564 addicts get into treatment, but roughly twothirds of those came within the first full year. McCarthy estimates the department is averaging about one walk-in per week.

"We're in a position to get people into treatment, but the sad part is the drug that they're taking, in all probability, is going to put them into overdose," he said on a visit this month. "It's a lot harder drug that's on the street."

Gloucester, like many other communities, is seeing more addicts overdosing on more potent varieties of the drug than it did when its amnesty program rocketed to national notoriety. The rising toll is prompting city officials to try new approaches.

Police and the addiction counselors they work with have been stepping up efforts to reach addicts on the streets and in the homeless shelters and other places they congregate, rather than waiting for them to come through their doors.

McCarthy, who took over last October after the prior police chief and founder of the ANGEL program was forced into retirement after misleading investigators in an unrelated matter, says a recent spate of overdoses on fishing vessels prompted local officials to start distributing Naloxone, the overdose reversal drug commonly known as Narcan, to boat operators and training their crews on how to use it.

The Police Assisted Addiction and Recovery Initiative, a nonprofit established to help the Gloucester police and more than 260 other departments in 30 states that have adopted its model, has also brought on a number of full-time staffers, including an outreach worker whose job is to keep up with the hundreds of addicts who have gone through the program and to seek new participants.

"I try to meet people where they're at," Roberto "Tito" Rodriguez said one recent July afternoon as he dropped into a local meal center for the homeless and low income.

"Some people just need to vent. Others need a ride to a meeting or help with housing. Whatever they need, that's what I do."

The organization, which goes by its initials, PAARI, has also received a grant to post 25 AmeriCorps service members at police departments throughout Massachusetts to do similar work. It's working with the local sheriff's office to start assisting prison inmates with substance abuse problems as they're released.

Few experts are willing to fault the ANGEL program for failing to curb the growing opioid epidemic. Indeed, at least 2,500 people have been placed into treatment through the program and its affiliates, PAARI says.

"Opioid overdoses are soaring in much of the country, and the total for Gloucester might well have been higher if not for the ANGEL program," said Keith Humphreys, a psychiatry professor at the Stanford's School of Medicine who is not affiliated with the program.

Even the office of Essex County District Attorney Jonathan Blodgett, which has long complained that police don't have the authority to grant blanket immunity to addicts possessing illegal drugs, noted that measuring the success of the program based on overdoses is "comparing apples and oranges."

Gloucester police still have the open-door, no-questionsasked policy that was the hallmark of the original ANGEL program. But as a practical matter, they've done away with the volunteer "angels" who helped provide emotional support and counseling to addicts.