Roselle Borough, New Jersey
On October 7, 2017, the Roselle community of New Jersey took to the streets (door-to-door) and neighborhood schools to call attention to the growing scourge of opioid abuse. Banners around town asked, “Would you give your child heroin for a sports injury? Ask your doctor how prescription drugs can lead to heroin abuse.” Or, “Knock out opioid abuse. Would you give your child heroin for a broken arm?” Some of the signs were simple announcements: “4 in 5 heroin users started out my misusing prescription opioids.”
One such sign was a veritable expose of opioid abuse: “What are opioids? Opioids are medications that relieve pain. In New Jersey alone, over 2.75 million prescriptions for highly-addictive opioids were potentially prescribed – to children, friends, and family members, and unfortunately, many times without the benefit of any information of their addictive qualities.”
The event so publicized was the second annual Knock Out Opioid Abuse Day, a mobilized effort that aimed to both educate physicians and raise general awareness as it regards the state’s second-largest substance abuse issue, behind heroin. The event was run by The Roselle Everett Hatcher Prevention Coalition, and underscored the deep impact of prescription drugs, typically painkillers, leading to abuse and, subsequently, something stronger.
Approximately two and a half years earlier, in May of 2015, the State of New Jersey Department of Human Services: Division of Mental Health and Addiction Services, prepared a comprehensive substance abuse overview. This overview contained facts and figures regarding statewide substance abuse treatment for 2014.
We included specifics about this report in our article here on Hudson County’s Kearny Town. For reference: 65,553 treatment admissions, and 62,525 discharges were reported and incorporated in the report, which in part broke down the figures as follows: Admissions by county and primary drug, first-time patients by county and primary drug, and admissions by age group, gender, and primary drug.
Some interesting statistics: Heroin was by far the most-used substance in terms of treatment admissions at 24,059, representing 41% of all such admissions statewide. Alcohol followed, at 15,673 admissions (27%). From there, in descending order were: Marijuana at 9,372 (16%), “Other Opiates” at 4,594 (8%), Cocaine at 3,317 (6%), and “Other Drugs” at 1,848 (3%). 19,708 of all admitted users, or 30%, admitted to being intravenous drug users. Males accounted for 44,292 of the state’s admissions, or 68%. $21,206 of the total admissions were women. Caucasian admissions were 39,884, African American admissions were 14,729, Hispanic admissions were 9,965, and “Other” was listed as 975.
Conversely, Union City is stronger in cocaine and less than the state average for heroin, though prognosticators believe that latter figure will increase exponentially in the coming years.
Roselle is a borough in Hudson’s neighboring Union County. Less than ten miles separate the two counties, and the substance abuse issues of one frequently bleed into the other. Roselle is small, with a population of less than 22,000 spread over an area of 2.651 square miles. An additional .013 square miles is water.
The median income of Roselle, as typical with many New Jersey cities, is higher than the national average at over $60,000 for a household without a family, and nearly $70,000 for a household with a family. Racial makeup of Roselle is (rounded) 52% African American, 36% Caucasian, 3% Asian, with the remaining listed as “Other Races.” 17% are listed as “Hispanic or Latino of Any Race,” a percentage which could be incorporated in those above. As with Kearny Town, portions of Roselle are within an Urban Enterprise Zone (UEZ), which has been implemented to encourage employment within areas that need a financial boost. In such zones, shoppers pay a substantially reduced sales tax, less than half of the current state average. Roselle is incorporated as a borough, and its government body is comprised of a six member borough council, and a mayor who maintains veto power.
Roselle Borough, like most New Jersey areas, is primarily car-friendly. New Jersey transit provides transportation to and from Newark, and New York City. Its proximity to NYC enables its drug problem, as many travel to the metropolis to purchase drugs other than prescribed opiates. Both New Jersey and metropolitan New York have been labeled as HIDTAs (High Intensity Drug Trafficking Areas) by the U.S. Department of Justice.
Abraham Clark (1725-1794) was a Roselle native, and considered a founding father of the United States. Clark was one of the signers of the United States Declaration of Independence.
Non-drug-related crime statistics in the borough are the following: 13.7% lower than the national average in terms of violent crime (inclusive of murder and rape), and 29% lower than the national average in terms of property crime. 19 registered sex offenders presently live in Roselle.
In terms of substance abuse, 62% of Roselle residents use regularly, or have experimented with, marijuana or hash. 23.2% of respondents have used hard drugs. 21.1% have used cocaine, 2.7% have used heroin, and 12.2% have used meth. These figures have been based on treatment admissions, and heroin is a standout statistic based on current expectations.
As abuse of prescription opioids is, for now, consistent with the national average, Roselle has been among the most proactive cities when it comes to education.
As ever, help is but a phone call away.
Intervention Before Treatment
Sometimes, a user may not have the strength – or may not believe they have the strength – to get help on their own. Sometimes, they may believe that an intervention is necessary.
Knowing more about an intervention can be very helpful for both the addict, and the friends and family of the addict. Typically, friends and family – we’ll call them “loved ones” here – initiate the intervention. On occasion, professional interventionists can be hired by loved ones to help them undertake the effort.
Such professional intervention particulars include:
● Pre-intervention, whereby loved ones research the option;
● Preparation, whereby arrangements are made for the intervention;
● Intervention: Facilitated by a qualified Nebraska interventionist, who will work with the loved ones and the addict both, with the intent of convincing the addict to seek treatment; and
● Post-intervention: Working with the addict to enter a detox program.
*Note: The above also includes intervention for alcohol abuse (which in Roselle Borough is equivalent with the national average).
The states of an intervention can include the following:
1. Planning, preparation, and engagement of the intervention.
2. Advisement of specific and appropriate treatment and rehab programs.
3. Preparing all arrangements, including family consultation so they know what to expect.
4. Continuing to work with the family – or friends – of the addict while they are undergoing inpatient or outpatient treatment.
5. Arranging of all logistics, including payment and/or insurance requirements, and arrival.
The intervention specialist also sets ground rules as to how to specifically interact with the addict:
1. Do not get upset with your family member, or friend, during the intervention.
2. Avoid verbal labels during the intervention, such as “junkie,” “addict,” or “alcoholic.” The mindset is to not have the addict defined by their addiction.
3. When deciding who to include in the intervention – again, friends and/or family of the addict (as we will continue to say for clarity’s sake in the context of these articles) – the number of people who attend must be kept to a minimum, and managed.
4. Never perform the intervention if the addict, or another member of the group, is intoxicated.
These are some aspects of a standard intervention of which you should be aware. We list them here for your education, in an effort to help you make an informed decision as to your treatment plan.
“Do you ever use alone?” “Have you ever substituted one drug for another, thinking one particular drug was the problem?” “Does the thought of running out of drugs terrify you?” “Have you ever been in a jail, a hospital, or a drug rehabilitation center because of your using?”
These are some of the questions you will likely encounter on an online pre-intake form. Consider these questions as exploratory only. You must speak to a trained and licensed professional for any true diagnosis. Still, such online tools such as this one can be extremely useful.
If you can honestly answer such questions, you may be validated, or you may dislike your responses. If you were drawn to the tool, likely both will apply. Regardless, consider your results, and then take necessary action. If you believe the results bear out that you may well be addicted, or even have a lesser problem, there are several resources we will discuss that may be right for you.
A caveat: Even if you don’t believe you are addicted, or in crisis, but are concerned that your usage is growing, or that you may be on the cusp of a problem, help is available. You do not have to be on the far side of addiction to reach out on a phone line and find a friendly voice on the other side.
Many addicts make the mistake of not taking the first step towards sobriety as it regards intake. If you need help in making an informed decision as to what treatment method is right for you, we cannot encourage you strongly enough to speak to family and/or friends who have been there before. Sometimes, a user has a difficult time making such decisions with a clear head.
You will hear it again in this article: Always remember, you are not alone.
We encourage you to ask yourself a few questions: 1) What is holding you back from getting help? 2) Do you believe you have a support system? If so, do you feel comfortable contacting them and speaking about your problem? If not, would you feel more comfortable contacting a professional? And 4) Do you believe you are capable of making an informed decision as to your treatment? If yes, you are well-advised to take advantage of one or more of the resources here. If no, you are strongly advised to contact one of the resources listed here, on The Recover, and discuss your reservations.
We are here to help.
Note that many New Jersey treatment and recovery centers frequently conduct their own intake services. Sample intake applications can also be found online. Many are the same as those required during standard doctor visits, but are no substitute. Questions include what drugs you are presently taking, and referrals to close family members and/or friends. We remind you, however, only a treatment professional can make a true diagnosis.
Do your research, commit, and follow through. There is immense power in helping yourself.
The concept and practice of detox is typically broken down into three distinct phases: Evaluation, Stabilization, and Transition to Inpatient Drug Rehab.
1. Evaluation: As overseen by a doctor, who will determine what drugs are presently being used, how long has the patient been using, and how much and how frequently the patient uses.
2. Stabilization: As expounded on the site, stabilization differs patient to patient, based on specific substance being abused. This is the end result of the withdrawal phase.
3. Transition to Inpatient Drug Rehab: Many addicts believe that once they complete withdrawal, they are finished with their treatment. That is a dangerous belief, as withdrawal only releases the immediate physical hold of the substance.
Inpatient Treatment Resources
Inpatient treatment in Roselle Borough, New Jersey is not substantively different than that of most New Jersey cities. Such services can either be PHP (a partial hospitalization providing a highly-structured environment, with typically active treatment of 30 hours per week), the less-intensive IOP (intensive outpatient treatment plan, which requires up to three hours daily over 3-5 days, for a total of nine hours weekly; therapy is usually included, but the patient can live either at their own home or a halfway house during the process), and an RTC (residential).
Though you may be the best determinant of the degree of inpatient recovery resources best suited to your needs, frequently one may need the help of family or friends to help you more clearly identify the treatment options that are most prudent for your needs. From there, only your personal commitment will determine your success.
Frequently, one’s success in a particular inpatient option is based on how one responds to structure. If you’re an addict, or even a heavy user, you may not respond well to a highly-structured environment. This is an assumption, of course, but one that would be prudent to consider. Certainly, the severity of one’s addiction would play a role here. The more severe the problem, the more restrictive the initial treatment.
If you are of a clear head, however, as you read this, do your diligence as to the option that works best for you. You are empowered. This is your treatment, and your treatment plan.
Successful completion of your treatment plan will only help you reclaim your life.
Outpatient Treatment Resources
The importance of outpatient treatment is frequently overlooked due to a frequent misunderstanding on the part of the addict. As was mentioned earlier, for those engaged in an exhaustive withdrawal, while integral in the event of an overdose or detox, there are still steps remaining to regain your optimal mental and physical health.
Outpatient treatment is a comprehensive approach to wellness, and no less impactful than inpatient services. Please research the importance of outpatient treatment resources online, or speak to loved ones who have been through the process. Recovery is an ongoing process, which requires a substantive lifestyle change to avoid the ever-present threat of a relapse.
An individual in outpatient treatment must be keenly aware that though they may have earned some freedom at his juncture, in terms of their treatment, they are still in treatment. Outpatient is another phase in your wellness, not the end.
An addict who has made it to this point, though, is well on his or her way as long as the commitment remains strong.
Aftercare and Sober Living Resources
In a sober house, you will frequently be surrounded by others in a supportive and understanding environment, others who have undergone similar difficulties. Sober houses most frequently prove to the addict that they are not alone, and as such are often invaluable experiences.
An addict will frequently be surrounded by others in a supportive and understanding environment, others who have undergone similar difficulties. Sober houses most frequently prove to the addict – which as you see here is a message on repeat – that you are not alone.
Give Us A Call
New Jersey is a HITDA region and a particularly strong drug trafficking stronghold, especially when it comes opiates. Union County’s Roselle Borough is strong in alcohol, cocaine and pot use, and presently less so with heroin – though the latter is certainly neither anathema to the city’s dealers, and many predict it will become their single greatest drug issue, following the rest of the state, by the end of 2018.
Prescription opiate usage continues to substantially grow and evolve in the area. Education is a well-utilized resource, and member of the Roselle community are very involved in these issues. Fatal car crashes in the city of Roselle are approximately 52% alcohol-related, or marijuana-related to a lesser extent, per 2017 statistics.
The incontrovertible truth of the addict is such that most any drug can be had for a price. Whatever one needs, or craves … or wants, an addict will find. As mentioned earlier, help is a phone call or treatment center visit away. Always do your own research to find what is best for you, and use the above resource listings as a base. Pick up the phone and call us. We are here to help!
As ever, true recovery begins with the acknowledgment that you have an issue, and then seeking help for that issue. If you do not find the answers you are looking for, please feel free to drop us a line and tell us how we can help.