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In Fight Against Opioids in Hasidic Crown Heights, 'Nobody's Immune'

 Yaacov Behrman, director of the drug prevention group Operation Survival, demonstrates how to use naloxone nasal spray, a drug used to prevent fatal opioid overdoses.
Yaacov Behrman, director of the drug prevention group Operation Survival, demonstrates how to use naloxone nasal spray, a drug used to prevent fatal opioid overdoses.
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DNAinfo/Rachel Holliday Smith

CROWN HEIGHTS — The first opioid overdoses in Yaacov Behrman’s neighborhood happened more than a decade ago, around 2005, he remembers.

At the time — a period when accidental overdose deaths were rising in New York, according to data from the city’s Department of Health — he said many in his community of Lubavitch Crown Heights thought the “first kids we lost” were exceptions.

“It was a one-time thing,” he recalled. “It was a fluke.”

But in the years since, at least 10 young people in the Hasidic Jewish community have died using drugs, usually prescription painkillers, according to Behrman, program director of the Chabad-Lubavitch-founded drug prevention group Operation Survival.

“When it happened over and over, people started to realize it was a real issue — a real epidemic,” he said.

Now, Behrman and others in the Crown Heights Jewish community are trying to raise the alarm about the dangers of opioids, which have hit New York hard, as they have all over the country.

Last year, the city was on track to see more than 1,000 accidental overdose deaths for the first time ever, according to the most recently available health department data. Of the overdoses tracked through November of 2016, 83 percent of all deaths involved an opioid, the agency said.

Many of those overdoses were due to prescription painkillers, such as those that have ravaged families on Staten Island in recent years. In the past two years in particular, an uptick in the use of a powerful opioid known as fentanyl — commonly mixed with heroin or mixed with handmade prescription pill look-alikes — has pushed the number of deaths higher, according to the DOH.

It’s unclear which drugs exactly are killing young people in Crown Heights since no data is available on overdoses by neighborhood or religious group. But Behrman most commonly sees overdoses, both fatal and nonfatal, caused by pills taken recreationally and sold by dealers “all over” the area, he said.

That’s what killed a close friend of Eli, a 30-year-old Crown Heights resident who spoke with DNAinfo using only his first name. The friend, who was 25 at the time of his death five years ago, used opioids from time to time, but “wasn’t a drug addict,” Eli said.

But one “bad-batch drug” caused an overdose and killed his friend, a trauma that left Eli “broken,” he said — and wanting to increase awareness of the problem.

“It’s happening way too much in our community,” he said. “I felt it was important to let the parents and the community members know what’s going on.”

Last fall, he partnered with Operation Survival to lead an event educating Jewish families in the neighborhood about opioids and drug use. About 650 people attended, he said.

“Family members and parents of people in the community are slowly becoming more open to the realization that this is something that’s real,” he said.

But he also acknowledged there are still many “who are in denial” because either they’re scared for an addicted relative or because “they don’t want to believe that in their community, an Orthodox Jewish community like Crown Heights, it’s such a problem.”

“That’s unfortunate because if people don’t want to believe it or don’t want to hear it, they’re not going to become knowledgeable about it,” he said.

To push the conversation, Operation Survival, founded in 1988 by members of the Chabad-Lubavitch movement, has made an effort to get their anti-drug message into the hands of locals — literally.

In honor of National Prevention Week, the group handed out shopping bags emblazoned with the words “Teach kids to refuse to use” all along Kingston Avenue last week, the main shopping district for the Lubavitch community.

And for more direct overdose prevention, Behrman has been training teachers, emergency response volunteers, parents and young people how to use naloxone, a drug administered by nasal spray that can reverse the effects of an opioid overdose.

The state and city provide a naloxone nasal spray to Operation Survival, which runs trainings to teach people how to use the life-saving drug. (Photo credit: DNAinfo/Rachel Holliday Smith)

Since beginning the state-run naloxone training program last summer, he has taught over 100 people how to use it in Crown Heights, he said.

“It’s free of charge. We’re happy to train anybody. It’s worth it because you could save a life,” he said.

►READ MORE: How To Save an Opioid Overdose Victim's Life (VIDEO)

Emergency workers including NYPD officers have been outfitted with naloxone since 2014, saving a total of 140 people, according to the latest numbers from the NYPD. In December, Mayor Bill de Blasio urged the general public to carry it, too.

Despite having no known side effects, not everyone in Crown Heights thinks distributing naloxone is such a good idea.

Rabbi Shea Hecht, director of the National Committee for the Furtherance of Jewish Education, (the umbrella group that oversees Operation Survival) said he worried the drug would encourage drug users to tempt fate.

“I think we have kids who are going to be stupid enough to say: 'You know what, let’s see if it really works,'” he said.

But for now, Behrman sees a need for it — like when he got a call at 1 a.m. several months ago from a family requesting the nasal spray for a potential overdose.

“There was a kid who was using and they wanted to have it handy,” he said. Luckily, it wasn’t necessary that night.

All those who spoke about addiction in Crown Heights agreed the neighborhood needs to have more conversations about the problem. Hecht thinks the solution includes talking about reducing alcohol for young people at religious events and celebrations. Eli would like to see more addiction professionals in the area and more programs like Operation Survival’s. But most of all, he wishes more residents would talk about the issue.

“People in this community are embarrassed, at least I think so, to be associated with or to speak openly about this problem and I think that is a problem in itself,” he said.

Operation Survival has passed out shopping bags encouraging parents to teach children and young people about the dangers of drugs. Here, the bags are used by a Kingston Avenue grocery. (Photo credit: DNAinfo/Rachel Holliday Smith)

Yossi Hayward, a worker at Raskin’s Fish Market, which bags customers’ orders inside Operation Survival “Refuse to use” bags, said he’s very supportive of any effort to get the conversation about drugs going. He has friends and family who have struggled with addiction and knows the problem can affect anyone.

“People want to say it’s because their families are broken. It’s not the case. … Nobody’s immune to it,” he said.

Not even the tight-knit Hasidic community in Crown Heights, which is “partially sheltered” by its deep roots in the neighborhood, Behrman said.

“We’re affected by the secular world and the country is struggling with an epidemic,” he said. “It’s trickling down to the Jewish community and we’re suffering, as well.”