| By
JEREMY OLSHAN
Every day, 550 recovering drug addicts visit a
nondescript storefront at 147-18 Archer Ave. There is no sign to
indicate it, but inside is a methadone clinic.
After 29 years at the same address, the clinic
recently decided it had outgrown its space, and needed a larger
office. Catholic Medical Center, the hospital which runs the clinic,
wanted to move it around the block. Local businessmen wanted to move
it out of the neighborhood.
The substance abuse treatment center provides
patients with methadone, a legal drug used to wean addicts off heroin.
While the use of methadone in drug treatment has long been a source of
controversy among health policymakers, executives at Catholic Medical
Center said they did not expect the relocation of the clinic to be
equally controversial. But in April, shortly after the move was
announced, a group of businessmen calling themselves the 146th Street
Community Preservation League circulated a petition calling on Borough
President Claire Shulman and Councilman Tom White to block the move.
If the clinic were allowed to move to an office
building at 91-10 146th St., the petition claimed that the facility
would be able to more than triple its clientele.
"This will bring an additional 2,200
recovering drug addicts to our neighborhood," the petition
stated. "This in turn will bring increased drug use into the
area. Increased presence of drug addicts and more crime will certainly
reduce the property values in the neighborhood."
Officials at Catholic Medical Center said that the
hospital had no intention of changing the size and scope of their
operation. "The numbers will remain the same," said Stephen
Phelps, a spokesperson for the hospital. "We serve a total of 850
patients and that will not change." What would change in the
larger location, said Phelps, is the ability of the clinic to more
effectively provide its services.
Former addicts say that methadone clinics deserve
their reputation for being drug dealer and crime magnets. "If you
want to know where to get heroin," said one former methadone
user, "just open up the Yellow Pages and look under
methadone clinics. Right out in front, you can buy anything you
want."
Loitering and drug dealing are not a major problem
in front of the Archer Avenue clinic, police at the 103rd precinct
told the Press. "The clinic does not allow patients to
loiter, and if they do, they are cut off."
But loitering and dealing, or even the perception
of loitering and dealing are bad for business, say neighbors of the
clinic.
"Such a facility is a disincentive to economic
development," said Sam Samuels, spokesperson for the Greater
Jamaica Development Corporation. "It is at odds with our
objectives, and we have received a number of complaints."
After meeting with Borough President Claire Shulman
and Councilman Tom White, the hospital agreed to consider alternative
locations for the clinic.
"Its not that these services are not
needed," said White. "But that the site is potential office
space for development."
White, who runs his own drug treatment facility in
Jamaica said he is an opponent of methadone because it substitutes one
addiction for another. "It is effective as an anti-crime
measure," he said. "But it does not in my opinion help
people get over their problems."
White added that there is more to the controversy
than merely the continued chorus of "not in my backyard."
While conceding that most residents and businesses would prefer not to
be situated next to a methadone clinic, in this case, White said, the
clinic already was in their backyard.
Citing the lack of incidents and the length of
their stay in the neighborhood, Catholic Medical Center contends that
a methadone clinic is not bad for the local economy.
"An operation like ours has proved itself to
be effective," said Phelps. "We could happily exist with the
community almost anywhere."
Borough President Claire Shulman has tentatively
scheduled a second meeting with the hospital and the concerned
businessmen for July 19. Shulman asked the businessmen to present
alternative sites for the clinic for consideration.
BY NICK BUGLIONE
Heroin is hard to quit cold turkey. Nearly 70
percent of those who try, relapse in a matter of months. The
alternative is a synthetic, nontoxic narcotic known as a methadone.
Joyce Lynwoods, 53, said that if it had not been
for methadone, she probably would be either dead or in jail.
"It saved my life," said Lynwoods, a
former heroin addict who has been on methadone for 28 years. "I
never dreamed 30 years ago that I would be where I am today. I was
able to go back to school and get a graduate degree."
Although some swear by the effectiveness of
methadone, others question the drugs usefulness and contend that it
simply supplants one addiction with another.
First synthesized by the Germans during World War
II, methadone was not used to treat those fighting opiate addictions
until the 1960s. By 1963, after years of failure, doctors and public
health workers alike had concluded that no treatment could cure
long-term heroin and morphine addicts.
In a final attempt to determine if addicts could
remain stable on doses of pharmaceutical narcotics, Dr. Vincent Dole
and Dr. Marie Nyswander conducted an experiment at Rockefeller
University in New York City.
Volunteer abusers were given access to a variety of
opiates, however it was discovered that subjects couldnt function
normally under the narcotics, as they either made them extremely
sedated or left them craving their next dosage.
Deeming their experiment a failure, Dole and
Nyswander decided to wean the volunteers off the opiates and release
them from the hospital. To soften the affects of withdrawal, the
doctors put their subjects on methadone, primarily because it was
cheap and could be taken orally.
Yet in the ensuing weeks the patients began to
exhibit significantly positive changes in behavior. Whereas with other
treatments the subjects were left feeling the affects of the
narcotics, on methadone the reaction was quite different. Cravings
disappeared and the subjects began to function normally, thrusting
methadone into the forefront of opiate addiction treatment.
Currently there are almost 40,000 people receiving
methadone treatment citywide, 3,125 of those people in Queens,
according to Jennifer Sandu, spokesperson for the New York Office of
Alcohol and Substance Abuse Services.
With the advent of HIV and AIDS in the 1980s,
advocacy for methadone use increased with fears that intravenous drug
users would spread the disease through sharing tainted needles.
Mayor Rudy Giuliani has been an outspoken critic of
methadone treatment. Giuliani and others believe that abstinence is
the only way to truly kick the habit.
The methadone maintenance programs now existent in
Queens constitute 10.4 percent of all such programs throughout the
city, said Ann Sommers, spokesperson for the Department of Mental
Health.
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