California Black Media
Commentary: It’s Time to Address the Disproportionate Impact of the Opioid Crisis on Black Californians
The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies. As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action.
By Dr. Le Ondra Clark Harvey, Special to California Black Media Partners
The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies.
As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action. Slight declines or plateaus are not “wins.” We need proactive, comprehensive solutions that improve education, provide wraparound services, and increased access to proven treatment methods like medication assisted treatment and overdose reversal agents.
As an advocate, psychologist, and mother of two young children, today’s fentanyl crisis is difficult to process. On one hand, I understand how challenging it can be to pass meaningful policies that will save more lives — whether those of individuals injecting drugs on sidewalks or suburban teenagers poisoned by counterfeit pills they bought on Snapchat. These challenges are compounded by critical deficits, such as workforce shortages, minimal treatment beds and facilities, and a lack of culturally competent care, all of which disproportionately affect Black Californians.
I have witnessed the devastating impact of fentanyl on Black families. These deaths shatter families, destabilize communities, and perpetuate cycles of trauma and socio-economic hardship. For Black Californians specifically, grief is compounded by helplessness and frustration, knowing that more could – and should – have been done to prevent these tragedies.
As I sit in numerous health policy workgroups, task forces, and legislative hearings, I hear policymakers request more studies to better understand how vulnerable communities are impacted. This is critical, and it is not enough.
We don’t have time to waste.
Naloxone, a well-known opioid reversal medication, has saved hundreds of thousands of lives. However, as the opioid landscape evolves, so too must our response. California must adopt flexible policies that evolve with the rapidly changing drug landscape. We cannot rely on outdated, product-specific policies when the illicit drug landscape is changing faster than we can blink.
Efforts to do just that at the statewide level have been aggressively rebuffed by the Administration. Last year, Senate Bill 641, authored by Sen. Richard Roth (D-Riverside) would have expanded California’s statewide standing order for naloxone to encompass all FDA-approved opioid reversal agents. It passed out of the Legislature unanimously, yet Governor Newsom vetoed the bill.
Several months after the veto, Assemblymember Jasmeet Bains, (D-Delano), a physician who treats substance use disorder (SUD), led a sign-on letter among her colleagues calling on the California Department of Public Health to update the statewide standing order to no avail.
Fortunately, Los Angeles County has stepped up in the absence of statewide legislation being signed into law.
For decades, Dr. Brian Hurley, Medical Director of the Bureau of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health and President of the American Society of Addiction Medicine, has taken a comprehensive approach to addressing substance use disorder.
He has increased access to proven treatment models and implemented innovative initiatives to save lives. His department’s efforts have contributed to the plateau in overdose rates, and we hope to see further improvement through the expanded standing orders for the Los Angeles Unified School District and the LA County Sheriff’s Department, ensuring access to all FDA-approved reversal agents.
The time for action is now. With a united and informed approach, we can turn the tide on the devastating impact of opioid overdoses in Black communities.
About the Author
Dr. Le Ondra Clark Harvey is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.
Activism
Oakland Post: Week of December 11 – 17, 2024
The printed Weekly Edition of the Oakland Post: Week of December 11 – 17, 2024
To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.
Activism
California Takes Steps to Address Rising Homelessness Among Aging Adults
The lack of accessible and available housing, health-related behaviors, medical problems, social isolation, and limited resources are some of the root causes of homelessness and poverty among aging Californians. Speaking on own her behalf — not representing CCoA — Brown said more alternatives for affordable housing and services would provide a much-needed safety net for older adults in the state.
By Antonio Ray Harvey, California Black Media
The California Commission on Aging (CCoA) has published a Housing Policy Brief that offers recommendations for reducing housing insecurity and homelessness among older adults in California.
The brief summarizes a more in-depth report titled “Housing Those Hardest Hit: Addressing Older Adult Homelessness.” It also includes seven actionable recommendations to mitigate older adult homelessness in three settings: permanent housing, independent housing, and assisted living.
“Expanding housing capacity across all settings in the older adult continuum of care is critical as our state confronts the pressing issues of housing insecurity and homelessness among older adults,” stated CCoA Executive Director Karol Swartzlander.
“The need is urgent, and the time to act is now,” she emphasized.
The CCoA serves as the principal advocating body for older Californians, and it administers programs that support and celebrate Californians as they age. In addition, the CCoA advises the Governor and Legislature, along with state, federal, and local agencies on programs and services that affect older adults in the state.
From 2017 to 2022, the number of adults aged 55-64 who accessed homelessness services across California increased by over 90%, while the number of adults over 65 in the state, overall, increased by over 166% – exceeding any other age group, according to the report.
According to CCoa, the commission blends housing solutions within a comprehensive continuum of care, presenting policymakers with targeted strategies that accommodate the diverse housing and supportive service needs of older adults.
Efforts to address homelessness is now one of CCoA’s top priorities, says Swartzlander.
“The need is urgent, and the time to act is now,” she added.
In 1990, 11% of the homeless population was over the age of 50 while in 2023 older adults represented nearly half of the state’s homeless population. Among this population, 41% first experienced homelessness after the age of 50.
According to the U.S. Department of Housing and Urban Development’s annual Point-in-Time Count, 38,028 adults aged 55 and older experienced homelessness in California in 2023. Furthermore, the report stated that 41% first experienced homelessness after the age of 50.
Former Assemblymember Cheryl Brown (D-San Bernardino), who just completed a six-year term as chairperson of the CCoA, said there must be policies in place to “remedy the problem” of older adults becoming homeless in the state.
The lack of accessible and available housing, health-related behaviors, medical problems, social isolation, and limited resources are some of the root causes of homelessness and poverty among aging Californians. Speaking on own her behalf — not representing CCoA — Brown said more alternatives for affordable housing and services would provide a much-needed safety net for older adults in the state.
“We need to go back to square one and come up with some policies that would help older adults have options,” Brown said. “It’s a tragedy that these people have paid into the system (taxes, social security), and did it the right way, and they still need these services.”
In the policy brief, the CCoA presents seven recommendations to mitigate aging adult homelessness. They are exploring a statewide subsidy for older adults at-risk of homelessness; developing a state homeshare program; expanding ministerial approval for smaller assisted living facilities; reforming housing laws; expanding assisted living waivers; and funding community care suggestions.
Editorial Note: California Black Media will follow up this article with more investigations into the lived experiences of older adults impacted by the of homelessness and housing insecurity crisis in the state.
Bay Area
2024 in Review: 7 Questions for Incoming Black Caucus Vice Chair Asm. Isaac Bryan
Assemblymember Isaac Bryan (D-Ladera Heights) has focused his legislative career on addressing racial inequities and systemic injustice, criminal justice reform, environmental justice, and economic equality.
Now in his fourth year in the legislature, Bryan serves as a generational bridge within the California Legislative Black Caucus (CLBC). This month, he assumes the influential role of CLBC Vice Chair.
By Joe W. Bowers Jr., California Black Media
At 32, Isaac Bryan (D-Ladera Heights) has emerged as one of California’s most dynamic Assemblymembers.
Bryan has focused his legislative career on addressing racial inequities and systemic injustice, criminal justice reform, environmental justice, and economic equality.
Now in his fourth year in the legislature, Bryan serves as a generational bridge within the California Legislative Black Caucus (CLBC). This month, he assumes the influential role of CLBC Vice Chair.
Representing the 55th Assembly District, Bryan’s legislative efforts have been crucial in passing policies that uplift marginalized communities, while addressing long-standing systemic inequities.
Recently, Bryan spoke with California Black Media (CBM). He reflected on his legislative efforts in 2024, the challenges he faced, and his vision for 2025.
His responses have been edited for length and clarity.
Reflecting on 2024, what do you believe was your most impactful achievement for advancing the interests of Black Californians, and why?
The first is AB 2716. It is a major win for environmental justice that addresses long-standing health and safety concerns for Black and lower-income residents living near oil and gas production fields. The second is AB 2906. That bill ensures that foster care children, many of whom are disproportionately Black, receive their rightful survivor benefits from federal programs after their parents pass away. Previously, these funds were often redirected to county budgets. AB 2906 is a real game-changer for foster care youth.
As the incoming Vice Chair of the Black Caucus, how have your leadership and policy efforts helped address key issues impacting Black Californians?
Leadership is about bringing people together across racial, geographic, and political lines to make meaningful change. The Black Caucus secured $300 million in ongoing funding for California’s lowest-performing students, who are disproportionately Black.
What were the most significant challenges you faced in advocating for Black Californians?
Misinformation and disinformation were huge obstacles in 2024, especially during an election year. These tactics have been used to divide Black communities and diminish their political influence. Another major challenge was navigating the state’s budget deficit, which threatened critical programs for Black Californians. We had to fight hard to protect programs in education, housing, and social services from severe cuts.
What events or movements inspired you the most in your efforts to support Black communities?
Watching grassroots organizations and everyday people stand up for their communities, especially when it comes to health and safety, has been powerful. It’s inspiring to see local advocates and community members speak up and demand the right to live in safe, healthy environments.
What lessons from 2024 have shaped your approach to policy and decision-making?
The biggest lesson from 2024 is the importance of persistence. We have to stay committed to the long game. The fight for equity, whether it’s in housing, education, or environmental justice, requires consistency. You can’t let up.
In one word, what do you see as the most pressing issue Black Californians are facing?
Equity. We need to make sure that Black Californians are not left behind as we move forward as a state.
What is the one goal you are most committed to achieving in 2025?
Making sure that the state’s budget is not balanced on the backs of Black Californians. The budget is a moral document It needs to reflect our values of fairness and justice.
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