What is Fair Share?

In 2017, NYC City Council wrote a report outlining the policy of even distribution—fair sharing—of public services, both beneficial and least desirable.

Communities of color and lower socioeconomic status, such as Harlem and East Harlem, have historically been the dumping ground for services unwanted in other communities.

It is time to distribute these services evenly throughout the city. These include drug treatment facilities, homeless shelters, halfway houses, mental health facilities, waste treatment facilities.

In the 1989 City Charter (Section 203) it was required of the City Planning Commission to adopt the following criteria:

to further the fair distribution of the burdens and benefits associated with city facilities, consistent with community needs for services and efficient and cost effective delivery of services and with due regard for the social and economic impacts of such facilities upon the areas surrounding the sites.

The fair share criteria guide was previously revised in 1998, when Rudy Giuliani was mayor.

We ask that our federal government representatives, Rep. Adriano Espaillat and Sen. Charles Schumer ensure that funding, such as that established to address the opioid epidemic, be used efficiently and effectively, by placing facilities where they are most needed, and that the facilities be evenly distributed.

https://council.nyc.gov/wp-content/uploads/2017/02/2017-Fair-Share-Report.pdf

https://www1.nyc.gov/assets/planning/download/pdf/about/publications/fair_share_guide.pdf

Drug and Alcohol-related Arrest Information for Manhattan, 2018

Wherever OASAS has sited opioid treatment programs, we find more drug/alcohol-related arrests. Not only that: size matters. The larger the OASAS licensed opioid program, the more likely the community is to have high rates of drug/alcohol arrests.

When we first mapped the location of arrests for these crimes, the map indicated that arrests are occurring throughout the borough – everywhere except, it seems, Central Park: 

The map (above) with red dots does not, of course, show concentrations of arrests, so we created another map using a simple white/grey/black scale to show low/medium/high concentrations of arrests for drug or alcohol-related crime:

This can be compared with our map of OASAS opioid facilities in Manhattan (the larger the circles, the larger the client base):

The correlation between the two maps is striking.  Wherever OASAS has sited opioid treatment programs, we find more drug/alcohol-related arrests.  Not only that:  size matters.  The larger the OASAS licensed opioid program, the more likely the community is to have high rates of drug/alcohol arrests.
Putting the two maps together to show the correlation:

As we know, correlation is not causation, but what we can say is that the closer you are to an OASAS opioid program, the more likely you are to be affected by drug/alcohol-related crime.  Additionally, communities experience greater amounts of crime when a larger OASAS licensed facility is located in their midst.

2008 Community Board 10 Resolution: Moratorium on Special Interest Facilities in Harlem

As far back as April 2008, Community Board 10 of Central Harlem established a resolution calling for a moratorium on dumping social service facilities, supporting the “fair share” of these types of services throughout the city.

CB10 Resolution to Rescind Support for a Mount Sinai Drug Treatment Facility in Central Harlem

Executive Committee meeting of Community Board 10 the members voted unanimously to rescind the CB vote taken at the General Board meeting in May 2018 allowing Mount Sinai to erect a health facility at 160 West 124th Street New York, New York 10027.

At the September 26th 2018 Executive Committee meeting of Community Board 10 the members voted unanimously to rescind the CB vote taken at the General Board meeting in May 2018 allowing Mount Sinai to erect a health facility at 160 West 124th Street New York, New York 10027. 

Local Organizations Who Support GHC

Organization
118 Street Block Association
120th Street Block Association
125th Street Business Improvement District
128th Street Block Association
1775 Houses Tenants Association
97-98 Lexington & Park Ave. Neighbors
A. Philip Randolph Square Neighborhood Alliance
A.K. Houses Tenants Association
Advocates 4 The Community
Chaiwali
Chocolat Restaurant & Bar
CIVITAS
Columbus Distributors
Compass Realty
Dorrence Brooks Property Owners & Residents Association
Edward Jones
Elaine Perry Associates
Ephesus SDA Church
Freeland Liqour
Friendly Hands Ministry
Friends of the Harriett Tubman Monument
Gastiaburo + Stella Real Estate
Ginjan Cafe
Graham Court Renters Association
Greater Calvary Baptist Church
Halstead Manhattan
Hamilton Terrace Block Association
Harlem Business Alliance
Harlem Lofts
Harlem Park to Park
Harlem Properties Inc.
Harlem Shake
Harlem Wine Gallery
HarlemHome
Heart to Heart Community Outreach
Il Cafe Latte 1
Il Cafe Latte 2
Jacqueline Allmond Cuisine INC
Lenox to 5th 124th Street Block Association
LenoxFive 127th Street Block Association
Malcolm Pharmacy
Mirada Home Owners Association
MXB United
Neighbors United of West 132nd Street Block Association
New York Council for Housing Development Fund Companies, Inc.
Open Hands Legal Services
Paris Blues Jazz Club
Progressives Educating New Yorkers, Inc.
R. Kenyatta Punter and Associates
Rubys Vintage
Sayers and Doers
Silicon Harlem
SottoCasa Pizzeria
Sugar Hill Concerned Neighbors Group
The 100-168 West 121st Street Resident Block Association
The Harlem Neighborhood Block Association
The Mount Morris Park Community Improvement Association
The new 123rd Street Block Association (Lenox – 7th)
The United New Church of Christ
The West 130th Street Homeowners Association
The West 132nd Street Block Association
Union Settlement House
Upholstery Lab
Uptown Townhouse
Valeries Signature Salon
West 119th Block Association
West 121st Street Block Association
West 126th Street Block Association
West 135th Street Block Association
West 136th Street Block Association
Wynn Optics
35 Mount Morris Park West HDFC

Federal Guidelines on Opioid Treatment Programs

The attached document from the Federal Government on Opioid Treatment Programs (OTP) lays out a number of guidelines that all providers and licensing agencies must follow:

As stated in 42 CFR § 8.12(i)(2), these regulations apply to “opioid agonist treatment medications that are approved by the Food and Drug Administration.” Currently, these drugs are methadone and pharmaceutical products containing buprenorphine, hereafter referred to as buprenorphine. 

There are a couple of interesting points.  One is that the safety of the public is specifically noted:

They are not intended to provide clinical or medical guidelines but rather to assure, to the greatest extent possible, the safety of both the patient and the public.

Also note that we should be able to obtain ‘critical incident’ reports as all providers are expected to give them to: 

the appropriate federal and state agencies and others according to the program’s procedures and any applicable regulatory and accrediting organization requirements.

and:

These events may include accidental injury or violence on the premises; medication errors; harm to family members or others from ingesting a patient’s medication; selling drugs on the premises; medication diversion; harassment or abuse of patients by staff; unexpected or suspicious deaths; deaths related to overdose or medication interactions; or any other injury or death that raises individual, family, community, or public concern.

However, most importantly there are guidelines on page 18 that specifically state that:

Before a new OTP moves into a community or neighborhood and opens its doors to patients, there is a strong need to educate all entities affected by the program’s presence, including the medical community, neighbors, and those who provide support services. States may have specific community relations plan requirements for opening or moving an OTP into a community or neighborhood.

OTPs must have policies and procedures to measure and minimize the negative impact an existing or new program may have on a community, promote peaceful coexistence, and plan for change and program growth.  Such policies and procedures should address:

  • Community need and impact when selecting sites for programs.
  • Community input on the potential impact a program may have on a neighborhood

I encourage you to look at the document carefully and pages 18/19 in particular. 

Location of All OASAS‐certified Opioid Treatment Programs in NYC

Wall Street Journal: Harlem pushes back on proposed drug treatment center

In Oct 2018, Wall Street Journal interviewed our founder Syderia as we pushed back on newly proposed drug treatment center in Harlem.

By Melanie Grayce West

The pretty community garden on West 123rd Street near Syderia Asberry-Chresfield’s home has attracted so many drug users since last August that the garden gates now have to remain locked most of the day.

In the 30 years she has owned a home in Central Harlem, Ms. Asberry-Chresfield’s car has been broken into twice—both times in the last year, she said. And at 9:30 a.m. on a recent weekday, she declined to walk to the western edge of her block because the drug dealers were already out.

“It’s crazy; people are afraid. And they should be,” she said.

So when details began trickling out about plans by Mount Sinai Health System to build a facility one block north on West 124th Street that would serve patients with substance-use disorders and mental illness, area residents reached their tipping point. Already this block between Adam Clayton Powell Jr. Boulevard and Lenox Avenue has homeless shelters,

Here more here:

Harlem Residents Push Back Against Influx of Drug-Treatment Providers – WSJ