{"id":13860,"date":"2017-10-02T14:05:14","date_gmt":"2017-10-02T14:05:14","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=13860"},"modified":"2017-11-30T11:40:24","modified_gmt":"2017-11-30T11:40:24","slug":"a-small-town-police-officers-war-on-drugs","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2017\/10\/a-small-town-police-officers-war-on-drugs\/","title":{"rendered":"A Small-Town Police Officer\u2019s War on Drugs"},"content":{"rendered":"<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">New Hampshire has the second-highest rate of drug overdoses in the country. Eric Adams in Laconia (population 16,000) has been assigned one task to stop them.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Eric Adams is a handsome, clean-shaven man, almost 41, with a booming voice and hair clipped short enough for the military, which once was an ambition of his. After high school, he tried to join the Marines but was turned away because of his asthma. He needed three different inhalers then, plus injections. Today he has outgrown the problem. He is 5-foot-10, weighs 215 pounds and can dead lift 350.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Adams has worked in law enforcement for almost two decades.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">He began as a guard at the New Hampshire state prison, where he asked to work in maximum security, then left to become a police officer in Tilton and was soon recommended for the Drug Task Force, a statewide operation against narcotics dealers. Adams grew his hair long and arranged undercover buys, a Glock 27 concealed in a holster beneath his jeans. Later he would return wearing a bulletproof vest, surrounded by fellow officers, to kick in the door with his pistol drawn.<\/span><\/p>\n<div id=\"attachment_13875\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/drugprevent.org.uk\/ppp\/2017\/10\/a-small-town-police-officers-war-on-drugs\/eric-adam\/\" rel=\"attachment wp-att-13875\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-13875\" class=\"size-medium wp-image-13875\" src=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Eric-Adam-300x197.jpg\" alt=\"\" width=\"300\" height=\"197\" srcset=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Eric-Adam-300x197.jpg 300w, https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Eric-Adam.jpg 583w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-13875\" class=\"wp-caption-text\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Eric Adams in his office at the Laconia Police Department.<\/span><br \/><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">CreditNatalie Keyssar for The New York Times<\/span><\/p><\/div>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Laconia, where Adams works today, is a former mill town in central New Hampshire surrounded by lakes. In midwinter, Laconia is home to 16,000 residents, though in summer that number swells to 30,000. Those are gleaming, sun-dappled days. Then winter falls on New England like a gavel.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">A blight in the region is especially acute. Of the 13 states with the highest death rates from drug overdoses, five are in New England. New Hampshire in particular has more per capita overdose deaths than anywhere but West Virginia. In 2012, the state had 163 such deaths, a majority of them (as elsewhere in the country) from heroin and prescription opioids. In 2015, the state had nearly 500 deaths, the most in its history. In Manchester, its largest city, the police seized more than 27,000 grams of heroin that year, up from 1,314 grams a year earlier. In certain neighborhoods, a single dose of heroin can cost less than a six pack of Budweiser. Waiting lists for treatment programs stretch as long as eight weeks.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Those years spent guarding prisoners, and later kicking down doors, changed Adams\u2019s thinking. So many of the drug users he saw had made one bad decision and then became chained to it, Adams realized. Or they had begun on a valid prescription for pain medication, after an injury, and then grew addicted. When refills grew scarce, they turned to alternatives. Many were no longer even using to get high, only to avoid the agony of withdrawal.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">They were teenaged, middle-aged and elderly; they were students, bankers and grocery clerks. They were businesswomen with six-figure salaries and homeless men with shopping carts. Arresting a person like this did no good, because there was always another to replace him or her \u2014 and regardless, any jail sentence had limits. Afterward, Adams saw, everyone landed right back where they started.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018We\u2019re not getting anywhere,\u2019\u2019 he told his chief, Christopher Adams (the two men are not related), and his lieutenant. It turned out that they had already reached a similar conclusion. Until recently, Christopher Adams told me, he couldn\u2019t recall ever hearing of a heroin case. \u2018\u2018Now it\u2019s every day,\u2019\u2019 he said. \u2018\u2018It\u2019s a majority. Not just in Laconia. It\u2019s all over.\u2019\u2019 He and his lieutenant sat down to consider what their department might do. It seemed that there were three conceivable approaches to a drug problem: prevention, enforcement and treatment. To accomplish all three would mean regarding drug users, and misusers, as not only criminals. They were also customers who were being targeted and sold to; they were also victims who needed medical treatment. To coordinate all those approaches would require a particular sort of officer.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">In September 2014, Eric Adams became the first person in New England \u2014 to his knowledge, the only person in the country \u2014 whose job title is prevention, enforcement and treatment coordinator. \u2018\u2018I never thought I\u2019d be doing something like this,\u2019\u2019 he told me. \u2018\u2018I learned fast.\u2019\u2019 The department printed him new business cards: \u2018\u2018The Laconia Police Department recognizes that substance misuse is a disease,\u2019\u2019 they read. \u2018\u2018We understand you can\u2019t fight this alone.\u2019\u2019 On the reverse, Adams\u2019s cell phone number and email address were listed. He distributed these to every officer on patrol and answered his phone any time it rang, seven days a week. Strangers called him at 3 a.m., and Adams spoke with them for hours.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The department assigned him an unmarked Crown Victoria, and in it he followed the blips and squawks of a police scanner, driving to the scene of any overdose it reported and introducing himself to the victim, as well as any friends or family he could locate. Residents like these often shrank from the police or stiffened defensively. But when Adams told them that they weren\u2019t under arrest, that he had only come to help, they seemed to sag in relief.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">People who work with addicts generally agree that this moment, immediately after an overdose, offers the greatest chance to sway an addict, when he or she feels most vulnerable. \u2018\u2018You\u2019re at a crossroads right then and there,\u2019\u2019 a local paramedic told me. If an addict agreed to Adams\u2019s help, Adams drove him to a treatment facility, sat beside him in waiting rooms, ferried his parents or siblings to visit him there or at the jail or hospital. He added the names of everyone he encountered to a spreadsheet, and he kept in touch even with those who relapsed. Were they feeling safe? Attending support meetings? Did they have a job? A place to sleep?<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">In the nearly three years since, as overdose rates have climbed across New Hampshire, those in Laconia have fallen. In 2014, the year Adams began, the town had 10 opioid fatalities. In 2016, the number was five. Fifty-one of its residents volunteered for treatment last year, up from 46 a year before and 14 a year before that. The county as a whole, Belknap, had fewer opioid-related emergency-room visits than any other New Hampshire county but one. Of the 204 addicts Adams has crossed paths with, 123 of them, or 60 percent, have agreed to keep in touch with him. Adams calls them at least weekly. Ninety-two have entered clinical treatment. Eighty-four, or just over 40 percent of all those he has met, are in recovery, having kept sober for two months or longer. Zero have died.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">On most mornings, Adams arrives at his office well before 9 to answer email. By then, his phone is already chiming. \u2018\u2018I thought when I got this position: Monday through Friday, day shifts, weekends off. I\u2019m going to see my kids and wife more,\u2019\u2019 Adams said, laughing. \u2018\u2018That\u2019s not the case.\u2019\u2019 Pinned to the walls of his office, a windowless room on the second floor of the department, are pamphlets and resource guides for homelessness, peer-support groups and addiction hotlines, as well as a dry-erase board listing drug-treatment centers statewide. In December, when I visited one morning, the floor was cluttered with toys for local families in preparation for Christmas: doll sets, wireless headphones, a pillow the color of sorbet.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">As soon as he began the job, Adams researched what social-service organizations the region had to offer and drove to their offices to introduce himself. A few employees at places like these knew one another from previous referrals, but many didn\u2019t, so Adams went about acquainting them. At health conferences, he arrived to the quizzical frowns of social workers and realized that, of some 200 attendees, he was the only police officer. A network gradually sprouted around him. One morning in December, his first call was from Daisy Pierce, the director of a non-profit organization whose doors opened two weeks earlier; Adams is its chairman. Might Adams help her get a teenager into the Farnum Center, a treatment facility in Manchester, an hour south? Adams dialled a pastor he knew, who phoned a recovery coach. \u2018\u2018For the first year and a half, I was the only transportation around here,\u2019\u2019 he told me when he hung up. \u2018\u2018I would drive people down to Farnum all the time.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Next, Adams turned to a matter unresolved from the day before: a woman the county prosecutor had phoned about, asking if Adams could find her housing. Until recently, the woman had been staying at a homeless shelter, but that stay had ended and, because she was on probation, with nowhere else to sleep, Adams\u2019s fellow officers had taken her to jail, though they could hold her for only one night. She would be released that day, still with nowhere else to stay. The next 48 hours would be critical, Adams felt. Here was a person who wanted to get sober but for whom the local authorities had little to offer.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">From his desk, he dialled a treatment center, then various landlords and non-profit directors he knew. \u2018\u2018Hi, this is Eric Adams over at the Laconia Police Department. I\u2019m calling to see if you have anything. .\u2009.\u2009. \u2019\u2019 Then he tried calling back the county prosecutor, tapping his fingers impatiently as the phone rang. When no one answered, he pulled a cellphone from his pocket and looked through it for numbers to dial on his office phone, while scribbling notes on two different legal pads. A cup from Dunkin\u2019 Donuts sat on his desk, but he hadn\u2019t had time to sip from it. After a half-dozen calls, he hung up the phone and sighed. \u2018\u2018This is the biggest problem in the area,\u2019\u2019 he said. \u2018\u2018It\u2019s housing. There are only a handful of landlords that own so many properties.\u2019\u2019 Adams tried to be up front with landlords, and he didn\u2019t blame them for sometimes rebuffing him, because they had to look out for their other tenants. But it meant limited options for a woman like the one he was trying to help.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">He swivelled toward his computer and began scrolling through notes. Finding nothing, he rubbed his eyes with frustration, propped his elbows onto his desk and rested his chin on his hands to think. \u2018\u2018Oh! Let me try \u2014 I haven\u2019t talked with her in a while.\u2019\u2019 He dialled another number. \u2018\u2018Hi, this is Eric Adams over at the Laconia Police Department. .\u2009.\u2009. \u2019\u2019 A moment later, he hung up. \u2018\u2018All right, this is the last one I can think of.\u2019\u2019 He dialled again. \u2018\u2018I was wondering if you had any rentals available for a female. Oh, really? That\u2019d be great.\u2019\u2019 He recited his email address. \u2018\u2018Thank you!\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Good news?\u00a0 Adams shook his head. \u2018\u2018Not for a couple weeks.\u2019\u2019 He stood, pushing back his chair, and cursed. Out of the office he strode to make a lap around the building to clear his head, then returned and looked at the clock \u2014 9:40 a.m. He had a meeting at 10 at the local branch of the Bank of New Hampshire to help Pierce, the nonprofit director, apply for a new line of credit for their organization. Halfway to the door, he backtracked to pluck the Dunkin\u2019 Donuts cup from his desk and sipped. \u2018\u2018My coffee\u2019s cold.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">On a glass table in the bank lobby lay that morning\u2019s copy of The Laconia Daily Sun. \u2018\u2018Drug Sweep in Laconia Results in 17 Arrests,\u2019\u2019 its front page read. Headlines like that had become increasingly common, especially as the drugs themselves changed \u2014 first to opiates, then to opioids. They weren\u2019t the same thing, Adams had learned. Opiates are derived from nature, and there are only so many, drugs like morphine, heroin and codeine. By contrast, opioids \u2014 though the word is now often used as an umbrella term for all these substances \u2014 technically means synthetic drugs like Vicodin, Percocet, fentanyl and OxyContin, all of which were invented in a laboratory.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">This is why detectives sometimes encountered new opioids that were 20, 50, 100 times as potent as heroin. In a lab, you can do nearly anything. A dealer, even if he or she knows the difference, rarely bothers labelling, so a dose of so-called heroin might include fractions of nearly anything \u2014 meaning, of course, that the potency might be nearly anything. Overdoses happen not just when a person knowingly ingests a large dose but also when he or she ingests a dose of unknown composition.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">After the meeting at the bank, Adams\u2019s phone rang, and he vanished briefly. The call was from a woman whose son was arrested on charges of dealing meth. She wanted an intervention and hoped Adams might help. Steering toward the Belknap County jail, past homes spangled with Christmas lights, Adams admitted that he felt wary. He had already met this young man, who wanted nothing to do with him. Still, Adams would try. He never knew when an addict might begin saying \u2018\u2018yes\u2019\u2019 to him. Sometimes this happened quickly: Adams\u2019s phone would ring, and it was someone he met the previous day. \u2018\u2018I\u2019m exhausted,\u2019\u2019 the person would confess. Others waited a year or longer. All that time, they had hung onto his card. \u2018\u2018I think I\u2019m ready now,\u2019\u2019 they said.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Occasionally an addict used similar words even in rebuffing him \u2014 \u2018\u2018I don\u2019t think I\u2019m ready yet\u2019\u2019 \u2014 a phrase that implicitly acknowledged a problem even as he or she denied one. It was the kind of sign Adams kept on the lookout for. Possibly this moment had come for the young man in jail.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">When we arrived, Adams hustled through the drably carpeted lobby, hardly slowing before a receptionist and a guard waved him inside. A half-hour later, he returned, his face tight with frustration, and strode past me to the car without speaking. \u2018\u2018He doesn\u2019t have a problem,\u2019\u2019 he told me. \u2018\u2018That\u2019s what he said. He doesn\u2019t have a problem.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Inside, he told me, guards had brought the young man from his cell into a windowed conference room, where he recognized Adams, as Adams predicted. \u2018\u2018You know why I\u2019m here,\u2019\u2019 Adams began gently.\u00a0 \u2018\u2018You\u2019re trying to be nosy,\u2019\u2019 the man replied.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018If you want to think of it that way, that\u2019s fine.\u2019\u2019 Adams glanced at the young man\u2019s file and explained that the man\u2019s mother had called. \u2018\u2018So I wanted to talk to you a little bit. This is an opportunity for you to get some help.\u2019\u2019 The young man went silent. \u2018\u2018I mean, you got arrested,\u2019\u2019 Adams added, gesturing toward the file.\u00a0 The man told him that he didn\u2019t do the stuff, just sold it. He didn\u2019t need help.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018O.K.,\u2019\u2019 Adams told him, crossing his arms and leaning forward. Was the young man on any weight-loss program, then? \u2018\u2018Because when I saw you before, to now, you\u2019ve lost a lot of weight.\u2019\u2019 He nodded toward the young man, who was twitching uncomfortably in his chair. \u2018\u2018And you\u2019re all over the place, just sitting there.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">When the man told Adams he was innocent, Adams reminded him that he was always available and slid him another one of his cards. Adams wished him well, then he asked guards to briefly fetch the woman they were holding overnight \u2014 the one for whom Adams was searching for housing \u2014 to check in and promise that he was trying.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Even as Adams nosed the Crown Vic out of the parking lot, he couldn\u2019t get the episode out of his head. \u2018\u2018Why won\u2019t you just say, \u2018I need this\u2019?\u2019\u2019 he asked aloud, thinking of the young man. \u2018\u2018Your life is going this way. You\u2019ve been arrested. You\u2019re homeless. It\u2019s all drug-related.\u2019\u2019 He sighed. \u2018\u2018The thing I had the hardest time learning was you\u2019re not going to save everyone. That was very hard for me to accept.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">A common sentiment among the police was that officers interacted with just 5 percent or so of the residents they served. In certain communities, that fraction was smaller. Laconia wasn\u2019t a large town. \u2018\u2018You think, mathematically,\u2019\u2019 Adams began, before pausing, \u2018\u2018why can\u2019t I? Why can\u2019t I fix this?\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">For several miles he steered quietly, past muddied snowbanks. \u2018\u2018It bothers me, but I\u2019ve done what I can do right now. I can\u2019t force him to want help.\u2019\u2019 He turned into the lot of the department and slowed into a parking spot.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018Is there such a thing as an addict you have no sympathy for?\u2019\u2019 I wondered.\u00a0 Adams considered this, letting the engine idle, and dropped his hands into his lap. Eleven seconds passed in silence. \u2018\u2018I don\u2019t think so,\u2019\u2019 he said finally. \u2018\u2018There are reasons they are the way they are.\u2019\u2019<\/span><\/p>\n<div id=\"attachment_13877\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/drugprevent.org.uk\/ppp\/2017\/10\/a-small-town-police-officers-war-on-drugs\/a-kit-with-narcan\/\" rel=\"attachment wp-att-13877\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-13877\" class=\"size-medium wp-image-13877\" src=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/A-kit-with-Narcan-300x208.jpg\" alt=\"\" width=\"300\" height=\"208\" srcset=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/A-kit-with-Narcan-300x208.jpg 300w, https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/A-kit-with-Narcan.jpg 609w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-13877\" class=\"wp-caption-text\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">A kit with Narcan, a nasal spray that blocks the effect of opioids on the central nervous system. CreditNatalie Keyssar for The New York Times<\/span><\/p><\/div>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Adams could list, from memory, addicts who had opened their lives to him, had volunteered for treatment, had wept in relief and gratitude. Already I had met two young adults who were newly in recovery and partly credited Adams for the lives they had regained. But those weren\u2019t the names that tormented him.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Inside his office, he noticed two new voice-mail messages. The first was from a woman who read of Adams in the newspaper. \u2018\u2018If you could tell me what to do? I\u2019m more than willing to do whatever I need.\u2019\u2019 Adams scribbled something on a legal pad, then played the second voice mail. The same voice filled the room again, but now it broke into tears. Could Adams please tell her what to do?<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Adams jotted another note, then checked his watch. Just past noon. Because he knew the work schedule of the mother of the young man he visited in jail, he knew she would be off soon and expecting his call. \u2018\u2018She\u2019s not going to be happy,\u2019\u2019 he said, mostly to himself. Rubbing his forehead, he sat down and dialed.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">In so many towns all across the country, it is difficult to talk about an issue like heroin, not only because there is a stigma or because people worry about sounding impolite, but because everyone calibrates differently, based on neighbors and co-workers they see all day, how much of a problem it is or whether it is a problem at all. There were towns near Laconia \u2014 diplomatically, Adams declined to name them \u2014 that denied they had any drug crisis, even as the numbers they had showed otherwise. When presented with those numbers, some officials found alternative explanations.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Those were residents from other towns who just happened to cross the border, they argued. This reasoning just contributed to the problem, Adams said. Between 2004 and 2013, the number of New Hampshire residents receiving state-funded treatment for heroin addiction climbed by 90 percent. The number receiving treatment for prescription-opiate abuse climbed by 500 percent. But in terms of availability of beds, New Hampshire ranks second to last in New England in access to drug-treatment programs, ahead of only Vermont. The number who still need treatment is probably much higher. In October 2014, New Hampshire became the second-to-last state in the country to begin a prescription-drug-monitoring program, leaving only Missouri without one.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Engler, who was cautious and businesslike, with slicked hair and a graying goatee, had been mayor for three years, though he had lived in Laconia for almost 17 and owned The Laconia Daily Sun. Over his dress shirt he wore a fleece vest embroidered with the paper\u2019s logo. Engler referred to what was happening in Laconia as \u2018\u2018this so-called heroin epidemic,\u2019\u2019 his tone melodramatic, raising his hands defensively above his head.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018We\u2019re the county seat,\u2019\u2019 Engler told me. \u2018\u2018We\u2019re also the home of the regional hospital. Towns in New Hampshire are extremely close together. I think we tend to get credit for more things than are directly attributable to our residents.\u2019\u2019 Though he thought highly of Eric Adams, he also felt sceptical that heroin deserved to be considered an epidemic, regardless of the statistics. \u2018\u2018When I go to a Rotary Club meeting, I don\u2019t hear people sitting around talking about, \u2018Woe is us, everybody\u2019s dying of heroin.\u2019\u2009\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Might that be because, in a setting like the Rotary Club, heroin was not a topic of polite conversation?<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018There could be something to that,\u2019\u2019 Engler admitted. Still, an overdose death was an overdose death \u2014 it would appear in the news that way, and Engler would have heard of it. \u2018\u2018I don\u2019t believe there has been a huge, communitywide reaction to this. There\u2019s not 100 people showing up at City Council meetings saying: \u2018You have to do something about this. This is terrible.\u2019 The papers aren\u2019t full of letters to the editor. Not at all. And I think there\u2019s a reason for that. The reason for that is\u2019\u2019 \u2014 Engler paused and crossed his arms \u2014 \u2018\u2018since we have been in the so-called heroin epidemic in New Hampshire, I don\u2019t believe there has been an instance in the Lakes Region, in Belknap County, where we have had a tragic story involving the son or daughter of someone from a prominent family. All it takes is one, usually. Somebody in Londonderry, some girl who was valedictorian of her class, her dad was a doctor or a lawyer or something like that, overdoses and dies, and suddenly it\u2019s a crisis to everyone in town.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">That very week, I told Engler, while tagging along with Adams for a meeting at the high school, I\u2019d heard teachers mention a current student, a well-liked senior athlete, a team captain, whose sister had struggled with addiction and who had been open about the experience. Another member of the same graduating class, a girl whose grades ranked her in the top 10, had been walking with a friend in 2012 when a local mother, high while driving to pick up her own child from the middle school, swerved and struck them on the sidewalk. The girl survived. Her friend was killed.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">The mayor was unmoved. \u2018\u2018That was oxycodone,\u2019\u2019 Engler said dismissively. \u2018\u2018Here, locally, the heroin epidemic, whatever you want to call it, has not crossed over in any obvious way from the underclass to the middle, middle&#8211;upper class.\u2019\u2019<\/span><\/p>\n<div id=\"attachment_13878\" style=\"width: 214px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/drugprevent.org.uk\/ppp\/2017\/10\/a-small-town-police-officers-war-on-drugs\/chadwick-boucher\/\" rel=\"attachment wp-att-13878\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-13878\" class=\"size-medium wp-image-13878\" src=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Chadwick-Boucher-204x300.jpg\" alt=\"\" width=\"204\" height=\"300\" srcset=\"https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Chadwick-Boucher-204x300.jpg 204w, https:\/\/drugprevent.org.uk\/ppp\/wp-content\/uploads\/2017\/10\/Chadwick-Boucher.jpg 408w\" sizes=\"auto, (max-width: 204px) 100vw, 204px\" \/><\/a><p id=\"caption-attachment-13878\" class=\"wp-caption-text\"><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Chadwick Boucher, a former addict and an early client of Eric Adams\u2019s, with his work truck in his father\u2019s yard. CreditNatalie Keyssar for The New York Times<\/span><\/p><\/div>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Later that week, another prospective client phoned Adams. \u2018\u2018I\u2019m at wits\u2019 end,\u2019\u2019 the man said. For the woman who needed housing, Adams helped track down a relative, at whose home she could stay until an apartment opened. On Friday evening, two more residents overdosed. Adams intended to visit them. Whether either one would accept Adams\u2019s card, would call him, would enter treatment, would achieve recovery, would some day relapse, Adams couldn\u2019t predict. There were no guarantees in this sort of work.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Early in his tenure, Adams made a presentation to \u2018\u2018some prominent people in the community\u2019\u2019 \u2014 he didn\u2019t want to name anyone \u2014 and afterward, as much of the room applauded, a man approached to shake Adams\u2019s hand. As he reached out, the man said: \u2018\u2018It\u2019s a really good job you\u2019re doing. I think it\u2019s great. But my opinion is, if they stick a needle in their arm, they should die.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018I\u2019m sorry you feel that way,\u2019\u2019 Adams said, startled. \u2018\u2018I\u2019d hope you would feel differently if it was your own family member.\u2019\u2019\u00a0 But the man shook his head. \u2018\u2018That will never happen.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">This sort of thing happened all the time when Adams began. Today it happened far less frequently. So many others had grown into Adams\u2019s approach: fellow officers, downtown business owners, the captain at the Belknap County jail. Police officers from around New England and even farther away had phoned or travelled to Laconia to learn what Adams was doing, and whether the model could be replicated. Other towns, independently, had been pressed by the crisis to conceive approaches of their own. Manchester had turned its firehouses into safe stations. Gloucester, across the border in Massachusetts, had a network of community volunteers.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">A city as large as Philadelphia or Boston could sensibly implement a PET approach too, Adams\u2019s supervisors argued; a community like that would simply need more than one officer, with each assigned to a geographical area. But the shift this required would be profound, asking departments that for so long had thought mainly of enforcement to think differently. In Adams\u2019s daily work, it was unavoidable that certain values competed. A client might divulge a crime to him, and he would be forced to interrupt her to give a Miranda warning. \u2018\u2018If there is a crime, that individual needs to be held accountable,\u2019\u2019 he said. \u2018\u2018But this is where our prosecutor, our judges, come into play.\u2019\u2019 Some attorneys had expressed discomfort with him and had insisted on being present when he met their clients. \u2018\u2018I\u2019m totally fine with that,\u2019\u2019 he said, \u2018\u2018because it\u2019s an opportunity for me to educate the attorney, to let them know what I do, how I do it, what the processes are.\u2019\u2019 In a role so complicated, with so much at stake, clearly it was vital that the right officer held the job.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">In an empty conference room on the first floor of the department, I met a young man named Chadwick Boucher, an early client of Adams\u2019s. The two men hugged when they saw each other, and then Adams disappeared upstairs to make calls while Boucher and I spoke. He was 27, though he had the calm demeanour of someone two or three times as old. As early as middle school, Boucher began sneaking his parents\u2019 liquor, partly to fit in with older boys he admired, he told me. Soon he added marijuana. He played hockey then, and played well \u2014 invitations came from showcases in Boston and scouts from Division I colleges, including the University of New Hampshire, a national power. Instead, Boucher quit. It was too much pressure. He finished high school and moved in with a friend, who introduced him to OxyContin.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">What followed was difficult to align into a neat chronology. He bounced from one friend\u2019s apartment to another, from Oxy to Percocet and finally, when pills grew scarce, to heroin. There was a criminal distribution charge, probation, two treatment programs that he abandoned, feeling as though he didn\u2019t belong. There were short-term jobs tending bar or waiting tables, collecting pay-checks before inevitably being fired. Suddenly he was high behind the wheel of his father\u2019s Cutlass \u2014 not in the road, but in a driveway \u2014 startling awake to the police rapping on his window. Then he was at the Laconia police station, in a room with a plainclothes officer named Eric Adams.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">\u2018\u2018He opened his arms to me,\u2019\u2019 Boucher recalled. It had felt bizarre, sharing the truth with a cop. But things had changed so quickly. Most of his family had stopped returning his calls, and all his friends had vanished. The only people around him now were strangers who shared his addiction, and he didn\u2019t like or trust them. The difference in meeting someone like Adams was obvious. \u2018\u2018He cares about my well-being,\u2019\u2019 Boucher said. \u2018\u2018I needed that.\u2019\u2019<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">Adams wanted him to call every day, so Boucher called every day. Then every week. He entered another treatment program, and this time he graduated. He was now nearing a year sober. He owned a business and was caught up on his bills. He lived up the road in an apartment and had friends again, some of whom were in recovery, too. They made a point to talk openly about it, to keep an eye out for one another. Some he referred to Adams. He knew that recovery demanded his full attention, that it probably always would. If he lost anything else in his life \u2014 an apartment, a business \u2014 he lost that one thing only and could do without it. If he lost his recovery, he would lose everything, all at once.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\">I asked Boucher how he preferred to be named in this article \u2014 by only \u2018\u2018Chad\u2019\u2019? Or would he prefer anonymity? But he shook his head. It was important to him to be honest about who he was. He hoped this would send a message to other addicts and to those who encountered them. \u2018\u2018It\u2019s important that people know there\u2019s a way out.\u2019\u2019 Recovery from addiction was an achievable thing and, having discovered this fact, having discovered Eric Adams, Boucher intended to share it. The news might save lives. He knew it was possible that a business client might discover his unflattering past, that he might lose an account or two. \u2018\u2018I\u2019ve come way too far for that,\u2019\u2019 he said.<\/span><\/p>\n<p><span style=\"font-family: verdana, geneva, sans-serif;font-size: 10pt;color: #0000ff\"><em> Source:\u00a0 https:\/\/www.nytimes.com\/2017\/07\/12\/magazine\/a-small-town-police-officers-war-on-drugs\u00a0<\/em><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>New Hampshire has the second-highest rate of drug overdoses in the country. Eric Adams in Laconia (population 16,000) has been assigned one task to stop them. Eric Adams is a handsome, clean-shaven man, almost 41, with a booming voice and hair clipped short enough for the military, which once was an ambition of his. After [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[85,24,27],"tags":[],"class_list":["post-13860","post","type-post","status-publish","format-standard","hentry","category-addiction-papers","category-intervention-testing","category-social-affairs-papers"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/13860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=13860"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/13860\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=13860"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=13860"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=13860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}