Addiction in Greene County
Addiction, particularly to opioids and other substances, is a serious public health issue in our county. Substance use disorder affects individuals, families, and the broader community, with consequences including overdose deaths, strained relationships, and stress on health and social systems.
What the Data Tells Us
Greene County has experienced higher rates of opioid-related overdose deaths compared to many parts of New York State. In recent years, county data show that the overdose death rate involving opioids has been significantly above the New York State rate (excluding NYC), and the county often ranks among the higher counties statewide for overdose mortality.
Overdose events peaked around 2021, then declined in subsequent years, but rates remain elevated. In 2024, overdose deaths were still higher than state averages, driven by a toxic and shifting drug supply — especially fentanyl and other powerful drugs.
Local health surveys also show that a large share of residents are concerned about opioid and stimulant misuse, with opioids like heroin and fentanyl seen as top community priorities.
Addiction Is a Health Condition, Not failure.
Health experts and community partners emphasize that addiction is a disease, not a choice. Stigma, negative beliefs and stereotypes about people struggling with substance use can discourage individuals from seeking help and worsen outcomes. Addiction doesn’t discriminate based on age, income, or background, and reducing blame and shame is critical to supporting recovery.
Local Approaches to Prevention and Support
Harm Reduction: Keeping People Safe
Greene County’s public health programs promote harm reduction — practical strategies that reduce the risk of overdose and disease transmission while people cope with substance use. These include:
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Free naloxone (Narcan) to reverse opioid overdoses
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Fentanyl and xylazine test strips to detect dangerous substances
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Safe needle disposal and other supportive supplies
These efforts aim to keep residents safe and alive, meeting people where they are and offering a bridge toward treatment when they’re ready.
Treatment and Recovery Services
Residents seeking help can access Medication for Opioid Use Disorder (MOUD), peer recovery support, and other clinical services through Greene County health providers. These services recognize that recovery is a process and that medication-assisted treatment can be life-saving and part of long-term recovery.
Community coalitions like the Columbia-Greene Addiction Coalition work to coordinate resources, educate the public, and connect individuals and families to ongoing support.
Overcoming Barriers: Reducing Stigma and Increasing Access
Even with programs in place, many people face barriers to care, including:
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Stigma and fear of judgment
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Lack of awareness about resources
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Transportation and logistical challenges
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The complexity of navigating treatment systems
Local public health leaders and community advocates continue to promote compassionate outreach, education, and supportive policy solutions to make services more reachable and acceptable for everyone.
How You Can Help or Get Help
If you or someone you care about is struggling:
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Reach out to your health provider or a local clinic about substance use assessment and treatment options.
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Request harm reduction supplies such as clean testing strips and naloxone through county programs to reduce overdose risk.
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Contact statewide support lines or referral services for immediate guidance.
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Be part of reducing stigma — support friends and neighbors without judgment.
Remember: addiction is a health condition. With support, resources, and understanding, recovery is possible.
To view updated statistics, please visit Greene County Overdose Dashboard.
