Mind and Body

Local communities learn how to practice the art of connectedness

Rhode Island is poised to emerge as a leader again in training and collaboration — and in building up community responses — pushing back against substance use. But looming Federal cuts pose a big risk, promising to undo a decade of progress.

Photo by Richard Asinof

Amy Copperman, Esq., executive director of Legal Key Partnership for Health and Justice, or Legal Key for short. expresses her belief that we all live off hope.

By Richard Asinof
Posted 2/17/25
A decade of progress in promoting recovery in Rhode Island is at risk because of plans to slash federal spending.
What causes such bombast and bellicose attacks on a distinguished federal jurist such as Judge Jack McConnell? How can Rhode Islanders rally and find common ground in preserving the best of the Ocean State? How can the voices of community workers be heard and listened to given more credence by the news media? Why is there such a disconnect between hospital systems around sharing digital imaging of patients?
One strategy to develop in recovery efforts is to create a vehicle for narrative development, so people can own their own stories and gain access to the tools to develop their own narratives.

Even the President of the United States sometimes must have to stand naked.

— Bob Dylan

JOHNSTON — The marketplace is often defined by the economic laws of supply and demand, particularly when it comes to illicit drugs on the streets of Rhode Island and the nation.

In response, for the last decade, there has been an orchestrated response by local, state, and federal authorities to push back against the illegal flow of drugs — and to promote long-term recovery by focusing on the support systems needed to help families bridge the tragedies in their own lives.

On a macro-scale, much of the illegal trade in drugs such as fentanyl has been fueled by what has been termed the “iron river” of illegal guns flowing from the U.S. south across the border to Mexico.

As author Ieva Jusionyte told ConvergenceRI in an April 2024 interview, her book, “Exit Wounds,” redefined the shape-shifting narrative around borders, guns, violence, and women. 
 
“The book provides a narrative that links some of the most critical, urgent issues in the United States today – gun violence, drug addiction, migration, and border security – showing how we have created this vicious circle of violence, in which we have been stuck,” she said. “Our guns are going south to Mexico and Central America and beyond into the hands of organized crime groups that smuggle the drugs that fuel the addiction epidemic in our communities.”

Jusionyte continued: “Because of the violence of these groups, we are also seeing thousands of migrants and refugees arriving each month desperately seeking safety on this side of the border. It is all linked and the guns are a key element in this chain.”

On a local level, here in Rhode Island, the focus has been on collaborations — building networks and hotlines and emergency response teams — and even a converted “Dignity” bus to house those at risk of homelessness in Woonsocket. The bus is now run by the Community Care Alliance. Many of those efforts have been resourced from legal victories won by Attorney General Peter Neronha against unscrupulous drug manufacturers such as Purdue Pharma and their consultants, such as McKinsey and Company.

The state, under two successive administrations, has kept an inclusive Task Force meeting monthly to coordinate strategies. A new Harm Reduction Center is planned to open this year.

The problem, of course, is that the opioid epidemic keeps evolving, despite all of the progress being made to arrest the substance use conundrum.

From addictive painkillers to heroin to fentanyl to animal tranquilizers, the drug of “choice” keeps morphing, and strategies that worked against one illicit substance do not necessarily work on others. At the same time, alcohol and legal marijuana use has not subsided.

What’s required is a flexible approach to training the professionals and counselors to keep them fully up-to-date with the latest strategies moving forward.

One initiative launched this week was TRAIN RI, the Training Resources and Information Network of RI, created by the Substance Use and Mental Health Leadership Council of RI.

The new pilot program will offer a range of affordable courses taught by experienced instructors.

A second ongoing initiative, the statewide Community Overdose Engagement (CODE) Summit, first convened in 2017, recently brought together more than 300 stakeholders invested in ending the local overdose crisis at its 2025 summit.

CODE Summits are designed to bring together Rhode Island stakeholders invested in ending the local overdose crisis.

Preliminary data discussed at the 2025 CODE summit showed that Rhode Island saw an 11 percent decrease in drug overdose fatalities during the first quarter of 2024, compared to the first quarter of 2023. This continues the momentum Rhode Island saw in 2023, when the percentage of drug overdose deaths decreased by 7.3 percent. However, state and local officials agree that more work is needed to prevent overdoses and save lives.

“Collaboration is at the heart of Rhode Island’s response to the overdose crisis,” said Dr. Jerry Larkin, Director of the Department of Health. “This Summit represents an invaluable opportunity for community leaders, treatment and recovery specialists, healthcare professionals, and many others to share resources, learn about new prevention strategies, and build community together.” 

The training agendas.  
ConvergenceRI recently interviewed John J. Tassoni, Jr., president and CEO of SUMHLC.

ConvergenceRI: What advantages does TRAIN RI bring to the discipline to set it apart from other competitors?    
TASSONI, JR.: For decades, the Leadership Council has served as a central hub for training and technical assistance. We have been building strong relationships with the provider community that distinguish us from others. These partnerships are crucial in making a positive impact on local workforce and development, and also addressing the unique challenges specific to Rhode Island. We continue to be committed in working with our local partners working in various fields. Our new training program will allow us to continue to collaborate with local providers and community members, support workforce retention, and assist with recruitment and on-boarding at many of the local agencies. We offer a multitude of continuing education units (designed for) social workers, chemical dependency and mental health counselors. Additionally, we are keeping the price of our trainings affordable for those seeking to upkeep their licenses, or who are applying 

ConvergenceRI: How does this new initiative improve access to local expertise?    
TASSONI, JR: This initiative aims at customizing training to meet the specific needs of our provider community while continuing to offer essential courses and incorporating current and trending topics. We plan to conduct needs assessments periodically as well to ensure that what we provide is relevant and helpful. We’ve recently advertised for a request for trainers to our provider community, and have been met with an overwhelming response. Many of these trainers are local professionals bringing both their expertise and community experiences to the table.

ComvergenceRI: What are the key metrics in training substance use and behavioral use professionals, given how the field is changing around the opioid epidemic?
TASSONI, Jr.; Key metrics that reflect both effectivenes of training and the impact of this crisis include: evidence-based practices, staying up to date with the latest trends, research, and treatment methods, harm reduction strategies, and providing educational opportunities to include trauma-informed care and cultural factors. It is also imperative to continuously review the success rate of clients in recovery, track the number of outreach educational sessions that we hold, and review the percent of professionals seeking to attend our courses on the latest information in opioid treatment and recovery.
 
ConvergenceRI: Where does recovery fit into the discussion?
TASSONI, Jr: Recovery is not just the prompt treatment of the individual. The recovery journey is ensuring that the client receives the full support and resources necessary to maintain long-term sobriety. Incorporating recovery into our trainings is crucial for professionals to ensure that both treatment and the recovery journey are addressed. Professionals working with clients must receive this guidance regarding every stage of the recovery process. Emphasizing that recovery is an ongoing process and equipping professionals to support their clients through the entire journey is key. It is also essential to include conversations regarding relapse, and how professionals can help clients during this critical period to assist them to stay on the path of recovery.
 
ConvergenceRI: How does  the narrative around Rhode Islanders in recovery need to change in relationship to behavioral health issues?
Tassoni, Jr: We have made some positive advances in the community as a whole in recent years regarding the de-stigmatizing of mental health and substance use disorder. However, we still have more work to do. The Leadership Council hopes that those who are seeking help or are in recovery, are seen as individuals who have taken a courageous step to reclaiming their lives. We need to continue emphasizing that it is a community responsibility and effort to support individuals in recovery, and we all have a moral responsibility to take care of one another.
 
Dark clouds on the horizon
The coordinated network of social service supports — including the new CCBHC, the 988 hotline for suicide intervention, emergency response teams, shelters, and many more on-the-ground services — are all being threatened with being thrown into chaos should the new Trump administration succeed in a massive cut in federal funds.

In communities across Rhode Island, many residents straddle life-and-death situations of despair, without food, money, housing or support. 

Whether or not the community agencies are willing to speak out depends on how courageous their leaders are, in the face of active intimidation tactics by those in the new Trump administration, who have now gone after Judge Jack McConnell, threatening him because of his strong legal decisions against the slashing cuts proposed to federal spending. 

“What is critical for all of us to understand is that pauses or cuts in federal grants, contracts and particularly Medicaid will have a devastating impact on Rhode Island,” said one community agency executive. “This will encompass services to the homeless population, behavioral health, health care in general and an array of social services that support low income working families.”
 
 That sentiment was echoed by another community agency executive.
 
“What we need to keep in perspective is that the wellbeing of human beings is attached to these resources irrespective of who they voted for; people will die, hospitals will become overwhelmed even more so than they are at present and there will be greater numbers of children placed in care” said Ben Lessing, CEO, Community Care Alliance. “The work of Attorney General Peter Neronha and his peers across the country could not be more important.”
 
The goal is to stay ahead of changes, according to a third community agency executive director.
 
“Legal Key is stepping up our training events, to try to keep ahead of changes in the law, so that our partners can be responsive when they identify the emerging legal needs of those they serve,” said Amy Copperman, Esq, executive director of Legal Key.

 

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