The New York City Department of Health and Mental Hygiene reported an age-adjusted unintentional overdose death rate of 20.7 per 100,000 Staten Island residents in 2024. The provisional rate fell 49% from 40.2 in 2023, the largest borough decline, but overdose remained a public-health emergency. New York substance-use statistics place the borough's overdose burden in broader state context.
Stapleton-St. George, Port Richmond, Willowbrook, and South Beach-Tottenville each recorded an approximately 50% decline in fatal-overdose rates in 2024. A lower annual rate does not remove individual risk: fentanyl remained involved in 73% of citywide overdose deaths, cocaine in 57%, and the categories overlapped.
NYC Health lists Partnerships for Community Wellness harm-reduction services at 1100 Castleton Avenue and 2134 Richmond Terrace. Richmond University Medical Center and Staten Island University Hospital provide local hospital access, while the OASAS Treatment Availability Dashboard identifies licensed detoxification, inpatient, opioid-treatment, and outpatient programs.
Call 911 for unconsciousness, abnormal breathing, suspected overdose, seizure, violence, or immediate danger; administer naloxone when available. NYC 988 supplies free, confidential crisis counseling and substance-use referrals by call or text 24 hours a day. New York overdose-calling protections cover specific possession and paraphernalia offenses when a person seeks emergency help, subject to statutory limits.
Detoxification stabilizes acute withdrawal before rehabilitation, while inpatient care adds medical or psychiatric monitoring and residential treatment adds 24-hour structure. Partial Care, IOP, and outpatient rehabilitation begin when the patient is medically stable enough for those settings.
The Norwood campus requires travel through the Goethals Bridge and New Jersey Turnpike, so program intensity and sustainability both matter. Partial Care is intensive and in person, supported by Valley Spring's medical and psychiatric team; clinically eligible Staten Island residents can complete addiction IOP, outpatient care, or the separate virtual Mental Health IOP from home.