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Commentary: It’s Time to Address the Disproportionate Impact of the Opioid Crisis on Black Californians

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies. As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action.

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Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.
Le Ondra Clark Harvey, PhD, is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

By Dr. Le Ondra Clark Harvey, Special to California Black Media Partners  

The opioid crisis, once perceived as predominantly affecting rural, White communities, disproportionately impacts Black Americans. This is a result of long-standing health equity barriers, documented in both local reports and federal studies.

As overdoses continue to rise statewide and fentanyl continues to wreak havoc in our communities, California policymakers must take action. Slight declines or plateaus are not “wins.” We need proactive, comprehensive solutions that improve education, provide wraparound services, and increased access to proven treatment methods like medication assisted treatment and overdose reversal agents.

As an advocate, psychologist, and mother of two young children, today’s fentanyl crisis is difficult to process. On one hand, I understand how challenging it can be to pass meaningful policies that will save more lives — whether those of individuals injecting drugs on sidewalks or suburban teenagers poisoned by counterfeit pills they bought on Snapchat. These challenges are compounded by critical deficits, such as workforce shortages, minimal treatment beds and facilities, and a lack of culturally competent care, all of which disproportionately affect Black Californians.

I have witnessed the devastating impact of fentanyl on Black families. These deaths shatter families, destabilize communities, and perpetuate cycles of trauma and socio-economic hardship. For Black Californians specifically, grief is compounded by helplessness and frustration, knowing that more could – and should – have been done to prevent these tragedies.

As I sit in numerous health policy workgroups, task forces, and legislative hearings, I hear policymakers request more studies to better understand how vulnerable communities are impacted. This is critical, and it is not enough.

We don’t have time to waste.

Naloxone, a well-known opioid reversal medication, has saved hundreds of thousands of lives. However, as the opioid landscape evolves, so too must our response. California must adopt flexible policies that evolve with the rapidly changing drug landscape. We cannot rely on outdated, product-specific policies when the illicit drug landscape is changing faster than we can blink.

Efforts to do just that at the statewide level have been aggressively rebuffed by the Administration. Last year, Senate Bill 641, authored by Sen. Richard Roth (D-Riverside) would have expanded California’s statewide standing order for naloxone to encompass all FDA-approved opioid reversal agents. It passed out of the Legislature unanimously, yet Governor Newsom vetoed the bill.

Several months after the veto, Assemblymember Jasmeet Bains, (D-Delano), a physician who treats substance use disorder (SUD), led a sign-on letter among her colleagues calling on the California Department of Public Health to update the statewide standing order to no avail.

Fortunately, Los Angeles County has stepped up in the absence of statewide legislation being signed into law.

For decades, Dr. Brian Hurley, Medical Director of the Bureau of Substance Abuse Prevention and Control for the Los Angeles County Department of Public Health and President of the American Society of Addiction Medicine, has taken a comprehensive approach to addressing substance use disorder.

He has increased access to proven treatment models and implemented innovative initiatives to save lives. His department’s efforts have contributed to the plateau in overdose rates, and we hope to see further improvement through the expanded standing orders for the Los Angeles Unified School District and the LA County Sheriff’s Department, ensuring access to all FDA-approved reversal agents.

The time for action is now. With a united and informed approach, we can turn the tide on the devastating impact of opioid overdoses in Black communities.

About the Author 

Dr. Le Ondra Clark Harvey is the Chief Executive Officer of the California Council of Community Behavioral Health Agencies and Executive Director of the California Access Coalition.

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Activism

Oakland Post: Week of May 13 – 19, 2026

The printed Weekly Edition of the Oakland Post: Week of May 13 – 19, 2026

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Oakland Post: Week of May 6 – 12, 2026

The printed Weekly Edition of the Oakland Post: Week of may 6 – 12, 2026

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On the Frontlines of Hate: NAACP Links Victims to Critical Support

The NAACP CA/HI has a long and well-established record of supporting victims of discrimination and hate crimes — providing critical referrals and, when necessary, direct assistance through legal advocacy and other forms of support. Beyond responding to incidents, the organization continues to advocate on broader civil rights issues, including voting rights and legal protections. It has also worked to counter efforts at the state and federal levels that could weaken the voting power of communities of color.

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NAACP members at a recent advocacy day in Sacramento urging lawmakers to protect voting rights. Photo courtesy of California Black Media.
NAACP members at a recent advocacy day in Sacramento urging lawmakers to protect voting rights. Photo courtesy of California Black Media.

By Joe Kocurek
California Black Media

The California/Hawaii State Conference of the NAACP (CA/HI NAACP) has expanded its efforts to respond to rising hate incidents and civil rights complaints across California, supported in part by funding from California’s Stop the Hate Program

Through that grant, NAACP CA/HI has strengthened its ability to connect individuals experiencing hate or discrimination with critical resources. This includes referring those who file complaints to the CA vs Hate hotline, a statewide, non-emergency hate crime and incident reporting hotline and online portal created to help counter a more than 50% increase in reported hate crimes in California between 2020 and 2024. The system helps ensure incidents are documented, and victims are guided toward appropriate support.

LaJuana Bivens says the work of NAACP is as urgent as ever. Photo by Regina Wilson, California Black Media.

LaJuana Bivens says the work of NAACP is as urgent as ever. Photo by Regina Wilson, California Black Media.

LaJuana Bivens, who has served in a number of roles within the NAACP, said California has seen an increase in civil rights violations and hate-related incidents.

“We have 52 branches, and they are constantly receiving complaints,” she said. “So, without the Stop the Hate, we would not be able to refer those cases up to attorneys at the state level. A lot of the people would not have had an opportunity to be heard.”

Carmen-Nicole Cox helps survivors of hate with their legal options. Photo courtesy of Carmen-Nicole Cox.

Carmen-Nicole Cox helps survivors of hate with their legal options. Photo courtesy of Carmen-Nicole Cox.

Carmen-Nicole Cox, an attorney who works with NAACP CA/HI – as a part of California’s Stop the Hate Program – provides legal consultation to victims of hate incidents and discrimination through her legal practice, the Cox Firm for Law and Policy.

She said the complaints she receives span a wide range of issues.

“People are having home builders and landlords refusing to provide repairs, a student was denied promotion in an academic program, and targeted scrutiny at work,” she said. “It’s typically employment; it’s housing; it’s education.

“We’ll meet and they’ll share their experiences,” she said. “And then I make assessments about possible legal claims.”

According to the California Civil Rights Department (CRD), nearly 1,200 reports of hate against minority groups were submitted in 2024 through the CA vs Hate hotline and online portal for non-emergency incidents.

While the California/Hawaii State Conference of the NAACP, which has tens of thousands of members, does not directly investigate hate incidents or crimes, it plays a key role in connecting victims to the state’s reporting systems and support services.

The NAACP CA/HI has a long and well-established record of supporting victims of discrimination and hate crimes — providing critical referrals and, when necessary, direct assistance through legal advocacy and other forms of support.

Beyond responding to incidents, the organization continues to advocate on broader civil rights issues, including voting rights and legal protections. It has also worked to counter efforts at the state and federal levels that could weaken the voting power of communities of color.

Bivens recently traveled to Sacramento to speak with state lawmakers about voting rights during an advocacy day event hosted by the organization.

“It’s just so hard for communities of color to be up to date because of all of the confusing information coming from the federal level,” she said. “I love our great state of California because here it is possible to vote by mail and to vote early.

“And I’m seeing that trying to be eroded. So, I’m here to urge continued support for vote by mail and early voting.”

When Texas moved to redraw congressional districts in ways critics said would dilute minority voting strength, NAACP CA/HI supported the passage of Proposition 50 in California. The organization also intervened in United States v. Shirley Weber, where federal officials sought access to unredacted California voter records, including Social Security numbers, raising concerns about misuse and voter intimidation.

Cultivating the advocacy and leaderships of young people is central to NAACP’s mission to fight racism and dismantle inequality. Photo courtesy of California Black Media.

Cultivating the advocacy and leaderships of young people is central to NAACP’s mission to fight racism and dismantle inequality. Photo courtesy of California Black Media.

A federal district court dismissed that case in January 2026.

The organization’s current work builds on a long history of civil rights advocacy. Today, Bivens says, the organization’s mission remains as urgent as ever.

“We are the oldest, boldest, most feared Civil Rights organization,” Bivens said. “What we do every day is fight for better housing, education, economic development and political inclusion. We take it on because there are just so many people who need that support.

“You would be amazed that our phones ring every single day.”

Get Support After Hate:

California vs Hate is a non-emergency, multilingual hotline and online portal offering confidential support for hate crimes and incidents. Victims and witnesses can get help anonymously by calling 833-8-NO-HATE (833-866-4283), Monday to Friday, 9 a.m.–6 p.m. PT, or online at any time. Anonymous. Confidential. No Police. No ICE.

This story was produced in partnership with CA vs Hate. Join them for the first-ever CA Civil Rights Summit on May 11. More information at www.cavshate.org/summit.

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