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RI needs to give harm reduction workers all the support possible | Opinion

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RI needs to give harm reduction workers all the support possible | Opinion


Katherine Dunham is a harm reductionist and researcher at the People, Place and Health Collective at the Brown University School of Public Health.

In January 2022, Rhode Island joined the national opioid settlement which provided over $90 million for state and local efforts to address the overdose crisis. It’s imperative that these funds be used to comprehensively and equitably support the well-being of harm reduction staff — the front-line workers who will be carrying out many of those lifesaving efforts.

Harm reduction is a set of strategies that addresses the negative outcomes associated with drug use. Notably, research has found that those working in the field — harm reduction workers — face common stressors in their roles such as overextension, grief and feelings of burnout, all of which take a toll on staff members’ mental health and all of which are exacerbated by the growing overdose crisis.

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More: Do safe injection sites increase crime rates? What a Brown University study found.

Additionally, studies out of Philadelphia and Massachusetts found that, during the COVID-19 pandemic, harm reduction organizations were experiencing staff shortages, staff members were unable to work remotely, and staff were experiencing significant feelings of isolation. Working in harm reduction myself during this time, I felt these feelings of loss, exhaustion and tension firsthand, and saw that organizations often didn’t have the resources to sufficiently address them. 

Rhode Island has a long history of supporting harm reduction and a recent report found that there is currently an “unprecedented demand” for harm reduction services in the state. While it’s wonderful that opioid settlement funds are being used to create and expand these services, it’s critical that we properly support the well-being of the local harm reduction workers who will be providing these lifesaving services. Such funding could be used to support facilitators of staff well-being, such as sufficient pay, job security and benefits. It will also be important to speak directly with local harm reduction workers about what support they most need and formally support the ways in which staff members have already been taking care of themselves and their coworkers.

Importantly, Rhode Island has already begun to allocate funds in this way. This month, it was announced that opioid settlement funds are being used to create a million dollar grant that will fund trauma support for local peer specialists and first responders. This prioritization of peer specialists’ well-being is especially key since these staff members often face unique stressors while working in the field but often receive less institutional support. That being said, the implementation of this grant will be incredibly important. These funds need to be made known and made easily accessible to local harm reduction organizations; this is especially important given that harm reduction workers often don’t have access to the same level of occupational resources and benefits as the other named first responders.

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More: From addiction to advocate: RI’s mission to help pregnant mothers battling with substance use

Additionally, it’s critical that the state makes sustained, long-term commitments to support harm reduction workers beyond this specific grant, funding additional support services and creating opportunities for workers more broadly. That being said, this grant is an important, early example of ways in which states and localities can use opioid settlement funds to support harm reduction workers’ mental health.

We need to set harm reduction staff up as best as possible to implement these new initiatives and save lives. If not, we will just be putting additional pressure on a workforce that’s already burdened by many mental health stressors. In this way, opioid settlement funds are an important and hopeful opportunity to explicitly allocate funds for this purpose. 



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Matos launches bid for second term as lieutenant governor

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Matos launches bid for second term as lieutenant governor


A standout moment during Lt. Gov. Sabina Matos’ time in Rhode Island’s second-highest executive office was a trip to a mass vaccination clinic in Woonsocket during the height of the COVID-19 pandemic. Matos, who is originally from the Dominican Republic, recalled a group of young women of color who began to applaud as she walked […]



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How renters and landlords on the Providence City Council are grappling with the rent control plan – The Boston Globe

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How renters and landlords on the Providence City Council are grappling with the rent control plan – The Boston Globe


The two are among 15 city councilors who will have to decide whether to implement rent stabilization in Providence this year. An ordinance introduced last month would cap rent increases at 4 percent a year across the city, with many exceptions, including for newly constructed homes. More than half of the council’s members are either renters or landlords in the city. And their own experiences, and those of their neighbors, have helped shape their opinions.

Sanchez is in favor, and Vargas is opposed.

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Councilor Miguel Sanchez, among the more progressive wing of Democrats on the City Council, is seen in the council chamber in 2024.Matthew Healey for The Boston Globe

Nationwide, renters are underrepresented in government, according to a 2022 study by Boston University and the University of Georgia, which found the share of renters in local, state, and federal elected office ranges from 2 to 7 percent. The Providence City Council bucks the trend; 26 percent of its members are renters, including the council president. It’s still far below the estimated 60 percent of Providence residents who rent.

In January 2025, a Redfin report named Providence the least affordable city for renters, when comparing the median salary to average rents. Lawmakers across the country, from local officials to President Trump, have been grappling with the best way to making housing more affordable.

“I really have a hard time wrapping my head around how people are surviving out there right now,” said Sanchez, 27. Average salaries in Providence have not increased as much as rents. He said he makes around $50,000 a year, not nearly enough to afford the roughly $2,000 average monthly cost of a one-bedroom.

“We hear over and over about families that have called Providence home for decades being displaced,” he said. He blames large corporations that “look at our housing as just a profit margin.”

But the way Vargas sees it: “When government comes into your home, it’s a problem.” It’s expensive to manage a property, he said, and rent control would decimate what he sees as a path to prosperity in his community.

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“We have an American dream — buy a house,” Vargas said. “We are shutting off this dream.”

Vargas, 55, may not be subject to rent control limits under the proposal, which would exempt owner-occupied properties of three units or less, and let those landlords exempt a second small home. But “what if I decide to buy another property?” he asked. “What if I decide to move? That house I live in now is going to fall into rent control.”

Providence City Councilman Oscar Vargas, who owns one rental property, argues rent control will harm the dream of homeownership.Jonathan Wiggs/Globe Staff

Hundreds of municipalities have rent control in the United States, though they are concentrated in relatively few states. Thirty states, including Massachusetts, ban the practice. Advocates in Massachusetts are seeking to put a question on November’s ballot to overturn the ban, which Governor Maura Healey opposes.

Over the next several months, a fierce debate will consume Providence City Hall over whether to pass the ordinance. Testimony from the public will be taken at a hearing on Feb. 18. A slim majority of eight councilors have said they support it so far, but leadership needs 10 to override an almost-certain veto from Mayor Brett Smiley. Of the other seven councilors, three are opposed and four have not yet taken a position.

There are four renters on the council — including Council President Rachel Miller, who spearheaded the proposal — and four landlords. The rest own single-family homes.

Smiley is also a landlord, in a three-family home on Hope Street where he lives in one unit with his husband, real estate agent Jim DeRentis, and rents out two units.

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Smiley’s home would be exempt from rent control limits under the proposal. He argues the solution to bringing rents down is to build more housing, and has said he would veto the ordinance as it is written.

But not every landlord in City Hall is opposed. Councilors Juan Pichardo and Althea Graves each own two properties in the city, and are both sponsors of the ordinance.

“I am voting for this because I don’t want to lose another neighbor,” Graves said.

Apartment buildings that have been occupied for more than 15 years would fall under the rent control requirements.Lane Turner/Globe Staff

The carveouts written into the ordinance likely spare every landlord on the council from rent control except for Councilor Pedro Espinal, who owns five properties, too many to be exempt.

He told the Globe he charges very low rents to his longtime tenants — under $1,000 for two-bedroom units — based on their ability to pay. He said he hasn’t raised rents in years.

“But if this were going to be enacted, I would have to rethink that, because my base rents would be very low,” Espinal said. The proposal keeps the 4 percent limit in place even when the unit is vacated.

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Espinal was the vice chair of the Housing Crisis Task Force, which last year recommended the city explore the possibility of rent stabilization. But he said he has “very serious concerns” about the legislation that was ultimately crafted.

“This really does not reduce rents,” Espinal said. “In my view, it guarantees that you will have a rent increase every year at 4 percent.”

Councilor Mary Kay Harris, who chaired that task force and is a longtime renter, said she supports the ordinance because something has to be done.

“Rent’s too damn high,” said Harris, who lives in South Providence. “It’s high for everybody. Everybody’s being priced out.”

Councilor John Goncalves, a renter in the Fox Point neighborhood, has not decided where he stands on rent control. He said he is studying how it works in other cities.

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Councilors Jo-Ann Ryan, Shelley Peterson, and Ana Vargas, all homeowners, are also undecided.

Councilor James Taylor, another homeowner, is among those who oppose the ordinance.

Advocates on the council argue the carveouts in the ordinance address many of the opponents’ concerns. Newly constructed apartments would be exempt from rent control for 15 years, potentially addressing fears that housing production would slow down. Many small landlords who live in their properties will avoid rent control altogether. Plus, landlords would have an opportunity to ask a newly-created rent board for permission to raise rent above the cap, if they can prove that they need to do so to make a “fair return” on their property.

The sponsors said the goal is to target larger landlords most likely to hike rents.

“Providence used to be a city where everybody had a chance to thrive,” Graves said. “Now all we got to do is walk down any street and see that it’s no longer that.”

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Steph Machado can be reached at steph.machado@globe.com. Follow her @StephMachado.





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Have You Seen A Good Deed In Rhode Island? Tell Us About It!

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Have You Seen A Good Deed In Rhode Island? Tell Us About It!


Acts of kindness happen every day in Rhode Island — and we want to hear about the moments, big or small, that show how neighbors support one another. Patch has partnered with T-Mobile on Good Deeds, Great Communities, a nationwide initiative that spotlights acts of kindness in communities across the country. If you’ve done a good deed, experienced one or seen one recently, we invite you to share it. At the end of the submission period, Patch will select one community, at Patch’s discretion, and make a charitable donation of $500 to a local nonprofit.

You can submit a recent act of kindness — whether it was something you did yourself or something you witnessed. If you’re submitting a kind act done by someone else, please be sure you have their permission before sharing their story.

As part of the submission, you’ll be asked for your state and ZIP code. This information helps power our real-time leaderboard, which is updated throughout the submission period so readers can follow along and encourage others in their community to participate. You’re welcome to submit more than one act of kindness, helping highlight the many ways people in Rhode Island show up for one another.

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If you’d like to share a story, submissions remain open through March 31, 2026. Submit your good deed here, and consider sharing this opportunity with others in Rhode Island so more acts of kindness can be included. Patch may select your good deed to appear in an article as part of the Good Deeds, Great Communities project.



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