By many counts, the Northeast has been ground zero for the nation’s opioid crisis in recent years, putting nonprofit organizations on the front lines of the battle against addiction. In New Hampshire, one of the agencies leading a new initiative called Safe Stations says it’s facing a large deficit, and in Boston, advocates for safe injection sites continue to face pushback

Heroin use more than doubled among young adults over the past decade, according to the U.S. Centers for Disease Control and Prevention, and 45 percent of heroin users were also addicted to prescription opioid painkillers. Since 2010, heroin overdose death rates have more than quadrupled.

As the crisis has progressed, states and local communities have approached the problem in different ways. A federal bill passed last year was widely criticized for inadequately funding new efforts to treat addiction, and although President Trump pledged to solve the opioid crisis on the campaign trail his approaches have faced criticism from many advocates on both sides of the aisle.

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