HEROIN ADDICTION: FINDING A DIFFICULT PATH TO RECOVERY The many recent tragic stories of young adults’ deaths from heroin overdoses in communities in Westchester are a painful illustration of the complexity of treating Richard Donn, M.D. addiction. Some people can restrict their drug abuse to nights and weekends, while seeming to function relatively normally in other parts of life. Others progress quickly from abuse to dependence, constantly seeking more of the drug in order to get the same effect and soon finding their lives spiraling out of control. Continued inside... Spring 2014 UPDATE Also inside... NAMI Westchester Ribbon Campaign Port Chester Addiction Treatment Program Area High School Students Honored for Volunteer Service New Staff at The Maxwell Institute New Primary Care Clinic Thank You to our Donors! Serving individuals and families experiencing a mental health crisis. 24/7 Telephone Coverage Mobile Response Monday-Friday 9 a.m. – 6 p.m. 914-925-5959 ServingWestchester County St. Vincent’s Westchester Crisis Prevention and Response Team RETURN SERVICE REQUESTED 275 North Street Harrison, New York 10528 St. Vincent’s Hospital Westchester THE MARIE & GEORGE DOTY MEMORIAL SPRING 5K run/walk Clouds and fog gave way to sunny skies for more than 500 walkers and runners at the 2014 Marie and George Doty Memorial 5k Spring Sprint on May 10. The event raised more than $45,000 for St. Vincent’s programs. Pictured are the “Runcovery” Team, which included more than 100 staff, clients, friends and family from the St. Vincent’s Personalized Recovery-Oriented Services (PROS) program. And pictured at top are (left to right): Spring Sprint cochairs Katie Pagnani and Rose O’Sullivan, Auxilian Jana Doty, Advisory Board member Bill Doty and Barbara Doty. Spr ing Spr int 2014! St. Vincent’s Westchester Update Continued from outside... Regardless of whether the problem is abuse or dependence, however, the process of overcoming addiction is long and difficult. “Treating addiction is not a ‘one size fits all’ process,” says Richard Donn, M.D., clinical chief of St. Vincent’s Outpatient Addiction Recovery Service. “A person’s support system, family history of addiction, and overall mental health are all factors in designing treatment,” Dr. Donn said. “You weigh these factors, start with the least intensive approach you can and work your way up, depending on the person’s response to treatment.” A comprehensive evaluation is an important first step in addiction treatment so that these factors, as well as the need for medicallysupervised detoxification, can be assessed before a personalized treatment plan is developed. Because heroin addiction is a chronic disease like diabetes or asthma, people cannot simply stop using the drug for a few days or weeks and be cured. People can relapse and return to drug abuse, sometimes several times. Those who have relapsed can be at high risk of overdose because their bodies cannot tolerate the same level of drug as before. Research shows that the most effective treatment for addiction often combines individual and group counseling with medications such as methadone and suboxone, which can reduce craving and withdrawal symptoms. www.stvincentswestchester.org RESOURCES National Institute on Drug Abuse www.drugabuse.gov The site offers extensive information about all aspects of drug abuse and treatment. Spring 2014 NAMI WESTCHESTER RIBBON CAMPAIGN FIGHTS STIGMA OF MENTAL ILLNESS Drug Crisis in Our Backyard www.drugcrisisinourbackyard.com A support group formed by two families who lost children to drug overdoses, their site offers information and resources for families. St. Vincent’s Evaluation and Referral Service 914-925-5320 Offers 24/7 mental health and addiction evaluation and referral services. Crisis Prevention and Response Team 914-925-5959 Serves Westchester County with mobile crisis intervention, assessment, supportive counseling and linkages to community services for individuals and families experiencing mental health issues. Addiction Education and Prevention [email protected] St. Vincent’s outreach coordinator Lillian Neuman, CASAC offers presentations about addiction for schools and community organization. For information, contact her at [email protected]. Pictured (left to right): Dr. Stephen Ferrando from New York Presbyterian Hospital; Assemblywoman Judy Mayer, Bernadette Kingham-Bez, Mimi Clarke Corcoran of ANDRUS, Yonkers Mayor Mike Spano, NAMI Westchester President Stamatia Pappas, Yonkers Councilman Michael Sabatino, and NAMI Westchester board member Sheryl Brauman. St. Vincent’s executive director Bernadette Kingham-Bez was among the speakers at a special flag raising at Yonkers City Hall to kick off an anti-stigma mental health awareness month campaign in May sponsored by the Westchester chapter of the National Alliance on Mental Illness. The campaign encourages towns, providers and other organizations to tie ribbons around trees, poles, etc., with the message, “Find Help, Find Hope.” The flag raising was hosted by Yonkers Mayor Mike Spano and included remarks by Yonkers City Council president Liam McLoughlin and representatives from NAMI Westchester and other mental health providers. The road can be long with many detours, but with personalized treatment and support, people can and do recover from addiction. St. Vincent’s Westchester offers inpatient rehabilitation and extensive outpatient addiction treatment services at its Harrison campus and at The Maxwell Institute in Tuckahoe and the Port Chester Recovery Center. Call (914) 9255320 for more information. ST. VINCENT’S NOW OPERATES PORT CHESTER ADDICTION TREATMENT PROGRAM BECOME A VOLUNTEER! St. Vincent’s Hospital has been granted a license to operate the former Renaissance Project outpatient addiction program at 132 Pearl Street in Port Chester. The program is now known as the Port Chester Recovery Center, and continues to provide outpatient addiction treatment services to adults and adolescents at its current location. The Port Chester Recovery Center can be reached by calling (914) 939-2700. St. Vincent’s Hospital Westchester has volunteer opportunities available in both patient and non-patientrelated areas for those who wish to donate their time. We are happy to work with students who need volunteer hours for school. Training The Westchester County Department of Community Mental Health (DCMH) coordinated the transition. DCMH Director of Drug and Alcohol Services Dahlia Austin said, “We are pleased that we were able to work out the transfer to ensure that the clinic’s clients continue to receive the services they need. We appreciate St. Vincent’s willingness to move quickly so that there was no gap for the clients or the employees.” Bernadette Kingham-Bez, Executive Director of St. Vincent’s Hospital Westchester added, “We are very pleased that all of the current staff will be retained and that St. Vincent’s can continue to serve the center’s clients.” Mike Seminara, CASAC, the center’s director, said, “We are very happy that our clients are receiving the services they need without interruption.” and orientation are provided for all volunteer positions. For more information, please call the volunteer services office at (914) 925-5331. AREA HIGH SCHOOL STUDENTS HONORED FOR VOLUNTEER SERVICE NEW DIRECTOR, ADOLESCENT ADDICTION PROGRAM AT THE MAXWELL INSTITUTE The St. Vincent’s Hospital Auxiliary honored 17 area high school students for their exceptional volunteer service at a ceremony at the hospital. Guest speaker Al Barber, President and Chief Operating Officer of Catholic Charities in the Diocese of Bridgeport, Connecticut, congratulated the honorees and encouraged them to continue their volunteerism as adults. Russell Francome, LMSW, is the new director of The Maxwell Institute addiction recovery program at 92 Yonkers Avenue in Tuckahoe. Prior to his appointment, Francome served as coordinator of St. Vincent’s Excel addiction recovery program for adolescents. Russell Francome In addition, Roseanne Martinez, LMSW, has been named a senior alcoholism counselor at Maxwell. In her previous position, Martinez was prevention counselor at the Pelham Guidance Council. As part of her role at Maxwell, Martinez oversees a new outpatient Roseanne Martinez treatment program for adolescents. Pictured (left to right): Al Barber; Ryan Baker, Harrison High School; Armand Zappa, Fordham Preparatory High School; Zack Shandell, Scarsdale High School; Abraham Punnoose, Archbishop Stepinac High School; Harris Baker, Harrison High School; Michael Pizzutello, Harrison High School; Daniel Keller, Rye High School; Anthony Baker, Iona Preparatory School; and Bernadette Kingham-Bez, St. Vincent’s Executive Director. Seated (left to right): Rachel Cohen, Rye Neck High School; Sarah Mathison, The Ursuline School; Emily Gorin, Rye Country Day School; Phoebe Cavise, Convent of the Sacred Heart; Eleanor Hanrahan, Bronxville High School; Reesa Hylton, School of the Holy Child; Lilah Schaeffer, School of the Holy Child. Not pictured are Joseph Madia, Salesian High School, and Emma Clarke, Good Counsel Academy. COMING EVENTS For more information about these events, please visit www.stvincentswestchester.org or call the Development Office at (914) 925-5411. Golf Open Tuesday, October 7 Fenway Golf Club, Scarsdale Luncheon and Fashion Show Thursday, November 13 Westchester Country Club, Rye Honoring Commentator and Author Bill O’Reilly Alma’s Boutique Thursday, December 4 The Woman’s Club of White Plains Freshman Dance Friday, December 5 Hilton Westchester, Rye Brook Registration begins October 15 The program, for adolescents age 13 to 17 who are struggling with substance abuse, offers group therapy on topics such as developing positive coping skills, social issues and peer pressure, building self-esteem, family concerns, and boundary issues, as well as providing education about the disease of addiction. The Maxwell Institute offers intensive and clinic-level outpatient chemical dependency treatment and education services for adults, adolescents, and their families. For more information, please call The Maxwell Institute at (914) 337-6033. NEW PRIMARY CARE CLINIC OFFERS CONVENIENT ACCESS TO MEDICAL SERVICES The recently-opened St. Vincent’s Family Medicine and Urgent Care Center at the hospital’s Harrison campus offers a full range of primary care services in a comfortable office setting. The center is staffed by clinicians from the family medicine department at Saint Joseph’s Medical Center. Services are available by appointment or on a walk-in basis. “We are especially pleased to be able to offer a convenient way for our clients to get the medical care they need, for example, monitoring blood pressure or glucose,” said Michael Spicer, Saint Joseph’s President and CEO. “But we also hope that our employees and members of the community will use the center, too.” For information or to schedule an appointment, please call (914) 925-5800. During June, hours will be limited, but will increase beginning in July. Please call for details. St. Vincent’s Westchester Update is published by the Department of Communications and Public Relations. Comments can be directed to Terri Ezekiel by e-mail at [email protected] or by phone at (914) 925-5051. If you would prefer to receive this newsletter via e-mail, please send your e-mail address to [email protected]. Message from the President and CEO: Dear Friends, Dear Friends, Michael Spicer Your generous donations over the past year have enabled St. Vincent’s to keep growing and improving to meet the needs of the thousands of individuals throughout Westchester and beyond who come to us to recover from mental illness and addiction. As you see in this issue of Update, we have expanded our programs into Port Chester and are launching a new primary care clinic at our Harrison campus to better meet the medical needs of clients, staff and the surrounding community. Your participation in events such as last month’s Spring Sprint also plays a critical role in our ability to keep pace with the rapid changes in today’s health care technology. We thank you for your steadfast support of our mission, which is more important than ever. Michael J. Spicer President & CEO Saint Joseph’s Medical Center The contributions named here reflect gifts of $250 and above received between January 1, 2013 and December 31, 2013. $100,000 to $499,999 $1,000 to $4,999 The Adam Putter Special Needs Trust The Auxiliary Board of St. Vincent’s Hospital Westchester Anonymous Mr. & Mrs. John Abate Mrs. Robert H. Abplanalp Mr. & Mrs. David J. Ambrose Mr. & Mrs. Frank Amodio Aspire Advisors, LLC Mr. Andrew Bahn Mr. & Mrs. Kristofer Bayha Ms. Lisa L. Bradley Mr. & Mrs. Ralph T. Branca The Bronxville Derby Association Mr. & Mrs. Mark Bronzo Mr. & Mrs. Robert T. Butler Mr. & Mrs. Matthew Byrnes Caldwell & Walsh Building Construction Mr. & Mrs. William P. Caporizzo Mr. Brian Carcaterra Mr. & Mrs. Steven Cho Mary Higgins Clark in honor of Ann Mara Thomas & Barbara Cole in memory of Joy Ellen Cole Mr. & Mrs. Frank T. Connor Convent of the Sacred Heart Greenwich Mr. & Mrs. Joseph F. Coughlin Mrs. Phil Cristiano Mr. & Mrs. Barry M. Davis Mr. & Mrs. Robert B. Davis, Jr. Mr. & Mrs. Eugene W. Devlin Mrs. Jed Dolce Ms. Donna D’Urso Ms. Lisa D’Urso Ferguson Cohen LLP Mr. & Mrs. Thomas Flanagan Mr. & Mrs. Charles V. Glennon Mr. & Mrs. Thomas G. Grace Mr. & Mrs. Donald M. Gray Mr. & Mrs. John J. Halleron III Mr. & Mrs. Marc P. Hanrahan Mr. & Mrs. John P. Heffernan Mr. & Mrs. Peter J. Hicks Mr. & Mrs. Christopher Hilbert Houlihan/Lawrence, Rye Ilyse Ennis, Ilyse’s Pieces Iona Preparatory School, Inc. Mr. & Mrs. Michael P. Iuliano Mr. & Mrs. William T. Keane Mr. & Mrs. William Kehlenbeck Bernadette B. Kingham-Bez & Steve Bez Mr. & Mrs. Lee Bailey Konopka Mr. Steven B. Konopka Mr. & Mrs. David W. Kulsar Mr. & Mrs. James J. Landy Mr. & Mrs. James Lavelle Mr. & Mrs. Thomas J. A. Lavin Linda Richards, Inc. Mr. & Mrs. Thomas Lynett Macy’s Foundation Ms. Elaine M. Madonna in honor of my children Mr. & Mrs. John T. Magliocco Ms. Barbara Mahoney Mr. Daniel P. Mahoney for the Dorothy Velsor Memorial Garden $25,000 to $99,999 The Community Fund of Bronxville, Eastchester, Tuckahoe, Inc. New York City District Council of Carpenters - Charity Fund Meg & Kevin O’Callaghan, Universal Builders Supply, Inc. Daphne M. Paul in memory of Daphne Judson Daphne M. Paul in memory of Daphne Judson Vitaquest International $10,000 to $24,999 Mr. & Mrs. David M. Butler Mr. & Mrs. Irvin Cherashore Mrs. Michael P. DeBlasio Mr. & Mrs. William W. Doty Mr. & Mrs. John J. Ferguson Patricia L. Finneran Estate of William R. Gershen Mr. & Mrs. Myles D. Gillespie Mr. & Mrs. Michael T. Kenny Lend Lease (US) Construction LMB, Inc. The Robert Mize & Isa White Trimble Family Foundation Mr. Robert R. Santangelo Mrs. Francis R. Santangelo The Tudor Foundation Inc. Mr. & Mrs. J. Edward Virtue $5,000 to $9,999 Mrs. George J. Ames Dianna & Joe Barber Mr. & Mrs. Timothy B. Cacase Michael & Penelope Carr Mr. & Mrs. William A. Eagan III Mr. & Mrs. James Fortescue Mr. & Mrs. George J. Gillespie III Mr. & Mrs. Robert M. Harrington The Hoffman Brothers Foundation, Inc. Mr. & Mrs. Timothy J. Joyce Kesten-Brown Insurance, LLC Mrs. Ann T. Mara Mr. & Mrs. John K. Mara Mr. & Mrs. Douglas McDermott Mr. & Mrs. R. Anthony O’Callaghan OTA Management LLC Mr. & Mrs. Christopher M. Smith Mrs. Thomas A. Turley Mark & Lisa Walsh Foundation Weeden & Co., L.P. $250 to $999 Mr. & Mrs. Kenneth H. Malloy Mrs. Toni P. Maloney Mr. & Mrs. Robert D. Manfred, Jr. Mr. & Mrs. Christopher R. Marangi P. Robert & Marie Silverman Marich Marie E. Kennedy Foundation Mr. & Mrs. Edward P. Massaro Mr. Donald McAllister & Dr. Maureen S. Cafferty McCarthy & Associates Mrs. Robert H. McCooey Mr. & Mrs. Robert H. McCooey, Jr. Mrs. John F. McGillicuddy Mr. & Mrs. Edwin J. McGuinn Mrs. Denis McInerney The Myron & Alayne Meilman Family Foundation MoesMonkeys LLC Mr. Thomas S. Murphy Mr. & Mrs. Scott P. O’Callaghan Mr. & Mrs. Bernard F. O’Hare Mr. & Mrs. Richard B. O’Neill Package All Corp. Mr. & Mrs. Keith A. Pagnani Mr. & Mrs. Lincoln L. Payton Pearl Restaurant Group Mr. & Mrs. Nicholas J. Pepe Pepe Auto Group Pernod Ricard USA Mr. & Mrs. Felix J. Petrillo Mr. & Mrs. Felix M. Petrillo, Jr. Mr. & Mrs. Red Pfohl Mr. & Mrs. Michael Pizzutello Mr. & Mrs. John H. Plunkett, Sr. The Powers Family Mr. & Mrs. Jeffrey R. Powers Mr. & Mrs. Christopher Powers Mr. & Mrs. Lawrence Prince Mr. Thomas C. Quick Leslie & Regina Quick Charitable Foundation Ms. Linda E. Rodd Mr. & Mrs. Timothy J. Rooney Mr. & Mrs. Francis C. Rooney, Jr. Mr. & Mrs. George C. Ross Toni Ann Dunn in honor of Dianne Telesca Mr. & Mrs. Robert J. Scott Ms. Rita M. Shea Mrs. Raymond B. Shlora Mr. Syd Silverman & Dr. Joan O. Hoffman Sodexo Healthcare Services Mr. & Mrs. Edward J. Stenger, Jr. Mr. Nicholas Stephens & Ms. Lisa Kunstadter Mr. & Mrs. Neil Stockel Mr. & Mrs. Paul H. Stuebe Subaru Distributors Corporation Suzanne Einstein Collection Mr. & Mrs. Neil Tardio Mr. & Mrs. Raymond M. Tierney III Mrs. William J. Tully Mrs. Walter A. Ullrich, Jr. Mr. & Mrs. Thomas E. Virtue Mr. & Mrs. Theodore Vittoria Mr. & Mrs. William J. Whelan III Anonymous Mr. & Mrs. Jeff Abt Mr. & Mrs. Saman K. Adamiyatt Mr. & Mrs. Edward Alexander Mr. & Mrs. Joseph L. Alfano Allison Daniel Designs Inc. Mr. & Mrs. Norman W. Alpert Ms. Carol E. Altomare Mr. & Mrs. Robert S. Amato Mr. & Mrs. Anthony Anagnostakis Mr. Anurag Anand Ms. Patricia B. Annunziata April Marin & Co., Inc. Mr. & Mrs. Peter Aresty Mr. & Mrs. Clifford Aronson Mr. Richard A. Axilrod Dr. & Mrs. Colin Baigel Mr. & Mrs. Albert F. Barber Mr. & Mrs. Leslie Barnes Mr. & Mrs. William H. Barton, Jr. Mr. & Mrs. E. William Bates II Mr. & Mrs. Timothy G. Baxter Mr. & Mrs. John P. Beshoory Mr. & Mrs. Larry Bettino Mr. & Mrs. Barry Bidjarano Ms. Angela Birch-Cook Mr. Enzo Biseni Mr. & Mrs. Patrick J. Blake Mr. & Mrs. David Bluvol Mrs. Jeannette Bogart Ms. Holly A. Bonner Mr. & Mrs. Simon Bradley Mr. & Mrs. Patrick A. Bradley Mr. Robert Braumuller & Dr. Elise Desperito Mr. & Mrs. John Brecker Mr. & Mrs. Alan W. Breed Ms. Robin Brill-Labb Mr. & Mrs. Eugene Briskin Mr. William Brody Mr. & Mrs. Rhys S. Brooks Mr. & Mrs. Brent L. Brown Mr. & Mrs. Peter C. Brumbaugh Mr. & Mrs. Charles D. Bryceland Mr. & Mrs. James E. Buckley Mr. & Mrs. Frederick D. Buffone Bulldog Ventures Ltd. Mr. & Mrs. Richard F. Burke Dr. Mary Ellen Caccomo Mr. & Mrs. Robert J. Cagliero, Sr. Mr. & Mrs. Charles Cain Mr. & Mrs. Paul J. Callahan Mrs. Leonora A. Callahan Ms. Chistine G. Calzolano Mr. & Mrs. Jeffrey Cammisa Mr. & Mrs. James J. Canty, III Mr. & Mrs. David B. Capaldi Mr. & Ms. Neil J. Capolongo Kiki Cappelli Mr. Ronald Cappello & Ms. Priscilla Newman Mr. & Mrs. Ben Carpenter Mr. Russell Carpentieri Mr. & Mrs. Owen B. Carragher Mr. & Mrs. Frank J. Carroll Mr. & Ms. Anthony G. Carroll Mr. & Mrs. Joseph V. Casale Mr. & Mrs. Alberto J. Casas Mr. & Mrs. Richard V. Casey Mr. & Mrs. William Casperson Mr. & Mrs. Robert Castano Mr. & Mrs. Thomas L. Cestaro Mr. Mark H. Chafee Charlie Dog Boxer Company LLC Church of the Resurrection, Rye Mr. & Mrs. Domenick Ciaccia Mrs. Julie Cicileo Ms. Maryanne Ciminello Ms. Kay Cioffi Ms. Jenny Clark Mr. & Mrs. Thomas R. Coash Ms. Nicola Coddington Mr. & Mrs. Brad D. Cohen The Honorable & Mrs. Nicholas Colabella Mr. Andrew Colao & Ms. Jennifer Nelson Mr. & Mrs. Anthony J. Colavita Concannon Family Foundation Mr. & Mrs. Maurice C. Connolly Mr. & Mrs. Frank J. Consoli II Mr. & Mrs. E. Virgil Conway James M. Coogan Family Foundation Mr. & Mrs. Paul Coppola Mr. & Mrs. Eric Coppola Mr. & Mrs. Peter M. Corcoran Mr. & Mrs. Guy M. Corcoran, Jr. Mr. & Mrs. Guy M. Corcoran Mr. & Mrs. Michael Cordola Mr. & Mrs. David P. Corkery Ms. Susan C. Cotter Mr. & Mrs. Russell G. Crawford, Jr. Mr. James D. Cristiano Mr. & Mrs. Thomas Curnin Mr. & Mrs. Stephen D’Agostino Mr. & Mrs. Michael Dailey Mr. Jeffrey W. Daley & Ms. May Lim Mr. & Mrs. Robert B. Dalglish Mr. & Mrs. Kevin J. Danehy Mr. & Mrs. Paul D’Ariano Mary M. Davidson in honor of James J. O’Neal Mr. & Mrs. Adam Davis Mr. Gary Davis & Ms. Wendy A. Esaw Mr. & Mrs. James Deasy Mr. & Mrs. Michael DeBartolo Mr. & Mrs. Thomas Decea DeCicco Family Markets Mr. & Mrs. Alfred C. DeCrane, Jr. Mr. & Mrs. Brian M. Delaney Mr. Richard M. DeMartini & Ms. Jennifer Brorsen Ms. Maria DeRose Mr. Angel DeRuvo Ms. Coudji Dessande Mr. & Mrs. Joseph Devita Mr. & Mrs. H. L. DeVore Mrs. Anthony N. Diagonale Ms. Susan C. Dibbini Mr. & Mrs. Sam J. DiEdwards, Jr. Mr. & Mrs. Bart DiMinno Mr. & Mrs. Frank S. Dinger Mr. & Mrs. Donald N. Dirks Mr. & Mrs. J. 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Frayne Dale Miller Frehse Mr. & Mrs. David G. Fried Mr. & Mrs. John J. Fritsch Ms. Brooke Gadasi Mr. & Mrs. Michael Gallagher Mr. & Mrs. Declan P. Gallagher Rev. Msgr. John Gallagher Ms. Joan M. Gasior Mr. & Mrs. Robert D. Gaynor Mr. & Mrs. Grant Geiling Nadia Bardwil Gerrity Mr. & Mrs. Eric P. Gies Mr. & Mrs. John F. Gillespie Mr. & Mrs. Stuart G. Girling Mr. & Mrs. John M. Gisondi Mr. & Mrs. Thomas A. Glatthaar Glory Cashmere Mr. George W. Goldman Dr. Robert C. Goldstein & Dr. Stephanie G. Klein Mrs. Rolando L. Gomez Mrs. Eugene J. Gormley Mr. & Mrs. Jonathan M. Gottsegen Ms. Susan L. Grady Graham Funeral Home Mrs. Karen Greene Greenwood Union Cemetery Mr. & Mrs. Nicholas J. Gregory Mr. & Mrs. Kevin J. Grehan Mr. Samuel Greto & Ms. Barbara Henley Mr. & Mrs. David H. Griffin Mrs. Anne C. Grisanti Ms. Keelyn Mulvey Gunther Mr. & Ms. Kevin M. Guo Mr. & Mrs. Mario R. Guzman Mr. Gerard A. Haddad Mr. & Mrs. Kevin M. Haggerty Mr. & Mrs. Kevin G. Haggerty Mr. & Mrs. John J. 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