Opiate-related overdose deaths have quadrupled in the U.S. since 2001. In 2014, Massachusetts had more than 1,250 deaths from heroin overdose; today, 85 percent of the crimes on Cape Cod are opiate-related.

Heroin: Cape Cod, USA is a look at the heroin epidemic currently sweeping America’s small towns and communities, focusing on eight young heroin addicts in idyllic Cape Cod, Mass. This searing documentary is directed by Academy Award-winner Steven Okazaki.

“There are very few people I met in Massachusetts who didn’t have a connection to this crisis,” says director Steven Okazaki. “It has taken a very real, and wide toll in a way that I did not see 20 years ago. I think this documentary could have been made in many communities around New England and across the country.”

Heroin: Cape Cod, USA airs on HBO on January 12, December 28, at 9pm ET.

For more information visit Heroin: Cape Cod, USA.