Recovered Crack Addict, 74, Aims to Be ‘Vision of Hope’ Amid Opioid Crisis

By Nicole Levy
DNAinfo

 

Cynthia Williams graduated from Hunter College in January at age 74 as the oldest member of her class and the oldest student in her master’s program in rehabilitation counseling.

“I am the oldest person everywhere I go, doggone it,” said the Fort Greene resident. “I’m the oldest person in Narcotics Anonymous.”

Williams felt everything but her age when Hunter College President Jennifer Raab recounted her life story at the school’s commencement ceremony last month, a tale of addiction, homelessness, recovery and success that drew cheers from the audience.

Admiring classmates later called Williams a “vision of hope,” she said. One student hugged her so tightly she almost keeled over.

‘You don’t find too many people at 74 alive with HIV, having gone through [recovery from an addiction to crack cocaine], and graduating from a masters program,” she said.

It took Williams 12 years to finish her undergraduate degree in sociology, while she was working as a medical secretary at Long Island College Hospital.

She is now one exam away from becoming a Certified Substance Abuse Counselor (CSAC). A survivor of the crack epidemic that gripped urban communities of color in the 1980s, she will launch her career amid an opioid epidemic consuming the white suburbs.

Opiates — a class of drugs that not only includes illicit substances like heroin, but prescription painkillers like Percocet and Vicodin — were projected as of November to claim the record-setting number of 1,000 lives in New York City in 2016. The city that once waged a war on crack, locking addicts behind bars in response to fears about a spike in violent crimes, is now treating opioid dependency as a public health issue, dispensing anti-overdose drugs over the counter and cracking down on dealers.

Crack and heroin are chemically and physiologically different, too. Crack is a stimulant, giving the smoker an intense but short euphoria.

Opiates are depressants and have a longer high. Withdrawal has not just psychological, but physical symptoms such as nausea and abdominal pain, which make it even more difficult for addicts to quit.

Williams gave up crack for good on May 10, 1992. After cycling in and out of detox facilities for half a decade, she committed to a 28-day program at Methodist Hospital in Park Slope.

“The detox, the rehabs, the counseling, the groups, the motivation and the hope — that’s what got me here,” she said. “So I want to be a part of that and give that back somehow.”

Her experience is the very resource Mayor Bill de Blasio’s office hopes to tap with its new Certified Recovery Peer Advocate (CRPA) training program, preparing graduates of substance-use recovery programs for careers in those same programs.

During her internships at Hunter, Williams’ transparency about her past benefited the patients she worked with, said Michelle Lask, a clinical coordinator of fieldwork placements at the college.

“We teach the importance of meaningful self-disclosure … to overcome [the client’s] own shame about telling their own story,” Lask said. “They’re not proud of the things they did to get the drug, what they did on the drug.”

Williams, she said, “was a role model, helping minimize the shame and trauma of that.”

A Life of Addiction

Cynthia Williams was born on Aug. 17, 1942, to an alcoholic veteran and his numbers-running wife. She grew up in the James Weldon Johnson Houses in East Harlem, on a floor she described as rife with domestic violence.

Williams experimented recreationally with drugs throughout high school and her early working life as a typist. (She had dreams of a white-collar career that were dashed, she said, by school administrators who tracked her education out of a program for college-bound students.)

In her 20s, she dropped paychecks at clubs where dealers distributed powder cocaine on $100 bills, and she moved in briefly with a heroin addict — a man who fathered her son, taught her how to inject or “skin-pop” the narcotic, and enlisted her as a pregnant lookout while he burglarized apartments.

In the ’80s a childhood friend introduced Williams — then living in Section 8 housing in Far Rockaway with her teenage son and working as a medical transcriptionist at Lenox Hill Hospital — to crack cocaine.

“I went over to visit her, and we were talking about old times and next thing you know, she introduced me to crack and I loved it,” she said. “That weekend, I never got home.”

Shortly after, William’s son, a student at Brooklyn Tech High School, walked in on his mother smoking in her bedroom.

“I had the door closed, and I was getting ready to take a hit when he busted in the door,” she said, recalling his response. “Oh no! My mother’s a crackhead.”

He left immediately for his grandmother’s home.

She describes that moment as both the “beginning of the end” and “nirvana.” Williams sold her son’s drum set, his Nintendo, their silverware, even their curtains. Soon, she lost her job and the apartment.

Williams joined her son at her mother’s place, but she didn’t stop stealing to support her habit and soon wore out her welcome. So she packed a suitcase with the essentials: some clothes, her crack pipe and the scraper she used to clean it.

Williams began to cycle between crack houses and detox facilities, filling the times in between by living on the streets.

“I tried to be a prostitute,” she said, “but it didn’t work because I didn’t know how to get the money [before the sexual transaction].”

Williams was nearly as naive about begging, asking for spare change with her hands outstretched until a passerby recommended she use a cup.

In spite of her inexperience, Williams evaded arrest at a time when most addicts were jailed at least once, according to her Narcotics Anonymous sponsor Lindra Ware. It wasn’t the criminal justice system, but sheer exhaustion that motivated her to seek treatment.

Getting Clean

Williams met her sponsor 19 years ago, when she joined a Narcotics Anonymous group.

Ware coached her through nighttime dreams and daytime urges that might tempt her to use again, encouraging her to leave traumatic events in the past and take accountability for her actions.

“I’ve messed with her head,” said Ware, a recovered heroin addict. As a test, she once offered a jonesing Williams this intentionally unfair trade: $20 to buy coke in exchange for one expensive mink coat. Williams turned Ware down.

More than a decade younger than Williams, Ware set an example by earning her masters of public health at 50. Her second master’s degree is in social work, and Ware feels obligated to warn Williams of the challenges ahead.

“Now with this shift that’s coming, with heroin, be prepared,” she instructed Williams on a Saturday afternoon earlier this month, when the two women sat down for an interview with DNAinfo New York in the recreation room of Williams’ building in Fort Greene.

“I told you all five years ago, heroin is coming,” Ware said. “Crack is holding its own, but heroin is once again the drug of choice.” (Heroin was at the center of New York City’s drug scene in the 1960s.)

Substance abuse treatment programs have undergone their own cycle in that time, swinging between an emphasis on lived experience and a stress on professional distance, according to Justin Mitchell, director of residential services at Odyssey House, a nonprofit serving addicts in recovery.

Empathy can help a counselor guide her client through the highs and lows of the early recovery process.

“Someone who has had many years of recovery, who goes on to improve their life by going to school and working,” he said, “can show that there’s hope and opportunity if you’re able to address this issue that’s standing in the way.”

But formal training teaches counselors that they should always have a reason for disclosing personal information, one benefiting their client rather than comforting themselves.

With her personal experience and theoretical studies, Williams may be perfectly poised between the two schools of thought, Mitchell said.

But even though Williams will soon guide those starting their own recovery, hers is a story that continues to unfold. She’ll attend the same Narcotics Anonymous meetings that helped her stay on track and work with her sponsor.

When Williams stumbled over remembering her “clean date,” or the day she quit crack, Ware warned, ”Those who don’t remember are doomed to repeat.”

“I was given a second chance.”

In celebration of our 50th anniversary, each month we will be sharing a story that highlights one of our programs or treatment populations. Here is Hamilton’s story, a resident of the Leadership Center for transitional-age men.

“Six months ago, if you had told me I’d be going to college, I would have called you a liar.” When Hamilton, 24, came to Odyssey House, he was homeless and doing anything he could to get more heroin. But after a near-fatal overdose, he made a decision to turn his life around.

young man heroin recoveryBorn to heroin-addicted parents, Hamilton started using marijuana and drinking at age 12. “I always felt different from the other kids growing up and was searching for an escape from my reality,” he says. By age 14, he was in his first treatment program. Hamilton spent the rest of his adolescence cycling through juvenile detention and treatment programs.

He was 18 when he tried heroin for the first time. “From that day until the day I entered Odyssey House, it completely controlled my life. Everything I did was to get more heroin.” After being arrested in New Hampshire, his father bailed him out under one condition: that he get help. Hamilton agreed but didn’t take it too seriously. Before entering treatment, he went out to get high one last time, overdosed, and was revived by naloxone.

After his near death experience, Hamilton realized he’d been given another chance and decided to commit to treatment. He struggled in the beginning, but after a few weeks of attending group meetings and one-on-one sessions with his counselor, he began to understand the depth of his drug problem. “The staff at Odyssey House believed in me until I could believe in myself,” he says.

In treatment, Hamilton has rebuilt a number of relationships with his loved ones. The guidance and support of his father, in recovery himself since Hamilton was six years old, has been particularly invaluable. “He’s been through what I’m going through, and he doesn’t judge me.”

Seeing the positive effects of recovery in his life motivates Hamilton to push himself further. A cross-country runner growing up, Hamilton joined the Run for Your Life team and is planning to run the NYC Marathon this year. “I feel free when I run,” he says. “It improves my mood, and it’s great to get out and meet people in the other programs and share our experiences.”

Hamilton also earned his high school equivalency diploma and enrolled in the Borough of Manhattan Community College. He plans to study human services. “I was given a second chance and I feel it’s my duty to help kids like me get their second chance. Without Odyssey House, none of this would be possible and I am forever grateful.”

NYS OASAS Launches New Initiative to Help Connect More New Yorkers to Addiction Services in New York City

$190,000 to Support Peer Engagement Specialists in East Harlem

The New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) today announced more than $190,000 in funding was awarded to two NYS OASAS-certified addiction treatment providers, Odyssey House and Mount Sinai Behavioral Health System, to support a new peer engagement specialist initiative in East Harlem in New York City. The program, developed by NYS OASAS, is part of Governor Cuomo’s multi-pronged approach to aggressively address substance use disorders in the state. This collaborative effort will focus on reducing street drug use, lowering potential for overdoses and other drug-related emergencies, and addressing community concerns about drug abuse, including the use of synthetics, heroin, and opioids, with a focus in East Harlem.

“A reversal from an overdose is a second chance,” said Lieutenant Governor Kathy Hochul, co-chair of Governor Cuomo’s Combat Heroin and Prescription Opioid Addiction Task Force. “That moment when a person with a substance use disorder is in crisis is an opportune time for us to step in to make sure that that individual is connected to the addiction treatments services he or she needs. This program will help those connections happen in East Harlem.”

Peer engagement specialists, who are knowledgeable about the alcohol and substance use disorder treatment system, will work with Emergency Department (ED) personnel in the hospitals serving the area to help establish connections to addiction treatment and other supports after an opioid overdose reversal or after discharge from another substance use-related ED visit. The two peer engagement specialists, one from each substance use disorder treatment program, also will conduct outreach to connect individuals in 125th Street Corridor with addiction treatment services and mental health and other support services. They will also lead community education events about addiction.

“Connection to addiction-focused care is always critical, but is particularly so after an alcohol or drug-related crisis,” said NYS OASAS Commissioner Arlene González-Sánchez. “Connecting a person to treatment after an overdose reversal is crucial to getting them started on the path to recovery, and can help prevent relapse and lower the risk for a potential subsequent overdose. These peer professionals can be the warm hand that individuals need to guide them into treatment so that they can get the help they need and hopefully join the millions of Americans who are living a healthy life in recovery.”

The peer engagement specialists will provide outreach to vulnerable individuals in East Harlem, focusing on the area between 96th and 138th Streets from 5th Avenue East. Their main tasks will be referring individuals for substance use disorder treatment, providing information regarding addiction to individuals, and assisting individuals with accessing treatment. The PESs will also connect with Emergency Departments, community-based organizations, soup kitchens, religious centers, and neighborhood health care and addiction treatment providers. They will also conduct presentations to help increase local knowledge about substance use disorder treatment and support services that are available in the community. They will also track referrals to treatment and support services, and collect other pertinent data to assess the efficacy of the project. NYS OASAS will oversee the initiative.

Dr. Peter Provet, President of Odyssey House, said, “When a community works together to fight drug abuse, individual lives are saved and everyone’s lives are improved. Local partners armed with local knowledge who share a commitment to the neighborhood they live and work in are an essential part of the glue that keeps families together, the streets safe, and businesses and neighborhoods thriving. I am proud to partner with NYS OASAS and Mount Sinai Behavioral Health System on this essential street outreach initiative that extends awareness of treatment services to people in need throughout East Harlem. The peer engagement specialists who will lead this effort understand the importance of reaching people before they overdose because, even with the increased prevalence of naloxone (the opioid reversal medication), emergency services, treatment providers, and hospital detox centers, cannot reach everyone in time to avoid a tragic death. This initiative is a big step forward in protecting the health of New Yorkers struggling with addiction.”

“Mount Sinai is proud to partner with OASAS and Odyssey House in this important initiative,” said Sabina Lim, MD, MPH, Vice President and Chief of Strategy, Behavioral Health, Mount Sinai Health System. “Peer professionals have a critical and invaluable role in the path to recovery for people with substance use disorders. They provide meaningful and proactive connections for people with substance use disorders at a critical time. Effective intervention when the potential for change may be at its greatest will help improve access and continuity of care to treatment and support services. We look forward to working more closely with our partners, to help make a substantive impact in the lives of people with substance use disorders in the communities we serve.”

“The peer engagement specialist initiative is an important step towards combating the substance use disorders that are becoming all too common,” said New York State Senator José M. Serrano. “This important program will allow drug prevention and recovery resources to be readily available, help these individuals remain on a healthy track, and educate the community on the dangers of drug addiction. Many thanks to the New York State Office of Alcoholism and Substance Abuse Services for recognizing the seriousness of this issue, and providing a crucial step to recovery.”

“The OASAS Peer Engagement program represents the type of creative and effective effort necessary to address the challenges created by street drug use,” Assemblymember Robert J. Rodriguez. “This important initiative will help connect those in need with the services necessary to get them into recovery and reduce the number of overdoses on our streets. I am proud to have been an integral part in securing the support necessary to see this program come to fruition. I salute and congratulate Commissioner Sanchez and the staff of OASAS on the program launch today.”

“Substance abuse has become a crisis throughout the country, and addiction prevention services are some of the most vital programs we can offer in the fight to stave off this public health epidemic,” said New York City Council Speaker Melissa Mark-Viverito. “Drug-related emergencies affect our communities and fill our medical centers at an unsustainable rate, and by meeting them at their level by providing peer engagement specialists both in the hospital and on the ground, we can work to ensure that outreach is targeted to the places where it will be most effective. This is a problem that has been felt in El Barrio/East Harlem and around the city, and I applaud OASAS for collaborating with residents to solve this critical issue.”

New Yorkers struggling with an addiction, or whose loved ones are struggling, can find help and hope by calling the state’s toll-free, 24-hour, 7-day-a-week HOPEline at 1-877-8-HOPENY (1-877-846-7369) or by texting HOPENY (Short Code 467369). Available addiction treatment including crisis/detox, inpatient, community residence, or outpatient care can be found using the NYS OASAS Treatment Availability Dashboard at FindAddictionTreatment.ny.gov or through the Access Treatment page on the NYS OASAS website. Visit the #CombatAddiction web pages at oasas.ny.gov/CombatAddiction to learn more about how you can help to #CombatAddiction in your community. Visit www.combatheroin.ny.gov for more information on addressing heroin and prescription opioid abuse, including a Kitchen Table Tool Kit to help start the conversation about the warning signs of addiction and where to get help. For tools to use in talking to a young person about preventing alcohol or drug use, visit the State’s Talk2Prevent website.

Top 10 Primer Points for President-elect Trump on Addiction Treatment

President-elect Trump takes office in the midst of a devastating opioid epidemic. As he begins to grapple with the causes and solutions of this growing national tragedy, Odyssey House President Dr. Peter Provet offers ten fundamental points to anchor his efforts.

1: Treatment works. But there isn’t enough of it. Approximately 14 percent of Americans with substance abuse problems are able to get the appropriate treatment they need to stop using drugs, maintain a drug-free lifestyle, and be functional – and contributing – members of society, at work, and in the family. This means of the 21.7 million adults and teenagers who are addicted to legal and illegal substances, only 3 million people get the help they need.

2: Addiction does not discriminate. Substance abuse is a health problem that destroys the lives of men and women, young and old, from all ethnic backgrounds and communities. Today’s opioid epidemic is devastating families across the country. Prescription pain reliever overdose deaths among women have increased more than 400 percent from 1999-2010, compared to a 237 percent among men, and the number of deaths from heroin among women tripled from 2010 to 2013. Adolescents are using prescription pain relievers for nonmedical needs in large numbers: in 2015, 276,000 teenagers were current nonmedical users of pain relievers, with 122,000 having an addiction to prescription pain relievers.

3: Drug overdose is the leading cause of accidental death in the US. Of the 47,055 lethal overdoses in 2014, opioids claimed the lives of 29,467 Americans, with prescription pain relievers related to 18,893 overdose deaths and heroin 10,574. In all, opioid overdose deaths claim the lives of 91 Americans a day.

4: The tragedy is that a great many of these lives can be saved and for as little as $75 or less. Treatment centers, hospitals, police forces, fire departments, and other community organizations are training their personnel in the use of naloxone – a life-saving, easy-to-administer drug, proven to reverse opioid overdose death. A 2013 survey of organizations who provide naloxone to laypersons who might witness an overdose, including persons who use drugs, their families and friends, and service providers, received reports of 26,463 overdose reversals. The role of naloxone in saving people from a potentially fatal opioid overdose is dramatic: a 160 percent increase in the number of reversals reported; a 243 percent increase in the number of local sites providing naloxone; a 187 percent increase the number of laypersons provided naloxone kits; and a 94 percent increase in states with at least one organization providing naloxone.

5: While the human cost of addiction can be devastating, the financial burden on all Americans is staggering. The US spends more than $700 billion annually in costs related to health care, lost work productivity, and crime. Abuse of illicit drugs alone costs $193 billion.

6: The cost of treatment for substance abuse disorders pales in comparison to the costs of abuse. Publicly-funded, residential treatment administered professionally using evidence-based programs costs $62 a day. In-hospital opioid detox starts at $1,000 a day. In 2012, New York City paid $460 a day to feed, house, and guard each inmate, the majority nonviolent drug offenders.

7: Funding for treatment has not kept up with demand. When the Comprehensive Addiction Recovery Act (CARA) was passed into law in July 2016, it was the most significant federal legislation on addiction treatment in 40 years. CARA received overwhelming bi-partisan support in Congress and the Senate. It was hailed as the most comprehensive effort undertaken to address the opioid epidemic, encompassing all six pillars necessary for such a coordinated response – prevention, treatment, recovery, law enforcement, criminal justice reform, and overdose reversal. But the funding request was drastically reduced from $1Billion to $181Million.

Now we have cause to be hopeful that funding will be restored. Just this month the US House of Representatives passed HR 34, The 21st Century Cures Act. The legislation provides $1Billion over several years to states through the existing grant program for prevention, treatment, prescription drug monitoring programs, opioid treatment programs, and workforce development. The bill creates federal drug courts and programs for alternatives to incarceration for individuals with SUD. It also encourages the integration of care for SUD with primary care.

This landmark legislation – a turning point for addiction treatment and prevention – has now been signed by President Obama.

8: As demand for treatment increases, we are faced with a growing workforce crisis in the addictions field. This crisis is due to a variety of factors, including stigma, an aging workforce, and inadequate compensation.  A report to Congress from the Substance Abuse and Mental Health Services Administration (SAMHSA) warned that the addiction services field will need to fill more than 330,000 jobs to keep pace with demand for care.

9: Addiction is a brain disease to be treated, not a criminal justice issue to be punished. A decade or more of scientific research has conclusively shown addiction is a disease that affects both the brain and behavior. Science has identified many of the biological and environmental factors and is beginning to search for the genetic variations that contribute to the development and progression of the disease.

10: Voters in eight states approved passage of marijuana laws ranging from full legalization of recreational use of marijuana to approving or easing of restrictions for medical marijuana laws. These laws will have undoubtedly increase marijuana use – and misuse. Keeping marijuana out of the hands of youth is everyone’s concern.  Ensuring prevention and treatment programs are ready to help those, is everyone’s commitment.

‘The Drumbeat of Bad News’ on the Opioid Toll

In today’s edition of The New York Times, Odyssey House President Dr. Peter Provet comments on “New Mothers Derailed by Drugs Find Support in New Hampshire Home” (News, Dec. 12), on the devastating toll the opioid epidemic is inflicting on families.

The drumbeat of bad news on the toll the opioid epidemic is taking on communities across America just keeps getting worse. But the statistic cited in your article that as of 2012 a baby is born suffering from opioid withdrawal every 25 minutes is most sobering.

We have not seen such a collapse of families since the crack epidemic of the 1980s and 1990s. What we learned then, and need to remember today, is that when we connect pregnant women with treatment services that keep the mother and child together, we save two lives.

What’s different now is that many of the families affected are from rural and suburban communities, where access to treatment is limited, if not nonexistent. In urban centers like New York City, treatment organizations have developed supportive networks that connect at-risk people with services that both save lives and protect communities.

As we look to a new president with so much unknown about the direction his administration will take on containing the opioid epidemic, we hope that he will be open to listening to lessons learned decades ago: that treatment, not punishment, is the surest and cheapest cure for addiction, and that what works in the cities will also work in the suburbs and rural America.

Reaching recovery goals through running

In celebration of our 50th anniversary, each month we will be sharing a story that highlights one of our programs or treatment populations. This month, we are profiling Ryan, who is training for the New York City Marathon as a member of our Run for Your Life Team.

 

woman recovery runner rehab
Ryan on a training run with team leader Andre Matthews (left) and her teammates.

After a two-decade struggle with a crack cocaine addiction, Ryan, 34, is ready to live the healthiest life she can. Since returning to Odyssey House last year, Ryan has been working to make better choices for herself and make this time in treatment her last.

During her first time at Odyssey House in 2013, Ryan admits that she wasn’t as committed as she needed to be to maintain her recovery. After leaving the program, she found herself returning to her old habits and she relapsed. Today, she has strengthened her resolve: “I know now that I have to change every aspect of my life, to focus on becoming a better me.”

With her new mindset, Ryan quit smoking, is eating healthier, and training to run the New York City Marathon for a second time. “The first time was to see if I could complete it, but this year it is about setting a personal best.” She credits much of this motivation to the Run for Your Life team, the Odyssey House-sponsored running group that promotes healthy living habits and keeps in contact with a network of recovery peers through twice-weekly training runs in Central Park.

“This is more than a team, it’s my second family,” Ryan says, something that is particularly important to her as her family resides in New England. The team keeps her dedicated to her sobriety and healthy lifestyle. “We help push each other towards success.” As a returning marathoner, she has taken on a leadership role within the team, mentoring the new runners and encouraging them to stick with it.

In addition, the therapeutic effects of running have helped Ryan with her anxiety and given her confidence to apply herself to bigger opportunities. She is in the process of becoming a Certified Alcohol and Substance Abuse Counselor: “I want a career in helping people who have gone through similar situations to my own,” Ryan explains. “I know I can do anything I put my mind to, especially with the support of my team.”

The ER department fighting the US opioid crisis

By Thomas Urbain
AFP

Opioid abuse has turned into a public health crisis in America, blamed for the deaths of tens of thousands of people. But one hospital is determined to reverse the epidemic.

Since January, St Joseph’s Regional Medical Center, which boasts the largest emergency room in New Jersey, has stopped prescribing opioid painkillers in all but essential cases, slashing overall use by more than 40 percent.

While these powerful drugs are an “excellent” medication for terminal cancer patients or those with a broken leg, for the vast majority there are far safer courses of treatment, says emergency medicine chief Mark Rosenberg.

“In our first 60 days, we were absolutely shocked,” Rosenberg told AFP. “We had 300 patients. And out of those 75 percent of them did not need opioids.”

“It’s just a remarkable change of our prescribing habits and our management of patients’ acute pain,” he added.

In 2014, 14,000 people died from an opioid overdose in the United States, according to the Centers for Disease Control and Prevention (CDC). Since 1999, these powerful painkillers have caused 165,000 deaths.

The problem dates back to the 1990s but critics accuse President Barack Obama of being slow to respond to the scale of the epidemic, comparing his delayed reaction to Ronald Reagan’s sluggish response to the HIV/AIDS crisis.

Back in the mid-1990s, drug companies, professionals and authorities promoted opiates as a compassionate medicine that would end pain and minimized concerns that they were addictive.

“It led to the epidemic that we’re dealing with today,” says Andrew Kolodny, chief medical officer at Phoenix House Foundation, which treats addiction, and executive director of Physicians for Responsible Opioid Prescribing.

Clean for three months, former heroin addict Erik Jacobsen, 24, is determined to turn his life around after getting hooked on the class A narcotic.

– Endless cycle –

It all began when he popped a quarter of one of his grandfather’s painkillers in order to impress a girl he fancied.

“She was using it,” he told AFP at Odyssey House, a treatment center in New York’s East Village. “That’s why I got into it.”

He never tried to get them legally from a doctor. He didn’t have to, they were so easy to buy on the street in Gordon Heights, a hamlet an hour’s drive from celebrity summer resort the Hamptons on Long Island.

“There were so many kids that would get 200 pills a month and they’d sell it. And then they’d still owe their dealers because they were using more than they were selling. It would just be an endless cycle.”

That was until local authorities realized there was a problem, doctors clamped down on prescriptions and the police got involved.

“There was one night I couldn’t find any pills. So I tried heroin. And from there, I never went back,” he said.

He knew three people who died of an overdose, including a close friend.

“I just kind of accepted the possibility that one day I might die,” he said. “It’s horrible… It’s just crazy what it does to your body,” he said.

– White problem –

He got help when he was arrested and hauled before a judge, who ordered him to enter a treatment program or go to jail.

He likes Odyssey House and their approach but he is full of regret.

“I lost everything,” he said. He and his fiancee broke up because of his drug use and three of his best friends still refuse to talk to him.

“I want my life back,” he said.

He believes America’s opiate addiction is getting worse and wants to do more to help others before it’s too late.

“It’s scary,” he said. “The people that were young in my town at least, they didn’t realize what they were getting into,” he said. “You don’t really comprehend how intense it is when you try this thing.”

Experts say the opioid epidemic is a white problem. While heroin use is on the decline in inner city New York, painkillers are most abused in suburbs and rural areas — generally wealthier, whiter areas.

Rosenberg says St Joseph’s one-year fellowship, offered since January to New Jersey professionals, teaches safe alternatives, how to support patients to best manage pain and explain to them the dangers of opioids.

Next January, the program will expand to doctors, nurses and educators from across the United States and around the world, with enquiries already in from Britain, Canada, Scandinavia and Turkey.

“If you can sleep, if you can walk, then pain is not going to be your enemy. That’s what our goal is, to make you functional in pain, not to eliminate it completely,” said Rosenberg. “We need to do something.”

“Focus and persistence is a powerful tool”

In celebration of our 50th anniversary, each month we will be sharing a story that highlights one of our programs or treatment populations. With high school graduations happening throughout June, we are highlighting one of our very own graduates this month. Chane, a resident of the Leadership Center for transitional-age men, recently passed his Test Assessing Secondary Completion (TASC) and is now looking forward to a brighter future.

Recovery GED graduateFrom a very young age, Chane let his opioid addiction dictate his actions, leading to expulsion from high school and involvement in the judicial system. After being arrested for stealing to fund his drug habit, he was offered treatment at Odyssey House as an alternative to incarceration. Seeing an opportunity, Chane knew it was time to take control of his future.

When Chane, 29, entered the Leadership Center in June 2015, he struggled with the structure of the program. “When I came in, I was bitter and angry, and I wasn’t ready to change.”

But he quickly realized that this was his last chance to turn his life around, and he began to trust the process and found the support he needed through the staff. “The counselors care and want to see you do something productive for your life,” he says.

While in treatment, he dedicated himself to finishing his high school education and passing the TASC. Chane was nervous about how he would do, as he hadn’t been in a classroom in more than 10 years and had always struggled with math. Discussing his concerns with his vocational counselor gave Chane the confidence he needed to succeed as long as he worked hard and applied himself.

The breakthrough came from his math teacher. Chane says, “My teacher’s unique way of looking at math problems made problems that looked difficult become really simple.”

Chane not only passed the TASC but received the second highest score among his peers.

Since then, he has proven that his focus and persistence is a powerful tool that he can use for both his recovery and his career.

Chane is now training to be a plumber and plans to continue advancing his skills by working towards additional certificates.

“Every minute I spent at Odyssey House was worth it.”

In celebration of our 50th anniversary, each month we will be sharing a story that highlights one of our programs or treatment populations. Below is Ashley’s story, who recently completed residential treatment at Lafayette Avenue, our young women’s program in the Bronx.

Ashley 50th anniversaryAshley, 28, started using drugs and alcohol after graduating high school in Long Island. It started with the occasional use of marijuana and alcohol, mostly as a means of fitting in with her friends and dealing with low self-esteem. It also made it easier to ignore that she was directionless, in and out of college, unable to decide what to study or do with her life.

Her drug use developed into a full-fledged problem when she was 23. By then she was a new mother. To manage the trauma of escaping an abusive relationship with her daughter’s father and the stress of single parenthood Ashley, turned to cocaine, marijuana, and alcohol.

Her life became chaotic. She regularly left her daughter with her parents to go out with friends and started selling drugs. At various points, Ashley realized she had a problem and struggled to get help: she tried three different outpatient clinics over two years, but she never stayed clean for long.

Recognizing the dangers of her lifestyle, she sent her daughter to South Carolina to live with her grandmother for a little while. Shortly after, events took a serious turn. She was arrested for selling drugs. Because it was her first offense, the judge recommended Ashley get residential treatment and referred her to Odyssey House.

Ashley was admitted to the young adult women’s program in the Bronx last October. It took time, but once she adjusted to the structured environment, she began to feel herself change. Being in treatment “helped me open up to others, understand that the way I was living was wrong, and bridge the gap between me and my family,” she says. The groups were particularly beneficial in helping Ashley find peace. “The more I talked to my peers, the lighter my burden felt.”

Ashley says she now has better coping and communication skills and, thanks to vocational training, has a clearly defined career track she is passionate about. She was always interested in cooking – as a child, she could often be found helping her mom in the kitchen – so when it came time to choose a vocational training track, the culinary arts program was a natural fit. “My mom and I used to talk about opening a family-run Italian restaurant, so that’s what I’m working towards.”

Though she’s nervous about leaving treatment, Ashley has a few strategies to help ease the transition, by continuing treatment at a local outpatient program and finishing her culinary training. “I really benefited from the structure of the program, so I’m going to incorporate that into my day,” she says. Mostly, she’s motivated by the prospect of seeing her daughter again, and finally being the mother she deserves.

“I wish I could go back in time and tell my 18-year-old self ‘Slow down! There’s nothing but trouble ahead if you keep living like this.’ But all I can do is keep working on my recovery, and focus on my daughter. I can’t let her down again.

“If you have a problem, it’s okay to come to treatment. It gives you hope. Once you address certain issues, the pain goes away. You’ll come out a better person. I know I’m coming out a better person, a better mother. Every minute I spent at Odyssey House was worth it.”

Chasing Heroin

On Tuesday night, PBS aired a new Frontline documentary, “Chasing Heroin,” chronicling the impact of the opioid epidemic as well as the efforts of law enforcement, social workers, and public defenders and prosecutors to save the lives of addicted people without locking them up. The entire documentary is streaming online and will air on WLIW/Channel 21 (PBS’s sister station) on Friday, February 26that 7pm.
The documentary was accompanied by four feature articles, which you can access below.
Drug Czar: Treating Substance Abuse as a Crime is “Inhumane” As the first former addict to run the White House Office of National Drug Control Policy, Michael Botticelli has a different perspective from any of his six predecessors. In this interview, Botticelli talks about his own struggles with addiction, the nation’s heroin and opioid epidemic, and why he says “we can’t arrest our way out of our problem.”
How the Heroin Epidemic Differs in Communities of Color – People develop addictions for a variety of reasons, which makes it difficult to gather concrete data on what’s happening in each community. Frontline spoke to experts and community outreach workers around the country to try to understand the differences. While some have followed a similar trajectory as the white community, a closer look at the epidemic in some communities of color reveals a different story.
The Options and Obstacles to Treating Heroin Addiction – For decades, treatment has centered on an abstinence-only approach, consisting of detox and rehab, accompanied by counseling or group therapy, many inspired by the 12-step model. But as deaths have surged, many experts have begun rethinking that approach, arguing that opiate addiction should be treated the same as a chronic disease — like diabetes or depression. Abstinence and counseling is not enough; medication must also be an option.
How Bad is the Opioid Epidemic?The epidemic didn’t happen overnight. Over the course of more than a decade, it has grown into a problem destroying lives across the nation, regardless of age, race, wealth or location. Here’s a look at how it happened and who is most affected.