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.”

Working in Recovery: How do we know what works? We ask questions

By Gary Harmon, Ph.D.
Vice President, Director of Research & Grants

As the substance use disorder field continues to evolve and move closer to a medical model, Odyssey House is poised to remain a leader.  The ability of the agency to retain the essential elements of treatment from its roots over 45 years ago, combined with cutting-edge and new research-supported treatment, has led to a model that we know works. 

Personally, I take great satisfaction in the quality of the services we provide and the excellent treatment outcomes that are produced.  Since my role often involves viewing our clients, programs, and services as data on a computer screen, I always make sure to remember that every number represents a person; someone who came to Odyssey House in need of help; someone with a dream or hope of a better life.  Keeping that important principle in mind helps to ensure that I never stop asking that very important question:  “How do we know what we do works?” 

Entering into the substance use disorder field six years ago, I was eager to apply my background in public health to one of the greatest problems facing our society.  I have worked with disadvantaged and disenfranchised populations for my entire career but this field presented an entirely new set of challenges and barriers.  It was clear from the start that our clients and residents were not only battling with drugs and alcohol, but most were also beset with poverty, trauma, mental illness and homelessness.  One of the reasons that I was attracted to Odyssey House was the organization’s approach to research and data.  Employing a full-time director of research and grants signaled to me that the agency had a value for exploring what was most effective for our clients and residents.  At that time, the agency had begun to implement several Evidence-Based Practices (EBPs), and was participating in a National Institute on Drug AbuseClinical Trial Network research study. 

The acceptance of new, data-driven interventions shows that Odyssey House is staying ahead of the field in terms of best practices and the most effective treatment services, and the commitment to research and implementation of EBPs has only grown. We now employ more than 12 different data-driven interventions throughout the agency, and we have recently participated in several clinical trials with both New York University and Columbia University. As an evaluator on several grant projects supported by the Substance Abuse and Mental Health Services Administration, I have seen from the data that the programs we implement are effective.

The first questions I asked of my colleagues upon entering the field was, “What do we do?” and “How do we know what we do works?” Although simple questions, it was clear to me that the answers were much more complex and the results more rewarding.

Working in Recovery is an occasional series of guest blog posts by Odyssey House clinical, administrative, and research experts.

Working in Recovery: Running residential programs

Comprehensive treatment with wraparound medical, educational, vocational, and housing supports
By Justin Mitchell, Vice President & Director of Adult Residential Services

From our humble beginningsof 17 individuals coming together to form a community focused on living drug free, Odyssey House has developed into a multi-service entity providing a safe haven for the neediest New Yorkers. From the newborn child to the elderly man or woman, Odyssey House is equipped to meet the specific needs of a wide range of clientele struggling with substance use disorders, mental illness and homelessness.
Today’s Odyssey House has adopted an increased focus on evidence-based services, including parenting and trauma interventions; licensed early educational services such as Early Head Start; adult basic education; on-site medical and dental clinics; and an ever-expanding supportive housing portfolio. 
I joined Odyssey House in 2002 as a rehabilitation counselor with the goal of assisting clients in developing the skills necessary to reintegrate into their community and become productive members of society. Over the past 10 years I have had the chance to work in various positions and departments within Odyssey House, providing me with a unique opportunity to affect change on a client, a staff, and an organizational level.

Today, I am responsible for the residential treatment programs that are core to Odyssey House’s 46 year history. It is my job to ensure that the 500 adults and children we serve every day receive the best quality treatment; maintain compliance with various city, state and federal regulations; and develop methods to enhance our treatment programs to meet the changing needs of our clientele. 

During my years at Odyssey House, I have learned that the clients most successful at staying clean are the ones who are most committed to the treatment process. Odyssey House, at its foundation, remains a self-help program that encourages individuals to maximize their time in treatment to address a wide range of social, physical and spiritual needs. I expect, and encourage, clients to take an active role in their recovery, creating individualized treatment goals that include abstinence from drugs and alcohol, educational and vocational milestones, employment, financial self-sufficiency, and independent housing.  
But my job at Odyssey House is not merely an administrative one. I have a central belief that our role as models for right living can have the greatest impact on clients. As staff we are here to inspire hope in our clients: hope that by making a commitment to honest reflection and meaningful change, one can regain control and redirect the path of their lives. By demonstrating patience, positive communication skills, a strong work ethic, and genuine care and concern, we provide an example of how to be good family members, parents and citizens. Every day, we demonstrate how to give back to our community. 
In treatment, every day provides a new opportunity to be successful. As we continue to think about how long-term residential treatment fits into a changing health care environment, it is important to remember that for our clients, success may come slowly and can take many forms. For our young adults it may be achieving their GEDs; for clients struggling with mental illness it can mean the independence of community-based housing; for our mothers it can mean family reunification; and for our elderly it can be gaining a sense of integrity as they recover from a lifelong addiction.  

Working in Recovery is an occasional series of guest blog posts by Odyssey House clinical, administrative, and research experts.