Alliance for Positive Change Partners with Assembly Member Harvey Epstein to Host Overdose Prevention Training for Older Adults

On Tuesday, November 19, the nonprofit Alliance for Positive Change partnered with New York State Assembly Member Harvey Epstein’s office to train older adults to reverse drug overdoses by administering Naloxone.

Over 20 older adults and student nurses learned how to identify an overdose and administer Naloxone at the 2024 Aging Safely in Our Community Health Fair at the Stein Older Adult Center, which was developed and staged by student nurses from the Hunter-Bellevue School of Nursing of The City University of New York.

Alliance Narcan trainer Eliot teaches seniors and nursing students how to recognize and respond to an overdose

Recent data from the CDC shows that overdose deaths have decreased by 14% nationwide in the past year. Experts attribute this progress in part to expanded access to harm reduction tools like Naloxone, which is now available over the counter. Still, older adults remain particularly susceptible to overdose due to factors such as higher rates of chronic pain conditions, social isolation, and stigma.

Opioid overdose reversal medication can be used by non-medical professionals to temporarily reverse the effects of opioids, such as heroin or fentanyl, particularly in situations of overdose. Alliance conducts over 100 overdose prevention trainings annually for the community, corporations, local businesses, and elected officials.

“We are proud to partner with Assembly Member Harvey Epstein’s office to promote the health and safety of older New Yorkers,” said Ramona Cummings, Chief Program Officer at Alliance for Positive Change. “We have seen encouraging data showing that the expansion of harm reduction resources is helping to turn the tide of the overdose crisis. We must persist in our work together to reach communities that continue to be most impacted by overdose.“

“We know a harm reduction model is very effective when it comes to preventing overdose deaths due to opioid use and knowing how to administer Naloxone is a critical tool. We are fortunate to have organizations like Alliance for Positive Change doing the important work of keeping our communities safe through education and connections to services that address the root causes of public health crises. I want to thank them for their leadership and for training members of our community to be prepared in the event of an overdose,” said Assemblymember Harvey Epstein.

Alliance and Assemblymember Epstein previously collaborated for a Narcan training for his district office staff.

Sharen Duke Selected Again as Crain’s Notable in Health Care

Crain’s New York Business has selected Alliance for Positive Change founding Executive Director and CEO Sharen Duke as a 2024 Notable in Health Care, noting that this year’s honorees “have distinguished themselves through their expertise and innovation.”Sharen was also recognized in Crain’s in 2021 as a Notable Leader in Health Care.

“Sharen Duke is executive director and chief executive officer of Alliance for Positive Change, a nonprofit that provides low-income New Yorkers living with HIV and other chronic conditions with access to quality health care, housing, harm reduction, coaching, peer training and job placements. She oversees a team of more than 150 people while managing a multimillion dollar budget.”

You can view the full list here (subscription required for access) - https://www.crainsnewyork.com/awards/sharen-duke-notable-leaders-health-care-2024

Alliance Celebrates 63rd Graduating Class of Peers

(New York, N.Y.) — On Thursday, November 14, Alliance for Positive Change celebrated the 63rd graduating class of its Peer training program at a ceremony featuring graduates, families, and friends at its Midtown Central location. View all photos HERE.

For three decades, Alliance’s renowned Peer training program has provided New Yorkers living with and affected by HIV/AIDS and other chronic conditions with leadership and economic mobility opportunities.  NewYork-Presbyterian sponsored the graduation, and Booking.com Cares was a community partner.

Alliance’s Peer program is an intensive 8-week capacity-building and skills training program that harnesses the power of mentoring to help others initiate and maintain healthy behaviors. Participants learn about HIV, hepatitis C, STIs, harm reduction, outreach skills, overdose prevention, and more. Graduates become community leaders who use their lived experience and training to help fellow New Yorkers facing health challenges. Since the first class, Alliance has graduated more than 1,500 Peers.

“When I came to Alliance’s Peer program, I was looking for a sense of direction, acceptance, community, and positive reinforcement,” said Jose A., an Alliance Cycle 63 Peer graduate. “I found all that and more. I see the staff and Peer Workers helping people every day without judgment and stigma. I am looking forward to helping others who have been through what I have been through.”

“We are proud to celebrate our graduates, who have shown tremendous dedication to developing their skills and expertise, and who will harness their own lived experiences to support others,” said Brenda Starks-Ross, Alliance’s Deputy Executive Director/COO. “Peer Workers expand and deepen our impact every day, showcasing the power of positive change for individuals and entire communities.” 

 During their training, Peers developed skills to coach and support New Yorkers to overcome health challenges, navigate systemic inequities, and achieve health and well-being. The Peer program connects low-income people to care and support; reduces the burden on under-resourced healthcare institutions; and creates more economic mobility for people who need it most. Each year, these community ambassadors connect with an estimated 15,000 New Yorkers.

About Alliance for Positive Change

Alliance for Positive Change is a leading multiservice organization that provides low-income New Yorkers living with HIV/AIDS and other chronic conditions with access to quality health care, housing, harm reduction, coaching, and our renowned peer training and job placement program that cultivates leadership and economic mobility. Alliance opened in 1991, at the height of the HIV crisis as a welcoming community of transformation and opportunity. Today, we deliver on the promise of positive change with services and resources that equip people to navigate systemic inequities and achieve health and well-being. Learn about all the ways we inspire positive change at www.alliance.nyc.

Statement On the Results of the 2024 Election

With the reelection of Donald Trump—whose policies and rhetoric have viciously targeted people of color, women, LGBTQ+ people, immigrants, disabled people, and other marginalized communities at the heart of Alliance’s mission—today is not a day for silence.

This election outcome is a threat to the values we hold dear, including human rights, social justice, equitable healthcare, bodily autonomy, and responsible public health policy.

Alliance for Positive Change was founded more than 30 years ago at the height of the AIDS epidemic, with a core ethos of respect, compassion, and care. We are writing today to reaffirm our enduring commitment to welcoming services and the dignity of all people, with particular concern for those most harmed by discrimination, marginalization, and hate.

We cannot and will not allow our progress to be reversed or our communities to be sidelined.

Please stand with us as we find a way forward through what is likely to be a destabilizing period in our nation’s history. Let’s together uplift and embody positive change—today, tomorrow, and always.

With gratitude for your support,
Alliance for Positive Change

Community Promise Stories: Kayshawn

Can you tell us a little bit about yourself?  

My name is Kayshawn. I’m 36. I’m a native New Yorker, originally from Flatbush, Brooklyn. It’s been seven years since I stopped using drugs.

Before we get a little deeper into your story and your perspective, what are your hobbies?  

I like to spend time with family and close friends that are good to me. I’m an introvert. I like walks, anime, music, writing in my journal, sitting in the park. Tompkins Square Park, Washington Square, and Union Square are beautiful, or just sitting by the river, it can be very peaceful. 

I am part of the CHOICES program even though I don’t take Suboxone. I’m in therapy with Dr. Jeffery, usually once a month.   

Can you tell us about your history with substances and what brought you here? 

Cocaine is the drug I was using the most. I’m an introvert, and cocaine was what I used to be around people. But shaking that was like going back into my shell. I no longer had my mask, and it was really scary.  

I was kind of a pushover. I let people do stuff to me. And I tended to stay and let people around me because I was lonely.  

The breaking point was when I realized a lot of my friendships and relationships were toxic for me. I had to learn to take things at face value and not to excuse people’s bad behavior. 

What were your triggers when you were using? 

Arguments, depression, being disappointed. Emotional anguish. Being in large groups of people.  

I’ve been sober for 7 years. I often think about how far I’ve come, and I know going backwards will make so many people disappointed in me, but I do have lots of moments when I have urges.  

What are some challenges that make you feel those “urges”? 

My current living situation. The last few months, I haven’t had a place of my own, I’ve been staying with a friend. It’s not optimal. I’ve basically been putting my life together since moving back to New York in March. I moved to Ft. Lauterdale to be with my daughter and her mother. 

Florida wasn’t good for me mentally, or emotionally. The relationship with my daughter’s mother was one of those where I let someone take advantage of me. I lost 50 pounds there. She started mistreating me in all sorts of ways. She had the authorities evict me from a place that had my name on the lease. 

I was working at Target and had just lost my job.  

Are you working now, back in New York? 

Just gigs here and there. I’ve been walking people’s dogs. I get snap benefits, something Alliance helped me with. 

How did you find Alliance for Positive Change, and when? 

In 2017, when I was on the verge of stopping my drug use. I had heard about you from a participant who I knew from another meeting, she told me to come to this group at Alliance. I really enjoyed the group. I didn’t need sterile syringes for long, since I did stop using. But since then I’ve just been coming to the groups.  

What services do you access here? 

All services. I attend the Medication-assisted treatment (Suboxone) group Mondays. I do the Tuesday Men’s Group. Wednesday is the education and health workshop run by Ryan and VOCAL about knowing your rights. Basically five days a week. It’s all been equally useful. I’ve learned how to handle my own reactions to people, different interactions, dealing with different personalities.  

I have an Alliance case manager who helped me get back on SNAP benefits, and the big thing is I’m applying for PREP Cycle 63, starting in mid-September. I met with Ms. Joyce. I’ve been through a lot in life, and I’d like to become a CASAC or drug counselor.  

It seems like you’d be very good at that 

I’ve had a lot of lived experience. It’s not hard being around people who are actively using drugs than other people. They’re more truthful and honest than a lot of people who are sober. People who don’t use--they find ways to nullify the things they go through. Somebody who uses is a little bit more open, because they think their story can help someone avoid their mistakes.  

What is your philosophy in life? 

In due time, people will see the progress you’ve made, and see everything differently. For a while, my mom didn’t believe me when I said I was really dedicated to improving my life, but she’s seen me calm down, get in better shape, she’s seen me do everything in my control. That’s one of the most important relationships in my life. My mom, and my children.  

“Voting is Everyone’s Responsibility:” a Conversation with Lillian Cotto-Anglada

Q: Lillian, a lot of Alliance folks might not know that our Luis and Lillian Outreach Center, or LLOC, is named for you. What’s the history there? 
I was in the second Peer Leadership Training Group in 1992. I was hired the next year as a women’s health advocate, special events coordinator, and outreach worker. In 1995, I contracted tuberculosis while doing outreach. I was in and out of the hospital a lot, because of complications from tuberculosis. Luis Morales, another of the first employees at Alliance (then AIDS Service Center of Lower Manhattan) and a member of the Peer Leadership Training Group at the time, was sick. He passed away on October 17, 1995. The community center where LLOC is today was still 150 First Avenue. Our CEO Sharen and the board decided it should be dedicated to us: “In hope for Lillian. In memory of Luis.” I thought that was beautiful.

Q: You’ve had a lot of different roles over the years at Alliance. What do you do now? 
Yes, I’ve done a lot of different things. I was a staff member from 1993-1999. Since 2002, I’ve been the President of our Consumer Advisory Council, hearing from our participants what’s working with our programs and what they want us to consider changing. But I also help plan, organize, and decorate our Thanksgiving events and other events like PREP graduations and World AIDS Day. And I co-facilitate our Arts Class on Thursdays with Ms. Louise. We used to have Valentine’s Day and other events that I’d coordinate. I’ve always wanted people who had lost family and friends to the virus to attend life-affirming events.

Q: You told me you’re a poll worker coordinator in this year’s election cycle. What does that mean, exactly?
Me and my co-coordinator teach poll workers who ensure voting is fair. We’re in charge of making sure all the processes of a fair election are followed for the thousands of people in my voting assembly district. We’re trained how to set up polling places, which can be in schools, community centers, or anywhere that has space. I work during the early voting period, which begins October 26, and goes every day through Sunday, November 3 (8:00am-5:00pm weekends, and 8:00am-8:00pm weekdays). Then I work all day on Election day (Tuesday, November 5), from 5:00am until the last ballot is cast. I work at JHS 56 in the Lower East Side and P.S. 184.

Photo: David Nager/Alliance

Q: Are there any little-known voting rules you have to enforce?
Hah! Yes. For example, if you get an absentee ballot sent to your house, you can’t show up at a polling location and vote in-person. They monitor the polling locations to make sure no one is inside or right outside with campaign signs or shirts—that’s called electioneering. You can’t enter a polling location as a walking ad for a candidate. We keep the election process fair.

Q: I imagine some people get really upset about that?
Oh yeah, most of us have been confronted, or threatened for saying “you can’t be here with that shirt, you need to turn it inside out and come back.” As the supervisor, I try to prepare poll workers for that, and help de-escalate things, and help people feel comfortable after the confrontations. My poll workers appreciate that. They’ve told me, “If you don’t come back next election, I’m not either.”

Q: So you train poll workers. What do they do?
They do a lot of things, because voting is so misunderstood. Some can be interpreters, some are accessibility clerks. They maintain the long lines, and there are other roles. Poll workers check-in voters and show them how to vote.

Q: When did you become a poll worker, and why?
In 1987, when my mom’s best friend was running for Democratic representative of her district. The Democratic and Republican parties can have representatives from every district. I always cared about voting, but knowing someone who was running for office made me more interested in how it happens.

Q: Is there any overlap between your work at Alliance and as a poll worker supervisor?
Alliance helped me become a leader. My work here showed me how to deal with all kinds of people, to really explain stuff in a way that helps them, and not to take things personally. Sometimes people have an attitude, and our work can be stressful, just like working the polls, so I kind of learned to just remind myself that their issues aren’t related to me or my work.

Q: In all these years, what was the strangest election you worked?
Definitely 2012, because it was just days after Hurricane Sandy. So many neighborhoods were destroyed and transportation was impossible, so people were allowed to vote anywhere in New York City. Poll workers and the Board of Elections had to check records to make sure nobody tried to vote twice.

Q: It sounds like a tough job with lots of procedural changes from election to election. Why do you keep doing it?
Well, I don’t do it for the money, I do it because voting is everyone’s responsibility. I think it’s a requirement. It’s your duty. A lot of people in the world don’t have the right to vote. And this year, you could really say that democracy is on the line. I don’t care who you vote for, but you have to vote. You can write in anyone; you can even vote for yourself.

Community Promise Stories: Daniel

Can you tell us a little bit about yourself?  

Sure. I’m Daniel. I’m 52. I’ve lived in the city all my life. I keep myself busy by reading books, watching movies. Go meet up with my friends and socialize. Beyond that, I don’t go to clubs or big places.   

What do you do for work? 

Right now I’m not working. Over the years, I worked at a bank, then I did some teaching at The Princeton Review. My last job was working at my family’s restaurant, up until 2021. 

Can you tell us about your history with substances and what brought you here? 

I started smoking marijuana as a teenager. I few years later I tried some cocaine and a few years later opioids like heroin. Cocaine wasn’t as big a problem for me as heroin. Heroin is tougher because of the physical effects.  

Have you overdosed before? 

Yes, recently. About a year ago. I got something from a new supplier. I didn’t do that much, just half a bag, but 15 minutes later, I was in a store shopping and fell over. The staff called 911 and they came right away and saved my life.  

How did you find Alliance for Positive Change, and when? 

I knew about LESHRC back when it was on Allen Street. I was living in Brooklyn.  

I’ve been living in the LES for a few years. I have my own apartment that I inherited from my parents. In a tenement building. My mom left me some money when she passed and that's paying the rent. 

What services do you access here? 

I come here for syringes, for clothing, food, and other support. I like going to groups, to hear different perspectives. It can go both ways, some people need to just cut out anyone they know who reminds them of the drug world. But for me, it has been healing. 

What have been your triggers that made you use drugs—whether while actively using, or after a long break? 

People I used to use with. And grief. My first relapse was when my fiancé passed away.  

But I’ve also stopped and stared a lot. I’ve tried methadone programs four times. I’d stay sober for a few months, one time for two years.  

And now you just started Suboxone? 

Yeah. There was some problem with health insurance not covering it, but Alliance worked with Medicaid to get started.  

I think I have realistic goals. it depends on how I feel. Maybe I will still need to use a little bit, but still use less, but my goal for sure is to stop using. If I put my mind to it, I know I can do it. One step at a time. I can’t over-predict.  

Do you have a vision of what that will look like? 

Get back to work. Improve my life situation. Be a normal person again. Go to work, go shopping for groceries, mundane things like that, but them being easier. 

What is your philosophy in life? 

I have a few. Treat people the way you want to be treated. You have to be self-reliant. To hear both sides of a story before I have an opinion on something. Everyone has their flaws, so be kind and cordial. 

Community Promise Stories: Cisco

Can you tell us a little bit about yourself?

My name is Cisco. I came up with a very close-knit family. And I’m blessed to still have a loving family after everything. I have a daughter, whose life I’ve been mostly absent from because I've served a total of almost 30 years in prison, I’ve been on Suboxone for ten years to stop using heroin and cocaine. I’m sharing my story with you because I hope it helps someone, somehow.

What are your interests?

I love to work out. I ride my bike to Blink gym a lot and work out. I like to watch TV and catch up with family members on my support system. My mother-in-law is my spiritual sponsor, so I love catching up with her. Idle time is bad for me, so I like to wake up with a game plan and direction for my day.

Can you tell us about your history with using substances?

When I was a kid, I found the neighborhood gang lifestyle pretty appealing. I was sexually active from a young age, and I would do the drugs that the girls I was with were doing. I was part of a gang.

Cocaine and heroin were the drugs that I was the most into and most dependent on. It all progressed until it started getting out of control. I had a problem with addiction and authority. I got into a lot of fights. I found myself in a bad place, and I started sticking up drug dealers. I had God looking over me in that they weren’t able to kill me.

I’m disabled from getting shot when I robbed two drug dealers in 1988. That was rock bottom and made me stop using drugs for a while, but I needed a few more rock bottoms.

I always heard prison was terrible, but for some reason, I wasn’t scared. I was about that gangster life. I had people bring me cocaine and heroin and smuggle it in for me. The first time I came home from prison in 1996, I almost died from an overdose.

What were your triggers in your recovery?

Sex was my biggest trigger, and the women I was with used a lot of drugs, so I did drugs with them. Boredom, too. That’s why now I like to try to make sure I don’t have time to waste. But it was also just pure addiction, medication—I couldn’t think or function without it.

How did you become introduced to Alliance for Positive Change?

I came home April 15 of this year, and Eugene from the Corrections Health Initiative program picked me up. He gave me the welcome home backpack. I had been in prison for almost 20 years straight, that time. I had had a few 5-6 year bids before, but this was my longest time I spent in prison.

How was such a long sentence different from your shorter sentences?

Well, I had a lot of time to think, and frankly, a lot of people I used to know on the outside forgot about me. So they stopped bringing me drugs like halfway through my sentence: I guess they forgot about me. I had to do something else with my boredom, so I got my food handler’s certificate, and hospice nurse training. I did it to impress the parole board, but I also liked the work.

What did your recovery look like while you were incarcerated?

I became the Chairman of the AA meetings in prison—there was no NA—and a few people were actually from the outside, who came there for the meetings. It was bullshit that there was no NA, so I would run the meetings and say, “I’m Cisco, I’m an alcoholic AND a drug addict.” I guess people liked that I was talking about something real, but that we weren’t supposed to talk about.

Without heroin, I needed to take something for the pain because I have these chronic injuries from my incidents with gangs and beatings I had from the correction officers in prison. I stopped using heroin on August 16, 2014. People stopped bringing me stuff because they thought I was never coming home. The prison wasn’t prescribing Suboxone, so I got it from another prisoner. I was getting it like this for over eight years, until January 2023, when the prison finally allowed us to get Suboxone.

How is your experience with Suboxone treatment at Alliance?

My body is used to it. I don’t have the physical or emotional cravings for heroin, and I think I’ve been over the psychological cravings for a while, really. When I was using a lot, I felt physically weak; I didn’t eat right, I didn’t sleep right, and everything hurt. That’s all much better now.

What other services are you accessing at Alliance?

The recovery group with Emily Levine (Project Manager, and Counselor), in Midtown Central is good for me. I don’t really like sharing in groups so the one-on-one sessions with Emily and Ana are good for me.

Since your recovery journey, have there been any other changes in your mentality?

I’ve also been super reserved about sex, too. I knew that was my biggest trigger, so coming out of prison, I thought I’d be all over the women who showed interest in me, even though I knew that could be bad for me. I’m actually impressed with myself because I haven’t been that guy—I’ve been patient. Sex has been cheap for me a lot of my life, but now I want something more meaningful.

What are your goals for the future?

I want to be of service. You can probably hear it in my voice, but I’ve got a lot of regrets, man. I feel like I wasted so much of my life. I’ve missed most of the moments with my daughter, but maybe I can help someone because of it. My daughter is in my life. I remember so many important dates, like the day she got out of the hospital after she was born with complications, the day her mother died, and the day I got arrested the final time. She resented me at one time, but she’s forgiven me, and that makes me so happy. She’s amazing, so mature and wise. And she’s made me a grandfather. She lives in the city, so I see her again now, which is a blessing.

I’m interested in becoming a Peer Worker at Alliance. I love the work you guys do here, and I’ve got the lived-experience. I’ve been where so many people Alliance helps have been, and I want to be able to help them. I’m interviewing for the next Peer Recovery Education Program training.

Community Promise Stories: Luis H.

Can you tell us a little bit about yourself?

I’m 48 years old. I’m an artist. I never went to school for it, my highest level of education is a GED, but I’ve been doing graffiti art for a long time, and I loved it since I was a kid in New York and Puerto Rico.

So you spent your childhood between those two places?

Yeah, I was born here, then moved to Puerto Rico and back a few times, coming back for good when I was 13, after my mother left my father. That last move was really bad for me, because I felt so alone here, and didn’t have friends in school. I missed the countryside of Puerto Rico.

When did your drug use start? And what were your drugs of choice?

When we moved back to New York the second time, when I was 13. I had no friends over here besides my cousins. One week in New York and I’m already smoking weed with my cousins, who were just a few years older than me.

I tried heroin at 15 with an older cousin, and didn’t try it again until 22 or 23. I was snorting it.

What was your drug use like in your 20s?

When I was younger, I was pretty successful, things were going well, I was kind of a playboy.

Heroin enhanced sex for me, so I liked that. I didn’t do it every day, because I knew I’d get addicted to it. I’d use on a Saturday and then not pick it up for weeks. After a couple years, I started liking it more and more, and then I was totally addicted. And cocaine was more or less the same thing.

So sex was a trigger for heroin?

Back then, yes. Now, it’s more just that if I don’t use, I feel in pain.

Cocaine was more to function, because at times      when I was trying to work to earn as much money as possible, I was always tired so I had to take cocaine to stay awake.

What do you do for work?

I’m an artist. I get paid for making the graffiti murals on      campuses. Apparel, painting, and all sorts of other work. You can follow me on Instagram @kerznyc.

It sounds like you’ve always been conscious of not building a dependence. Have you tried Medication-assisted treatment before?

I started taking Methadone in 2013, but I’m trying to cut down to a small dose and eventually transition to Suboxone. I’ve reduced my heroin use, but I’m still using, so I want to get off heroin. Especially now, with all the new chemicals in the drug supply, I can feel the xylazine and fentanyl in the batches I take.

Have you overdosed before?

I’ve overdosed at least 12 times, all before I started Methadone in 2013, and back then it was just heroin, none of the stuff in the supply now. Sometimes it was friends, sometimes paramedics who revived me. One time I was in a park and I was super out of it, and the only reason I lived is because a lady walking her dog saw me, and called the ambulance. If she hadn’t seen me, I would’ve died. God had that lady walking through there at night for a reason.

 Every year, I go back to the park where this happened, in the Bronx, and I touch the tree where I was when the lady saved me. I call it the tree of life.  

That’s beautiful. So if you’re still actively taking heroin, and sometimes cocaine, but haven’t overdosed in 11 years, is that just good luck, or what?

Now I ALWAYS test my drugs. If I don’t know my supplier, I’ll just take a half a bag at first, to make sure it’s cool. And being able to test my drugs with the test strips you’ve got here at Alliance, that’s big.

How long have you been coming to Alliance for Positive Change?

I found Alliance about 5 years ago, when you were on Allen St. I came here for the syringe exchange, because I never wanted to share needles, and I appreciated that the people running the syringe exchange never judged me. Actually, they congratulated me for being safer about my use, getting sterile syringes. I used to come here just for needles, now that’s the thing I need the least here. I probably come here for needles once every 40 times. I come here for coffee, for a safe place to hang out, especially when it’s super hot or super cold, because I’ve experienced homelessness for a long time, and I can’t stay on friends’ couches all the time.

A lot of the people we serve are experiencing homelessness. That’s a tough situation when you’re trying to change behaviors.

Oh yeah, the shelter system is really tough. You’ve got to find a good place where they actually treat you like a person, not like your parole officer. I’ve stayed at places like that, where every few weeks they’ll move you around—if you don't do this you lose your bed, it’s really messed up.

Now I’ve got a room in a shelter that doesn’t make you check in all the time, it’s pretty cool, and I applied for Section 8 housing. Some of the case managers here are helping me take the housing vouchers to try to find an apartment. I want a safe place to live, so I can take care of my physical health.

How has your drug use changed since you’ve been coming here?

My drug use is way down, and when I use, I use way less.

I’ve done a bunch of one-on-one sessions with Ana, talking about my traumas and what led me to take these steps to stop using. I’ve had to deal with the fact that I’ve lost friends to overdoses, one guy injected himself in the neck because all his other veins were all used up. He died right in front of me. It takes a while to process stuff like that.

What do you want to do when you’ve completely stopped using?

I want to travel. Right now I’m restricted, because of the methadone. I can’t go to a graffiti competition in Chicago, because I don't want to have to deal with the backlash from missing a few sessions of Methadone.

I want to go back to Puerto Rico, I have so many great memories of being there, in the countryside. Because I really love nature. I grew up around horses and roosters, and I loved it. I want more time to focus on those things.

You’ve mentioned being around nature, and animals. What are some of your other hobbies?

I love being outdoors most of all, and everything outdoors, like fishing, camping, hiking, horseback riding, all that stuff. I have an aunt down in Maryland that I’d visit because she was near all these different rivers so I’d swim all these places, anywhere! I’ve held big snapping turtles, and alligators, it’s exciting, man! I love nature.

Remembering Edwin Krales, aka Dr. Broccoli

Edwin Krales, aka Dr. Broccoli, Alliance’s Nutritionist, passed away last month. Dr. Broccoli was a staple of our Alliance community, equally beloved by program participants, Peers, and staff. He earned his nickname 30 years ago when he relentlessly promoted eating veggies—going out of his way to bring fresh veggies to outreach events across New York City, many of which were held in food deserts without reliable access to produce.

Because his work at Alliance was so special to him; his wife, Marcia, and two daughters, Alex and Amelia, suggested a memorial gathering at Alliance during the time Dr. Broccoli would ordinarily be holding his first of two Wednesday nutrition classes, the week after his passing. They shared stories and photos of Dr. Broccoli, and Alliance staff, Peers, and participants packed the room to share their own stories, photos, and insights. In their own words, here is how the Alliance community remembers Dr. Broccoli:

“His convictions were strong. He helped me grow up. He will be deeply missed. A great man. An original." —Vladimir

"He would tell me to portion my meals, because he knew I wanted to take better care, but he knew cookies were my vice. He sent me notes and I frames them. I love that man. He was like a father to me." —Sylvia

“He was a powerful force full of knowledge, empathy and courage. I admired how he nurtured our clients with love and patience allowing him to sustain a unique relationship with each individual. His actions and words showed how deeply he cared for people. Even after I parted from the Alliance, he called to check in on me. Dr. Broccoli is one of my greatest memories at the Alliance." —Abeer

"He gave me his favorite bowtie... and a blender." —Joey

“We all look forward to Wednesdays with Dr. Broc. We'd talk about fishing. And he's saved my life by helping my diet." —Joseph

"I met doc years ago and he helped me figure out what to eat and not eat when I got to a certain age. Because of him... I’m healthier. I miss him.” —Mike

"One thing I loved about [Dr. Broccoli] was the reminder calls on Tuesdays... knowing that someone had me on their mind and wanted to make sure they saw me the next day. And I started going to the gym because of him. He instilled in me class, how to behave and dress.” —Abdullah

"He always looked out for people who didn't have a way to escape the heat and cold and would tell people where to go for shelter." —Marcia

Photo: David Nager/Alliance

Photo: David Nager/Alliance

Alliance Food and Nutrition Services Participants excited to meet Dr. Broccoli's wife, Marcia, and daughter Amelia and Alex, at the memorial ceremony

Thank you, Dr. Broccoli!