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!

Community Promise Stories: Wilson R.

Can you tell us a little bit about yourself?

My name is Wilson R. I’m 54 years old. Haven’t used drugs in seven months, and I’m feeling good about myself, saving my money. Back in the day I was a kind of bad boy. I got into a lot of foolishness, and my problem with drugs was a big part of it.

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

I was like 13 years old when I started smoking weed and taking heroin. I started slinging it at 13, too. I spent 17 years in prison, but I’ve been out since 2005, and proud I haven’t been back.

What were some of your triggers? Did they change from when you were a teenager, first starting to use heroin, to last year?

No, not really. The people, places, and things that triggered me might’ve changed, but it was always anxiety, anger, and pain. I lost important family members and friends close to me from a young age. I don’t like talking about it.

Okay, of course. Sorry. Can you tell us how you came to find Alliance for Positive Change?

Yeah, I was hanging out in the library up the block and saw signs for the harm reduction center. This was about June 2023. I was already taking Methadone to try to quit heroin, but it wasn’t working. I talked to some of the people here, they were really cool, and I started sitting in on the daily groups here. I don’t really do N.A. (Narcotics Anonymous) but I found it easy being with the people here. I hang out here when I’m not at work, I feel a sense of—I don’t know—community.

Oh and I took the Narcan training here, and a few weeks later I saved someone’s life because I saw them overdosing and gave them Narcan.

Was it a friend?

No, just a total stranger. I was just in the right place, right time.

Wow. So did you say you made the switch from Methadone to Suboxone last year?

Yeah, I think it was November. Dr. Hopping talked to me about treatment options. I wasn’t liking Methadone, because I could still get high from heroin while taking it. He helped me transition to Suboxone, which works better for me because on Suboxone I couldn’t feel the high from heroin, so that kind of removed the temptation (*Editor's note: some people report this side effect, while others do still feel the high from opioids while on Suboxone, a Medication-assisted treatment that consists of Narcan, and Buprenorphine, an opioid receptor blocker which blocks cravings.*)

I started out at a dose of 100mg and I’m now at 50mg.

Congratulations. Is the temptation to use totally gone, or—

No, no, definitely not, it’s still hard not using, but it gets a little less hard every day.

It sounds like Suboxone isn’t the only change you’ve made it your life to stop using. What else have you been doing?

I don’t hang out with the people I used to when I was high. It really is true that the people, places, and things you associate with drugs are the most tempting. But also, working with Ana, my Recovery Coach, has changed my mindset. I see things differently now. I learned to think things out more, instead of just reacting. I can be impulsive, so she’s helped me slow down and think.

Are there any other changes in your life lately?

Yeah, the two big ones are financial and housing. Well, I got a job in sanitation with a private company last year, and I just got promoted. Honestly, if I had been offered the job when I was still using heroin, I would’ve turned it down. Now, though, I kind of think things through. I got a promotion there, which is more money, but changes my shift from nights to mornings, which is going to be a tough change—at first. Like anything, change is always hard. But yeah, I’m getting my first debit card, and trying to find some financial literacy classes, to save my money a little bit. 

Congrats. What’s the other big change?

I got an apartment. I started the process after I was released from prison in 2005, but never finished it until last year. Let me tell you, it’s way easier to be sober with a roof over your head. I come here, listen to people’s stories, and then I go to work, or I go home.

Lots of changes: sobriety, housing, more money and financial literacy. Is it overwhelming?

It’s a lot of change, but it’s good, you know? I think the biggest change is just my mindset. I try to really think things through more, not just be impulsive. I think every day, the hard things get a little less hard.

Alliance for Positive Change Celebrates 62nd Graduating Class of Peers

On Wednesday, May 22, Alliance for Positive Change celebrated the 62nd graduating class of its renowned Peer training program. The ceremony was held at Alliance’s  Midtown Central location, with over 50 guests in attendance. 

You can find photos and videos from the moving ceremony here.

For over 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. Peer graduates become community leaders who use their lived experience and training to help fellow New Yorkers facing health challenges. 

Alliance’s Peer program is an intensive eight-week capacity-building and skills training program that harnesses the power of mentoring to help others initiate and maintain healthy behaviors. Through the program, participants learn how to help break down barriers to health care access, and to become leaders in their communities. Alliance employs over 100 Peer Workers—the majority of whom are graduates of its Peer training—who provide prevention education, HIV and hepatitis C screening, linkage to care, harm reduction support, overdose prevention, accompaniment to appointments, and more to thousands of New Yorkers across the city.

"Fifteen years ago, I graduated from the Peer Training program, and now I'm a full-time staff member. Alliance never judged me for my experience but instead provided me with harm reduction tools to lead to positive change. My graduation from the Peer Training program was one of the biggest steps I made towards making a difference in my life," said Ashley Johnson, Assistant Director of Trainings & Interventions, who spoke at the graduation.

"The success of Alliance’s Peer Program highlights the remarkable potential for positive change within individuals and communities,” said Sharen I. Duke, Alliance CEO & Executive Director. “We are thrilled to honor our graduates, who have dedicated themselves to developing their skills and knowledge and will now use their personal experiences to help others."

For three decades, PREP has provided New Yorkers living with and affected by HIV/AIDS and other chronic conditions with leadership and economic mobility opportunities. Since its first class, more than 1,500 people have graduated from Alliance’s renowned Peer program.

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.

Avita Pharmacy was the presenting sponsor of the graduation. Other generous sponsors include Aurora Private Wealth and Nationwide

“We’re beyond proud to sponsor Alliance for Positive Change’s Peer education program again this year,” said Avita Care Solutions CEO Michael Yount. “Congratulations to this year’s graduates who are leveraging their experience and leadership to help others initiate and maintain healthy behaviors, and to Alliance for empowering change that fosters community wellness in the face of historic health inequities.”

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—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.

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Mental Health Month Insights: Emily and Tannya

To commemorate Mental Health Month, Alliance asked some of our licensed social workers to share their insights and tips for mental health care. Interviewed here are Emily Levine, Project Manager, MHC, and Tannya Rosas, Assistant Director of Harm Reduction, MSW.

What does mental health actually mean?

Tannya: Mental health includes our emotional, psychological, and social well-being. It influences our cognition, perception, and behavior. It affects how we feel, act, and helps determine how we handle stress, relate to others, and make choices.

And how can you or I assess our mental health at a given time?

Emily: Check in with yourself! Ask yourself, "how am I feeling today? What emotions are arising in my body? Where might these emotions be stemming from?”

Consider things like when was your last full meal and have you been drinking enough water? How did you sleep last night? Our physical and mental health affect each other so much.

What are some signs to pay attention to that someone may be struggling? 

Tannya: Someone that is struggling with mental health might have constant feelings of worry, depression, guilt, or worthlessness. Changes in appetite, weight, sleep, and personal hygiene tend to be signs of this, too, or struggling with substance use and unable to stop.

What does self-care mean to you? 

Tannya: Anything that brings positive feelings and that is healthy for your own health can be considered self-care, particularly during periods of stress. It can be as simple as going for a walk after a long day of work, meditating every morning before work or school, working out to release stress, or having a healthy meal.

Tannya

What are some common mental health care plans or strategies?

Emily: Common mental health care plans or strategies typically encompass a combination of therapeutic, medical, and lifestyle approaches designed to support and enhance mental health. Talk therapy, especially when combined with medication and/or lifestyle changes, can be highly effective. 

Therapeutic techniques that work for some individuals may not be effective for others. Additionally, self-care practices, stress management techniques, social support systems, and maintaining a healthy lifestyle are all essential components of comprehensive mental health care plans.

What are the benefits of having a support system?

Emily: One of our psychological needs as human beings is a need for relatedness. This refers to the need to have a support system. A support system offers numerous benefits that significantly enhance both mental and physical well-being. Emotionally, it provides validation, empathy, and stress reduction through shared understanding. Belonging to a supportive community reduces feelings of isolation and loneliness, boosting self-worth and confidence.

During crises, support systems offer immediate help and act as a safety net, providing security and peace of mind. Additionally, they contribute to personal growth through feedback, insights, and shared experiences, deepening relationships and building social skills. Overall, support systems contribute to increased happiness, life satisfaction, and the overall well-being of individuals.

Emily

What are some helpful things a caring friend or relative can do to check in on or support another person’s mental health?

Emily: Be a listening ear and let the individual vent as much as needed. Listen to understand instead of listening to answer. Listening without judgement is key. Acknowledge and validate the person's emotions, showing understanding and empathy.

Tannya: I think a helpful thing a caring friend or relative can do is to be sensitive to the other person's feelings, being a good listener and be present during difficult times. Also saying things like " I am here if you need me" and/or I care about you . Asking questions like " How can I help or support you?" "What can I do to make you feel better?" "What are your thoughts about asking for help?"

And what are some unhelpful things to avoid doing?

Emily: Avoid comparing their struggles to others' or suggesting that someone else has it worse. Refrain from making their struggles about yourself or sharing your own experiences unless it's helpful for them to know they're not alone. Dismissing their feelings or suggesting they should just "get over it" invalidates their experiences and emotions. In addition, avoid giving unsolicited advice or suggesting simple solutions without fully understanding the person's situation. Allow them to make their own decisions about their mental health journey without imposing your opinions or solutions.

Tannya: Being critical or judgmental of what the other person is feeling—instead understand that each person processes emotions differently and on different pace. I would avoid saying "that happens to all of us" "you are dramatic " "just think positive.” Its always important to be mindful of the other person's feelings during difficult times.

What role can burnout play in mental health care?

Emily: As a mental health care professional, I cannot provide my clients with the best care possible if I am burnt out and not feeling mentally well. Burnout can lead to emotional exhaustion, making it difficult for providers to maintain empathy and compassion for their clients. Prioritizing provider well-being not only benefits individual mental health care professionals but also enhances the quality of care provided to clients and promotes a more sustainable mental health care system overall.

How do you personally avoid burnout—personally and/or professionally? Or what tips can you offer to someone else?

Emily: I prioritize work-life balance by making my time after 5:00pm as meaningful as my 9:00am—5:00pm job. When I leave work, I strive to leave any work concerns behind so I can fulfill my personal needs. To avoid burnout, I remind myself that my job is only a small fraction of my life and identity. Additionally, I regularly speak with my own mental health therapist and incorporate self-care activities into my routine, such as exercise, relaxation techniques, hobbies, and spending time with loved ones when I'm not at work. One tip I can offer to avoid burnout is to establish clear boundaries between work and personal life by avoiding work-related emails or calls outside of designated work times. I also recommend getting enough sleep each night to restore energy and promote mental clarity, as well as seeking support from your support system and/or professional therapist.

Mental Health Month Insights: Angela

To commemorate Mental Health Month, Alliance asked some of our licensed social workers to share their insights and tips for mental health care. Interviewed here is Angela Arias, Director of Care Management, LCSW.

This may sound very elementary, but what does mental health actually mean?

Mental health includes our mental, social, and psychological health, and all the events and choices in your life. Think of a triangle. The top of (Maslow’s hierarchy of needs) effects everything above and beneath it.

Maslow’s hierarchy of needs

And how can you or I assess our mental health at a given time?

It’s an everyday thing. It involves checking in with ourselves, to see how we’re feeling about our work, our family, and most importantly, ourselves. Are you feeling like “yourself?”

We'll talk in greater depth about creating care plans for folks experiencing serious mental health challenges, but are there any basic "hacks" for helping one's mental health?

There are so many things you and I can do to “reset” and get back to feeling like ourselves. Exercising, being in nature, taking a hot bath. Maybe all of those things sound relaxing and feasible to you, or maybe none do. When my program participants don’t necessarily know what helps them, we brainstorm.

I was working with someone recently who was very depressed. He told me liked to play the card game spades, and I asked him if he thinks he’s happier when he’s playing with his friends. And of course we did a risk assessment, and felt that since he wasn’t playing for money, there was no risk for him to do more of that.

So that interaction with friends helped. How can someone build a strong support system?

Close friends or family can be a support system—obviously sometimes you can love someone but being around them can be triggering. So, it’s important to ask yourself: who—if you’re in crisis—who will answer, and listen. I always recommend having multiple people for different things in your support system. Not someone who asks “why would you do that?” but instead “how are you doing”? If friend A is really great at giving advice but not so good at just listening when you need that, can you turn to friend B, or your neighbor, or relative?

I’m amazed at how many people I work with at Alliance list me as an emergency contact, which I think speaks to how we make people feel. We’re not just someone helping them with applications for housing or food assistance, they trust us with their emotional well-being.

What are some helpful things a caring friend or relative can do to check in on or support another person’s mental health?

Just being present can go so far. We live in a busy city, in a busy world, in a busy time. Sending a random text. But be present. Don’t initiate a text message if you’re not willing to lend a listening ear. If they tell you they’re having a bad day, don’t go silent on them.

Make plans with someone, if it works for you.

And what are things to avoid doing regarding another person’s mental health?

Giving advice, haha. You may think you’re being helpful, but if it’s not asked for, you may not be helping. Sometimes people don’t really listen, they’re just thinking about what they’re going to say next. If you want to give advice, ask permission first, or let them tell you what works for them.

What mental health advice is important for people in recovery?

Living with people can be triggering. So getting in spaces that make you feel more in control or even supported can go a long way. As well as being around people who can relate to your situation. Most people find it helpful to be in support groups (that Alliance offers, or elsewhere). They can be inspired by stories from people who seem to have it “worse” off than themselves or just knowing that they are not alone in their journey and that there is indeed, true hope.

What mental health advice is important for people in shelters?

Knowing that they are making an attempt at bettering their situation, like motivating them to fill out housing applications. Feeling a sense of accomplishments can be great. And getting them out during the day, because typically being in shelters may not to be too great for one’s mental health.

In today’s age, everyone has a phone, even a lot of people living on the street or in shelters. Helpful podcasts and safe things to read or listen to can be key.

Is depression-free always the goal? Many people have chronic depression or mental health disorders, but still have strong mental health regimen. Can you explain how that is?

I feel like there’s never a perfect cure for depression, anxiety, etc. The end goal is management or maintenance. You can learn how to manage it on a daily basis, and some people are naturally good at it while others need a bit more assistance.

Self-care, having a support system in place, and management look different for everyone.

What role can burnout play in mental health?

Speaking professionally, burnout looks different for everyone. The important thing is how do you identify when someone’s burning out. In our environment you can see someone working all the time, through lunch. I try to make sure I tell folks that are working so much that they should stop what they’re doing, and go for a walk, get away from their desk. I’m proud of that, gently saying “I noticed you haven’t taken a day off in two months. Do you think you could use one?”

Those are some good ways we can identify stress and prevent burnout.

Someone can be overwhelmed but still “functioning” but when they’re burned out, they’re actually crashing, and you can see it.

What are some symptoms of burnout?

Irritability is a symptom of burnout. If you’re getting sick more, or going to the bar more after work, or maybe you’re just going through the motions.

How do you personally avoid burnout? Or what tips can you offer to someone else?

Making time for the things I enjoy. In my spare time, I manage my own self-care by making jewelry. I love making jewelry. I make things. Soldering, mixing, and combining metals.

Angela at a market with her jewelry (L), and in her protective smoldering mask (R)

But also, it’s important to not get wrapped up in all of my identities. At work, I know my role as supervisor, but I don’t want to present as a supervisor all the time. I want to be me. And when I’m off work, my friends don’t want a social worker as a friend, they want to laugh and be inappropriate with Angela and have fun.

Why did you want to work in this field?

I’m interested in why we behave in certain ways, and most of the time we’re unaware of it. So I’m curious about human behaviors, that’s why I went to social work school. That’s why I got into this, the fascination with the brain.

Being a social worker has made me more self-aware. That’s kind of a generic answer but we are all so “defined” by our identities: sister, partner, mother, colleague....in social work school I was so fixated on my specific identities, and I’d get wrapped up in it. Now I accept I am all of these things in one and I’m okay with that. I don’t have to go into a conversation as “Angela the social worker” or “Angela the sister,” I can be myself, Angela, and not worry about how I’m presenting.  

Alliance CEO Sharen Duke Recognized as a Nonprofit Trailblazer

Our CEO and Executive Director Sharen Duke was recognized as a Nonprofit Trailblazer by City and State. The 2024 Nonprofit Trailblazers list recognizes a diverse group of visionary leaders who are carrying out this critical work at mission-driven nonprofit organizations across New York. The list, presented by City & State and its sister publication New York Nonprofit Media, features social services organization officials, executives of philanthropies and activists at grassroots organizations pushing for legislative change.

Community Promise Stories: Enrique

Can you tell us a little bit about yourself?

My name is Enrique L. I’m 68, originally from Puerto Rico, although I came to New York 35 years ago.

What do you do for fun?

I like to clean and organize things around the house. And I like to cook traditional Puerto Rican food like arroz con gandules.

How did you come to find Alliance for Positive Change?

When I was released from prison in December, I was connected with Eugene, from Alliance’s Corrections Health Initiative. He helped me—I was incarcerated for a long time, so I’m not used to smart phones, and other stuff most people are.

We don’t have to get into the subject of your incarceration, unless you want to talk about it?

We can talk about it. I like to share my story. Maybe it can help someone else. I was addicted to heroin and crack. Getting high was the most important thing in my life, and, when I was living on the street, I killed someone for drugs. I was in prison for 27 years.

How did you come to start taking heroin and crack?

After I came to New York from Puerto Rico with my wife, about 35 years ago. I never did drugs before then, but I started hanging out other Nuyorican guys who were injecting heroin and kept pressuring me to try it. I thought they were my friends but when I said “no” they kept saying “just do it” and I finally said yes.

What is your current drug use?

None. I haven’t at all in like 10 years, even though drugs were around in prison. When I was using drugs, I would get angry and fight with my wife and my boss. I’m not usually like that, you can see, I’m a pretty quiet, calm guy. I didn’t feel like myself. I lost my wife and kids, my job, and was sleeping on the street, living only for heroin.

What was the biggest thing for your drug abstinence?

In prison, they offered prescription Suboxone (a prescribed Medication-assisted therapy made to reduce withdrawal cravings for opioids) and I took it because I didn’t want to feel that way again. I wanted to stop using. Drugs were around in prison, but I didn’t use much, and not at all in the last 10 years. I wanted to feel like myself again.

 As soon as I got released and found Alliance, I got a Suboxone treatment plan and I can pick it up every few weeks. It’s been easy.

Enrique with his Alliance case worker, Ana

Besides Suboxone, what else is an important part of your recovery?

Groups. I like to talk with the other people here, even the ones who are using. Just hearing their stories helps me. And my counselor, Ana. She’s great. We speak in Spanish, Spanglish, and English, whatever. 

I get supportive services because I have HIV. I got it from sharing needles when I was living on the street. I’m fine sharing that with anyone, I don’t have anything to hide.

Now that you’re feeling like Suboxone is working, what are some of your goals?

My kids. I was incarcerated most of their lives, but they see I'm not on drugs and we reconnected. I got to meet my grandson, which was—it was really special.

I can live on a fixed income and I’m about to move into my own apartment. With some privacy, I’m looking forward to having my children stay with me sometimes. I’m happy.

Alcohol Awareness Month at Alliance: Gertrude

Can you tell us a little bit about yourself?

Yes. My name is Gertrude F. I’m turning 77 tomorrow. I was mostly raised in Alabama, but have been in New York most of my adult life. I have a life-long love of learning, and I’m still trying to get certifications.

You’ve done a lot of interesting things in your career, haven’t you?

Oh yes. I worked for the New York Transit Authority for many years. And recently, I’ve worked with kids in schools, in the Syracuse area. I have had problems with alcohol since I was 15 years old, but I was “functional” and could hold down a job. I worked my butt off, so if I came in to work late because I was drunk, I’d work all night, and then keep drinking.

How did you know drinking was a problem for you, and not just something you liked to do?

Because I needed it. When I wasn’t drinking, I craved it all the time.

And you’re in recovery now?

Yes. I’ve been in recovery lots of times. So many times. And the longer I lasted, the better I felt. Even when I’d relapse, I learned something from that particular time being sober. I’ve been hard on myself when I’ve relapsed, but I do think I’ve learned from every experience.

Is there a specific time you want to tell us about?

I think one of the biggest insights I’ve gained was in 1991, when I went to an alcohol treatment facility in Schenectady for 90 days. I got out, came back to Red Hook, where my sisters lived, and even though they never pressured me to drink, being around other people there I used to drink with was a trigger. I drank, did some drugs, and then immediately felt horrible and got on a bus to check myself back in at Schenectady. I realized that you can change your habits but as soon as you put yourself back in a familiar place or situation where you used to drink, that’s a big risk.

Another time, I was living at a facility for people with alcoholism in upstate New York, and was hired to be the “House Mother” supporting everyone else. I’ve always liked being busy, and being in shared housing with other people who are looking for structure. That was great. I was sober for over a year, but then the house was closed, and after I moved and didn’t have that structure I relapsed.

So that's a part of why you’ve mostly lived away from New York the past 30 years?

Kind of. I also found really meaningful work upstate, like the House Mother work.

And in the past few years, I was part of a “foster grandparent” program in the Syracuse public schools, where you work with kids who need a little extra love and support. The school teachers involved liked my participation, and last March, I got a Certificate of Recognition from the school district for my work with the kids, that I’m very proud of.

The teacher whose class I was assigned to was always encouraging me. That’s why I selected a photo of the two of us for this interview.

And that was right before your moved back to NYC?

Right, last Spring. I was matched with a Care Manager from Alliance for Positive Change, Zoilimar, who helped me get permanent housing at your supportive housing facility in PeIham.

You’re accessing a lot of Alliance services, huh?

Yes. I go for group therapy at Alliance CASA Washington Heights or Pelham every day except Thursday, but I go to a women’s group at a NewYork-Presbyterian hospital. I like to stay busy and engaged.

I also recently joined the Creative Writing Workshop, and was published in the new edition of Situations. I included a poem “An Ode to the Virus” that I wrote shortly after I was diagnosed with HIV in 1991.  

Are you also taking medication to help your alcohol dependence?

Yes, only since I started at Alliance. For years, I needed some mental health counseling, but I was in denial about also probably needing prescription medication, but I kind of overcame that denial. I’m currently taking Vivitrol, which is a once a month treatment.

Do you have any advice for someone else who has tried many times to get and stay sober?

IT IS POSSIBLE! Even if you don’t get it right the first time or first year, but keep trying. I tried it many times and I know that the longer I lasted, the better I felt. Try to learn from your experiences, like I did. My heart’s desire is that something in my story encourages someone to give themselves a chance. The disease is insidious. You can’t change just one thing and think that will fix everything. You have to adjust and readjust, but it’s workable.

Now that alcohol is not a part of your life, what are your goals?

I want to get healthy. I’ve had a lot of health problems, and want to take care of those. I also want to get my college degree—I have 90 credits and I want to graduate. I loved school all my life.

US Senators Schumer and Gillibrand Champion Funding for Alliance

Alliance for Positive Change has been awarded a federal funding allocation for our new Accessing Options for Opioid Management (Options) program, which expands access to trauma-informed harm reduction and substance use treatment for women living in New York City. Alliance’s Options provides supportive services for low-income cisgender and transgender women to navigate systemic inequities to health and well-being.

“We are grateful to Senator Schumer and Senator Gillibrand for investing in community-based organizations and allocating funding to advance health equity in New York,” said Brenda Starks-Ross, Alliance’s Deputy Executive Director and COO. “With this funding, Alliance will significantly expand our programming for women to explore options for harm reduction and substance use treatment in a safe, welcoming space. In the face of the overdose crisis, we advocate for the dignity, health, and safety of every individual’s chosen pathway to positive change.”

"All New Yorkers deserve to have access to medical, behavioral health and trauma-informed services," said Senator Gillibrand. "This investment in the Alliance for Positive Change Options program will advance health equity and provide women in New York City with expanded options for harm reduction and substance use treatment. I am proud to deliver this funding and will continue to fight for federal resources to improve health outcomes for all New Yorkers.”

“I am proud to support Alliance for Positive Change’s Options program to improve health outcomes for low-income, marginalized women with substance use disorder,” said U.S. Senator Charles Schumer. “With New York City experiencing a record number of overdose deaths each year, it is so important we continue to invest in community-based organizations combating the overdose crisis. This $500,000 in federal funding will expand access to Alliance’s opioid management program and help New Yorkers overcome barriers to equitable healthcare. I won’t stop fighting to deliver the resources needed to support local organizations like Alliance and their work to help the most vulnerable people in our communities.”

Alliance’s Options creates a safe space for women to receive support and resources that address underlying trauma, depression, stigma, and substance use. By addressing social determinants of health—such as food insecurity, housing instability, violence, trauma, and poverty—Options will improve access to medical and behavioral health and recovery support services. Alliance’s Options leverages Peer-led learning among program participants and staff where women can receive support and resources that will result in reduced hospitalizations, reduced emergency room utilization, and improved health outcomes for women in New York.

Overdose deaths in New York City continue to rise. The NYC Department of Health & Mental Hygiene reports that in 2022, there were 3,026 overdose deaths in New York City, an increase of 12 percent from 2021 and the highest number on record since reporting began in 2000. Alliance’s Options program will address this concerning trend by providing New Yorkers who use drugs with health care, connection to Medication-Assisted Treatment (MAT), recovery support, Peer counseling, and other vital services.