Heroes Of The Addiction Crisis: How David Cohen of Harmony Place Is Helping To Battle One of Our Most Serious Epidemics
Honesty, integrity, and ethical values are not just hallmark phrases or HR terms. They are spiritual values that should be implemented in your home, community, workplace with your peers, the company you work for and with your clients.
As a part of our series about “Heroes Of The Addiction Crisis,” I had the pleasure of interviewing David Cohen.
David Cohen is the Clinical Director of Harmony Place. He brings more than 20 years of experience as a licensed clinical social worker. He has worked as a clinician, director, and C.C.O who has taught at both Loyola and Antioch in their addiction programs. His extensive experience working with clients, students, families, clinicians and communities includes 16+ years in private practice, with a focus on addiction recovery, relapse prevention and family systems.
Thank you so much for joining us! Is there a particular story or incident that inspired you to get involved in your work with opioid and drug addiction?
Most people celebrate their twenty-first birthday by partying with friends and family. For my twenty-first in 1993, I tried heroin for the first time. All it took was a small-scale, but measured, injection with the assistance of a friend. Only seconds later, both the rate and depth of my respiration sharply decreased. My breathing rate tumbled down to about two-to-four breaths per minute. As my respiratory rate declined, my blood pressure began to drop; my body temperature plummeted, and my skin became cold and clammy. Subsequently, I turned a cadaverous hue of bluish grey. I had overdosed on heroin.
If it had not been for the 911 call and Naloxone-equipped first responder, I would not be alive today. Eventually, I came to and was released from the hospital. While Naloxone, science, medical equipment and experienced physicians and nurses saved my life, no treatment was offered for the underlying disease of drug addiction.
Drug overdose is a major health care problem, while drug addiction is a mental, physical, spiritual, familial disease which is chronic, progressive, and often fatal.
At the age of 23, my family and friends insisted that I seek treatment for my drug addiction. I began in a county-funded, inpatient treatment center and stayed for three months, after which I followed my therapist’s recommendations and moved into a sober living facility. After ten months of continuous sobriety, however, I relapsed on what I thought was an innocent glass of wine. Within a mere two weeks, I was in full-blown chemical relapse. This time, to my own detriment, I added cocaine to the mix, effectively creating a concoction of heroin and cocaine called “speed balls.”
I returned to Chicago from California and began to attend 12-step meetings like my life depended on it (because it did!).
I was inspired and awed by the skilled social workers and counselors I observed while in rehab, and by the unconditional love of my family — so much so, that I decided to matriculate in a collegiate program to pursue and obtain my master’s degree in social work. Today, I have been a licensed clinical social worker with 23 years in the field of addiction, an adjunct professor and most proudly, 26 years clean and sober.
Can you explain what brought us to this place? Where did this epidemic come from?
The opioid pandemic has been primarily caused by a combination of factors:
Overprescribing of opioids: One of the key contributors to the epidemic was the widespread overprescribing of opioid painkillers by healthcare providers. Opioids were frequently prescribed for those who were recovering from a medical procedure or who were suffering from a chronic pain condition, often without fully assessing the risks of addiction and dependency. Oxycontin, Vicodin and Percocet are common culprits.
Pharmaceutical industry practices: Pharmaceutical companies played a role in promoting the increased use of opioids. Misleading marketing campaigns downplayed the risks of addiction, leading to more prescriptions being written and distributed.
Lack of awareness and education: Many patients and healthcare providers were unaware of the potential dangers and addictive nature of opioids. Insufficient education on pain management alternatives and the appropriate use of opioids contributed to their widespread use.
Economic and social factors: Economic distress and elevated levels of unemployment in certain areas of the country contributed to the opioid crisis. Individuals experiencing economic hardship, social isolation, or mental health issues were more susceptible to alcohol and illicit drug use including opioids.
Prescription drug monitoring programs: Inadequate implementation or utilization of prescription drug monitoring programs allowed for the continued overprescribing and “doctor shopping” during which users obtain multiple prescriptions from different providers.
Availability of illicit opioids: As the epidemic progressed, individuals who developed dependencies on prescription opioids turned to more easily obtainable and oftentimes less expensive alternative illicit substances, such as heroin or illegally manufactured fentanyl, which are more potent and dangerous. These substances often come with a higher risk of overdose.
Treatment and healthcare system challenges: Limited access to effective treatment for substance use disorders, including a lack of access to medication-assisted treatment (MAT) and counseling, has hindered the ability to address the opioid crisis adequately.
Can you describe how your work is making an impact in battling this epidemic?
This is something I think about often. My daily work revolves around assisting individuals battling substance use disorders and being at the forefront of this issue. I have witnessed entire communities devastated by alcoholism, addiction, and, in particular, the opioid crisis. Sadly, I have mourned the loss of many valuable lives due to suicide and drug overdoses. My continuous efforts involve striving to make a positive impact by enhancing community resources, contributing to the development of local policies, actively participating in community forums, and educating students and families.
Without sharing real names, can you tell us a story about a particular individual who was impacted by your initiative?
I remember getting a phone call from the Dr. Phil show. They were highlighting a young addicted pregnant woman and were hoping to get her into long term treatment for the duration of her pregnancy so that she would give birth to a baby free from addictive substances. While this was risky for several reasons including the detoxification process, I wanted to be a resource for this family. The treatment required heavy case management with the OB/GYN, family and case workers but despite this, the client succeeded in treatment and was able to deliver a healthy baby girl.
Can you share something about your work that makes you most proud? Is there a particular story or incident that you found most uplifting?
During a recent visit to my hometown of Chicago, I reconnected with a former patient whom I treated 12 years ago. Remarkably, he is now happily married to another former patient I had the privilege of helping around that same time. Interestingly enough, I had the opportunity to provide treatment to their son, who is now 26 years old and has successfully maintained sobriety for six years. (FYI…There is a genetic marker that runs in families that makes them more susceptible to addiction called the A1 form also known as allele.) Witnessing their unity as a sober family filled my heart with gratitude, hope, and delight. Tim shared with me his recent triumph over an exceedingly rare and aggressive cancer, crediting his sobriety as the key factor in overcoming it. This encounter served as a powerful reminder of the significance of my work and the lasting difference that can be made in the lives of families and future generations by meeting each person at their unique stage of recovery.
Can you share three things that the community and society can do to help you address the root of this problem? Can you give some examples?
It’s important to remember that reducing addiction requires a long-term commitment and a comprehensive approach involving various stakeholders. Collaboration, awareness, prevention, treatment, and support services are key elements in addressing addiction effectively.
1. Education and Prevention Programs: Community-based education and prevention programs play a crucial role in reducing addiction. These programs can raise awareness about the risks and consequences of substance abuse, promote healthy coping mechanisms, and provide information on available support and treatment options. Schools, community centers, healthcare providers, and local organizations can collaborate to develop and implement evidence-based prevention initiatives tailored to different age groups and demographics.
2. Accessible Treatment and Support Services: Expanding access to addiction treatment and support services is vital for individuals struggling with addiction. Communities can establish and enhance treatment facilities, rehabilitation centers, and counseling services. It is essential to remove barriers such as stigma, cost, and lack of healthcare coverage that prevent people from seeking help. Collaborations between healthcare providers, community organizations, and government agencies can help ensure a comprehensive network of accessible and affordable addiction treatment and support services.
3. Social Support and Community Integration: Building a support system is crucial for individuals in recovery and those at risk of addiction. Communities can promote social inclusion and reduce isolation by organizing support groups, community events, and recreational activities that foster healthy connections and positive relationships. Peer support networks and mentorship programs can be established to provide ongoing guidance and encouragement. Additionally, employment opportunities and vocational training programs can help individuals rebuild their lives and integrate into society.
If you had the power to influence legislation, which three laws would you like to see introduced that might help you in your work?
Increased funding for prevention and treatment programs: Legislation can allocate additional funds to support the development and expansion of prevention and treatment programs for addiction. This can include initiatives such as educational campaigns, community outreach programs, and accessible treatment centers. By prioritizing resources toward prevention and treatment, governments can help address addiction at its root and provide support for those struggling with substance abuse.
Prescription drug monitoring and regulation: Laws can be implemented to enhance monitoring and regulation of prescription drugs, particularly opioids. They can involve establishing prescription drug monitoring programs that track the prescribing and dispensing of controlled substances. By closely monitoring the distribution and use of these medications, authorities can identify patterns of abuse, reduce “doctor shopping,” and intervene when necessary to prevent addiction.
Expansion of access to mental health services: Substance abuse often co-occurs with mental health disorders. Legislation can focus on expanding access to mental health services, including counseling, therapy, and psychiatric care. This can involve increasing the availability of mental health professionals, integrating mental health services into primary care settings, and ensuring insurance coverage for mental health treatments. By addressing underlying mental health conditions, policymakers can help mitigate the risk factors associated with addiction.
I know that this is not easy work. What keeps you going?
As a man who has overcome addiction and found recovery, I deeply believe that I have been granted a second chance. For me, being a social worker is not just a profession — it is a profound calling. Each day, I embark on a personal journey of self-improvement, striving to become a better leader, clinician, educator, friend, and member of my community. The rewards I seek are not monetary; they come from making a positive impact on people’s lives. The passion to assist others, the sense of personal fulfillment derived from witnessing the transformative journeys of recovery, the unwavering desire for societal change, and the opportunity for continuous professional growth all serve as the driving force that fuels me for another day.
Do you have hope that one day this leading cause of death can be defeated?
My profession revolves around offering hope as a commodity. Numerous dedicated individuals are out there, on the front lines, devoting their lives to curbing the availability of illicit drugs and providing prevention efforts and treatment for those battling addiction and mental health challenges. Sadly, the pursuit of an altered state of consciousness has been a timeless demension of human nature, while suffering and pain remain universal experiences. The demand for addiction treatment and empathetic healing will always exist. However, I do believe that there is potential for a decrease in fentanyl and other drug related overdoses. Achieving this goal, though, necessitates a massive commitment and collaborative effort from various organizations joining forces and working together.
How do you define “Leadership”? Can you explain what you mean or give an example?
An effective leader not only nurtures a connection with their true self and values self-development but also embraces vulnerability, empowers the team, leads with emotional intelligence, and possesses an unwavering vision and a well-crafted roadmap for goal attainment. I value a personal connection with my team. I take the time to get to know them on a first-name basis, fostering a sense of camaraderie and trust. While delegation is an important aspect of leadership, I am not afraid to roll up my sleeves and actively contribute to finding solutions alongside them.
What are your “5 things I wish someone told me when I first started” and why?
1. Honesty, integrity, and ethical values are not just hallmark phrases or HR terms. They are spiritual values that should be implemented in your home, community, workplace with your peers, the company you work for and with your clients.
2. There are no shortcuts. You must pay your dues, remain humble and work hard.
3. What other people think about is none of your business. Anyone with strong beliefs and convictions will inevitably rub some people the wrong way. Stay true to yourself. Let your moral compass and personal values be your guide and live them whether you’re in a boardroom, classroom, committee meeting, with a client or when no one is looking.
4. Save your money-your income should be treated like any other healthy relationship. Do not take it for granted, overuse it or hoard it. Live within your means and find a charity you believe in and give financially, donate non-used items or volunteer some of your time.
5. Find a balance between work, family, and friends. Do not forget to exercise, drink lots of water and do not take yourself so seriously.
You are a person of enormous influence. If you could inspire a movement that would bring the most amount of good to the most amount of people, what would that be? You never know what your idea can trigger.
I would like to create an initiative that harnesses the power of technology, science, research, compassion, and a wide range of disciplines to combat addiction and foster lasting change. I want to revolutionize the approach to addiction treatment and recovery.
Technology will play a pivotal role by leveraging advancements such as telemedicine, virtual support networks, and digital tools for self-help and monitoring, to increase accessibility and enhance the effectiveness of addiction treatment. By utilizing technology, we can reach individuals in remote areas, break down barriers to treatment, and provide personalized support at any stage of recovery.
Compassion will be the driving force. Addiction is a complex and deeply personal struggle. Through community outreach programs, support groups, and counseling services, I would help to create more safe spaces where individuals can share their stories, find support, and experience genuine connection.
Can you please give us your favorite “Life Lesson Quote”? Can you share how that was relevant to you in your life?
“Everybody matters or nobody matters.” Harry Bosch, fictional homicide detective
Is there a person in the world or in the US whom you would love to have a private breakfast or lunch with, and why? He or she might just see this, especially if we tag them.
The most significant influence in my life, my father, served as my ultimate mentor, role model, and confidant. Regrettably, he departed from this world in the year 2013. If given the opportunity, I would love the chance to share dinner with him once more, rekindling our bond and storytelling.
How can our readers follow you on social media?
_harmonyplace
This was very meaningful. Thank you so much!
