Sunday, December 17, 2017
News Roundup

The inspiring life story of the nation's new drug czar

America's top drug control official had a confession. Michael Botticelli was seated on a tattered purple couch in an old Victorian house in Lynn, Mass. Above his head was a photo of Al Pacino as a drug kingpin in Scarface, and gathered around was a group of addicts who live together in the house for help and support. Botticelli was listening to their stories of addiction and then offered this: "I have my own criminal record," he said.

"Woo-hoo!" one man yelled. The crowd burst into applause.

The nation's acting drug czar is an alcoholic who has been sober for 25 years. He quit drinking after a series of events including a drunken-driving accident, waking up handcuffed to a hospital bed and a financial collapse that left him facing eviction.

Decades later, Botticelli, 56, is spearheading the Obama administration's drug policy, which is largely predicated around the idea of shifting people with addiction into treatment and support programs and away from the criminal justice system. Botticelli's life story is the embodiment of the policy choice and one that he credits with saving his own life.

The approach at the White House Office of National Drug Control Policy has shifted away, Botticelli said, from a "war on drugs" footing to expanding treatment to those already addicted and preventing drug use through education.

Botticelli became the acting director of drug-control policy earlier this year, a year and a half after he came to Washington to be former drug czar Gil Kerlikowske's deputy. Last week, the White House nominated him to take over the job permanently. It is a job that has previously been held by law enforcement officials, a military general and physicians. But now it is occupied by a recovering addict.

The nation is in the midst of an epidemic of prescription drug and heroin abuse. The number of overdose deaths increased by 118 percent from 1999 to 2011, most of it driven by prescription opioids and a recent shift that many users are making away from prescription drugs to heroin, which can be cheaper and more accessible.

Botticelli is trying to expand on some of the programs he used when he was the director of Massachusett's bureau of substance abuse services. They include allowing police to carry naloxone — a drug that can reverse a heroin overdose — and helping people who have completed treatment find stable housing and jobs.

Botticelli spends much of his time on the road, meeting with local officials. He visits treatment programs where he is greeted warmly by people with substance-abuse issues, a group he calls "my peeps." While Botticelli easily shares his struggles, those who worked with him said that he doesn't let it dictate policy.

"He was very good at separating his story from the work, which I think allowed him a little more objectivity," said Kevin Norton, chief executive of Lahey Health Behavioral Services in Massachusetts.

• • •

Botticelli drank in high school and college, and he once got fired from a bartending job after repeatedly telling the manager he couldn't work, only to show up as a patron. In the 1980s he moved to Boston, where he spent most of his time outside of work at the Club Café, a legendary Boston gay bar. Along with a group of regulars, Botticelli would stay well into the next morning. "A lot of the center of gay life, particularly in urban areas, focused on bars," he said. "And so that's where you went to socialize, to meet people."

In May 1988, Botticelli was drunk when he left a Boston bar and drove on to the Massachusetts Turnpike. What happened next is hazy: He may have been reaching for a cigarette. Botticelli's car collided with a disabled truck. He remembers being put in an ambulance.

Hours later he woke up in the hospital, handcuffed to a bed. A state trooper stood sentry in his room. Botticelli was lucky: His injuries consisted mainly of bumps and bruises. He was arrested and lost his license.

"At some level I knew I had a problem," Botticelli said. "But at another level, because my license was taken away, I thought that my problems were solved. Because I wasn't drinking and driving anymore, so how could it really be an issue?"

Botticelli's downward spiral continued that summer. He drank heavily, despite going to a court-ordered course on the dangers of drinking and driving and a 12-step recovery group. "I felt that because I wore a suit to work and a lot of the other people in the class came from more blue collar jobs, that somehow I was better and I didn't have a problem. There was a sense of arrogance about me," he said.

Botticelli's path to recovery began in, of all places, a bar. He met a man who acknowledged that he was an alcoholic. The two swapped stories and went on a date. The romance didn't materialize, but they remained friends. Botticelli was soon after served an eviction notice and called his brother for help. He asked if Botticelli was an alcoholic.

"I finally said, 'Yes,' '' he said. "I remember distinctly thinking to myself, 'If I say I'm an alcoholic, there's no going back.' "

The next night Botticelli stepped into a church basement and a 12-step recovery program for gays and lesbians. "That's the first time that I raised my hand and said that my name was Michael, and I was an alcoholic, and that I needed help," he said. "At that point people kind of rally around you."

Botticelli stuck close to that group, attending meeting after meeting and avoiding his old haunts. He said he learned something then that has guided him since: Identify with people who have a problem, but don't compare yourself.

Botticelli had worked in higher education since finishing graduate school but pivoted toward a career in public health. He started working on AIDS issues and then turned toward helping others with addiction issues. He eventually felt comfortable going to bars and not drinking. He met his husband, David Wells, at one in 1995. They got married in 2009.

• • •

One of Botticelli's trips took him back to Boston last month. He was smoking a cigarette outside a Starbucks when a woman had a question: Why are there burly agents standing around? (He gets a protective detail). They chatted; she told Botticelli she was addicted to prescription painkillers, progressed to heroin and became homeless. She began recovery months earlier and started working at Starbucks the week before.

"And that was like 'Oh my God, our work is done here,' '' Botticelli said later. "Anything else was going to pale in comparison to just listening to people's stories."

Botticelli's day was packed with meetings. There was a roundtable with doctors, nurses, law enforcement agents, elected officials and others. He met with Boston Mayor Marty Walsh, who is also an alcoholic. Botticelli had sandwiches with law enforcement agents who spoke about the massive spike in heroin addiction.

Botticelli hugged and shook hands people at the home in Lynn, and spoke to the men about the struggles of addiction and finding what he called a bridge job — something that you do while getting better to make money and get back into the workforce.

"Don't be ashamed to work at Dunkin' Donuts," one of the men said. Botticelli nodded.

Hours later, Botticelli stood outside the Boston church where his recovery started and marveled at how he got from there to the White House.

"When I first came here was, all I wanted to do was not drink and have my problems go away," he said, choking up. "I'm standing here 25 years later, working at the White House. And if you had asked me 25 years ago when I came to my first meeting here if that was a possibility, I would've said you're crazy. But I think it just demonstrates what the power of recovery is."

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