A letter from home

The devastating effects of drug use have not been stemmed since last century to date. This is a project on the personal journey of residents of an Italian rehabilitation community for drug addicts.

According to the United Nations’ World drug report 2021, “drug use killed almost half a million people in 2019, while drug use disorders resulted in 18 million years of healthy life lost, mostly due to opioids. In 2020, around 275 million people have used drugs, up by 22% from 2010.”

The devastating effects of drug use have not been stemmed since last century to date

Therapeutic communities (TCs) for addictions, methadone maintenance therapy or detox programs are examples of answers to drug addiction problems. TCs aim at the reinsertion into society through the change toward a drug-free life in the outside society.

Overall, around 2,500 facilities using TC-type interventions were identified in 2011 across Europe, of which 708 in Italy. San Patrignano is an Italian long-term drug recovery residential community, considered among the largest and most successful worldwide. 26,000 people hosted since 1978, more than 4000 years of prison converted in rehabilitation programs in 25 years.

“Ours, if we really need a definition, is a community against social marginalisation”, Vincenzo Muccioli, the founder said.

These photos are part of an ongoing project launched in 2021 on the rehabilitation, educational and personal development of residents. Since 2021, I spent on average two days per month with residents who work in the kennels, one of the 35 activity areas of the community. At every moment they face their own limits, fears, frailties, the need to mediate between their own needs and those of other members of the community.

The "senior" residents, nearing the end of their journey, try to help the "young" ones to recognize the mechanisms of addiction and get away from the cage of the negative habit.

For the first year, letters represent the only contact with the outside. No distraction allowed: energy and time are needed to rebuild hope. Sharing emotions is the key. It is a hard, deep and long fight with not predictable ending.

Not getting letters feeds insecurity, on the other hand letters can be hard to read, especially the first ones. There are often human relations to be reconstructed, or, at least, to be understood, particularly within the family. It is hard to overcome anger, so writing a letter is not just an act of will, it means finding the courage to be true, reading our thoughts, accepting one's own and others' weaknesses, breaking free.

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San Patrignano, Italy, 18 February, 2022. Veronica, 25 yo, walking in a grass field within the community. Veronica entered the community three years ago, on Christmas Eve. She had heard about the San Patrignano tradition of admitting people waiting in front of the community gates during the day before Christmas.

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San Patrignano, Italy, 16 April, 2022. Fishes and residents are seen in the dining hall at the end of the meal. Vigil, controlled anaesthesia. Sometimes reality is so hard to face that it is necessary to exclude it from the visual field. It is necessary to disconnect from the past for a while, to find the strength to restart.

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San Patrignano, Italy 27 December, 2022. Elisa, 26 yo, about two years in the community, making the last check of the day in the kennels. Living in the community is an all-encompassing experience. Every single moment residents deal with their own limits, fears and frailties.

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San Patrignano, Italy, 25 March 2022. Kevin, 24 yo, and Biba, 9 yo, respectively three years and a whole life in the community. Biba has undergone a lung surgery. Kevin is changing her bandages. He is now a senior resident so now he is allowed to administer medications to the dogs. During his stay he completed the dog trainer course.

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San Patrignano, Italy, 18 February, 2022. Veronica, 25 yo, three years in the community. “Among the problems that affect the addicts, drug use is the least relevant”, Vincenzo Muccioli, the founder. Veronica will soon complete the program. Now it is time to plan the reintegration phase. Success depends on every single detail. She decided not to come back to her home town.

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San Patrignano, Italy, 27 December, 2022. The basketball court and kindergarten. San Patrignano covers an area of 650 acres, in the hills between the Apennine mountains and the Adriatic sea, in central Italy. Removal from the previous environment is considered essential to begin the process of a new identity formation and a key part of the recovery journey.

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San Patrignano, Italy, 20 November, 2021. Left to right: Martina, 26 yo, and Cristina, 28 yo, respectively two and a half years and nine days in the community, pause during a morning break in the kennel. The days’ rhythms are determined by compulsory community activities, as well selected ones, such as studies and sport. Little time for inactivity. Never alone, anyway.

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San Patrignano, Italy, 21 December, 2021. San Patrignano’s dining room can accommodate up to 1500 people. Usually on Saturday and Sunday all the residents share the liturgy of the meal. Three claps by the room manager and a thousand people waiting at the tables sit up at the same time, instantly. Everything is suspended for a few moments, then lunch begins. One can choose what to eat, just one rule: no leftovers.

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San Patrignano, Italy, 18 February, 2022. Left to right: Giovanni, 22 yo, Giacomo, 23 yo, and Matteo, 23 yo, respectively two years and two months, three years and two months and one year in the community. Before entering San Patrignano, Giovanni used to work in a day rehab center. He hopes to become a healthcare assistant during his stay in the community. Meanwhile, sometimes he spends his time in the accommodation centre where, since the 90s, people with AIDS are housed. Giovanni is rediscovering his enthusiasm of helping others.

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San Patrignano, Italy, 15 April, 2022. Left to right: Martina, 26 yo, and Sara, 25 yo, respectively two years and one year in the community. Sara is facing her difficulties, the challenge of not hiding its frailties. Asking for help can be scaring. She was really proud when she told me that she had finally recognised the bad habit and is now trying to overcome it.

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San Patrignano, Italy, 03 december, 2022. The house where the girls working in the kennels live. Residents of the same sex assigned to the same working area usually live together. Shared accommodation with little privacy and continual social interaction are pillars of the program. For three years this house will be called home.

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San Patrignano, Italy, 10 September, 2022. A letter from home. “Dad reads you”. For about a year, letters represent the only contact with the outside world. There are often human relations to be reconstructed, or, at least, to be understood, particularly within the family.

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San Patrignano, Italy, 29 October, 2022. Jessica, 26 yo, two years in the community with Donatella, in the dining room during the first meeting with outside people after an year. Jessica was living on the streets when Donatella, a stranger, rescued her and her dog. A few days later Donatella welcomed her into her home. "Try, otherwise you will die".

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San Patrignano, Italy, 31 March, 2023. Elena’s bed. 24 yo and three years in the community, Elena has always loved the arts. Due to an overdose, she had a temporary hemiparalysis. Not being able to draw for four months gave her the determination to try to change her life.

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San Patrignano, Italy, 02 Febrauary, 2022. Kevin, 24 yo, three years in the community. After finishing the program, Kevin would like to work with dogs. Whatever the outcome, Kevin does not want to burden on his own family anymore.

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San Patrignano, Italy 24 September, 2021. Left to right: Roomy, Elena, 23 yo, Elisa, 26 yo, and Martina, 26 yo, respectively three months, two, one and two years in the community in the race field. Deep friendships often arise between residents. Learning to trust others and be able to take care of them is a milestone in the journey.

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San Patrignano, Italy, 11 September, 2021. Elena, 23 yo, about two years in the community. Self-injury is most often performed by teenagers to temporarily alleviate intense negative emotions. “The core of the problem is not drug, nor the abstinence crisis. It is the human being with his own fears”, Vincenzo Muccioli, the founder.

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San Patrignano, Italy, 27 December, 2022. Resident walking on an internal road. Only senior residents, close to completing the program, can move around alone. Only group workouts are permitted. Loneliness requires stability.

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San Patrignano, Italy, 27 January, 2023. Elisa, 26 yo, about two years in the community. One in five interviewed people who relapsed, had left the community without fully completing the program, without their supervisors’ consent. Shortly after entering, Elisa had to take a day-trip to the city. She had forgotten how strong flavours, colors and noises were. She was overwhelmed. Elisa is now determined to complete her rehabilitative journey.

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San Patrignano, Italy, 27 December, 2022. A green area within the community. It will be a hard, deep and, maybe, never-ending fight.