Heroin and other opioids have devastated Massachusetts families…

killing an estimated 1,200 people last year and unraveling the lives of countless more.

But, often, the toll remains largely unseen until tragedy strikes.

A life unraveling

Over the past year, the Globe spent time with an East Boston heroin addict as she struggled through recovery and the prospect of losing her children to the state. Nearly every key moment was witnessed by a Globe reporter or photographer. Brave, broken, loving, at a loss, this is Raquel and her story.

Raquel Rodriguez paces around her cramped East Boston apartment, chain-smoking Newports in the early evening darkness.

Her two daughters race toy shopping carts across the living room, shrieking with delight as they clatter past.

A failing smoke detector beeps. The smell from the overflowing litter box fills the air. Santa and snowmen decorations crowd the coffee table.

Tomorrow, when she takes her first dose of methadone, Raquel will take a step toward recovery. But tonight, she’s still a junkie. And she’s scared. Scared of withdrawal. Scared the state will take her girls anyway.

Raquel has tried to quit heroin many times in her 47 years, mostly to please probation officers. This time, though, she wants to quit for good, she says, determined to do right by her daughters, ages 4 and 5.

With the door locked to keep her daughters out, Raquel leaned over to snort heroin inside her apartment. Moments earlier, Estrella had tried to block her mother’s way into the bathroom, and now the girls were crying outside of the door as she got high.Jessica Rinaldi/Globe Staff
With the door locked to keep her daughters out, Raquel leaned over to snort heroin inside her apartment. Moments earlier, Estrella had tried to block her mother’s way into the bathroom, and now the girls were crying outside of the door as she got high.
Mimi went into her parents’ room to watch television the night before her mother started treatment at a methadone clinic. The older of the two children, Mimi is silly but also sensitive and responsible, often helping Raquel with small things like pulling up the socks she can’t reach or swooping in with a hug when she can sense that her mom’s mood is about to take a turn.Jessica Rinaldi/Globe Staff
Mimi went into her parents’ room to watch television the night before her mother started treatment at a methadone clinic. The older of the two children, Mimi is silly but also sensitive and responsible, often helping Raquel with small things like pulling up the socks she can’t reach or swooping in with a hug when she can sense that her mom’s mood is about to take a turn.

The odds are against her. She hangs out with junkies, counting many as friends. She is bipolar and severely overweight. She has no job, no teeth, no degree beyond the GED she earned in prison. She gets by on Section 8, food stamps, and disability checks for mental illness.

Her dealer, a fellow user, is moving into Raquel’s place with his wife because their apartment has no heat. So there will be easy access to what she is so desperately trying to avoid.

Drugs have been the one constant in Raquel’s life. Born poor in Chelsea, the daughter of an addict and an alcoholic, Raquel is haunted by memories of sexual abuse and drug use as a child. By 19, she said, she was pregnant and selling crack.

“I never wanted to stop using drugs. That’s what my life was,” Raquel said, her voice husky. “I was a junkie, a rundown, a whore.”

High on heroin, Raquel Rodriguez reacted as her daughters, Estrella (left) and Mimi, ran back and forth across her small living room. Tomorrow Raquel will go to the clinic and get her first dose of methadone, but tonight she worries that she won’t be able to do it. Raquel has been battling with addiction for the majority of her life. Born to a heroin- addicted mother, she has memories of drug use and sexual abuse by her early teens. She has tried to quit using before, but this time she is determined to get clean for her two young daughters. “I want them both to have a childhood that I never knew existed. Happiness, joy, love,” she said.Jessica Rinaldi/Globe Staff
High on heroin, Raquel Rodriguez reacted as her daughters, Estrella (left) and Mimi, ran back and forth across her small living room. Tomorrow Raquel will go to the clinic and get her first dose of methadone, but tonight she worries that she won’t be able to do it. Raquel has been battling with addiction for the majority of her life. Born to a heroin- addicted mother, she has memories of drug use and sexual abuse by her early teens. She has tried to quit using before, but this time she is determined to get clean for her two young daughters. “I want them both to have a childhood that I never knew existed. Happiness, joy, love,” she said.

Between stints in prison for prostitution and drugs, she got pregnant again, and then twice more. Her oldest daughter, now 29, was raised by her grandmother; the next three — a girl and two boys — were relinquished to foster care.

The two decades that followed were a blur of selling drugs and using drugs and sleeping with men to get money for drugs. Then she got pregnant again in her early 40s, and vowed to do things differently. In 2009, she had Mimi, a funny, wide-eyed girl; less than two years later, Estrella was born, a shy, serious tomboy — both born drug-free, Raquel said. Estrella’s father, a Salvadoran landscape and construction worker named Jose, was different from the other men. He drank too much, but he didn’t do drugs. He was quiet, supportive. And he stuck around.

Raquel’s life on the streets wasn’t over though. A few months before giving birth to Estrella, she was picked up for prostitution in Chelsea. “I was trying to make some quick cash,” she told police, according to the arrest report.

That arrest, coupled with a probation violation, led to a year in prison. Jose, by then a steady presence in Raquel’s life, took care of the girls while she was gone.

For the next few years, Raquel says, she continued to steer clear of heroin. But then she let an addict stay with her. And just like that, she was a junkie again.

Jose met Raquel at the pharmacist to fill her nine prescriptions. Jose, Estrella’s father, was different from the other men Raquel had met. He drank too much, but he didn’t do drugs. He was quiet, supportive, and he stuck around.Jessica Rinaldi/Globe Staff
Jose met Raquel at the pharmacist to fill her nine prescriptions. Jose, Estrella’s father, was different from the other men Raquel had met. He drank too much, but he didn’t do drugs. He was quiet, supportive, and he stuck around.
Estrella laughed as she ran ahead of her mother and sister as they all walked home from school.Jessica Rinaldi/Globe Staff
Estrella laughed as she ran ahead of her mother and sister as they all walked home from school.

She started taking the bus to Chelsea to buy drugs in the square. She had a little extra money from her Uncle Bobby, an Army veteran, who thought he was just helping her get by. On a gray morning at McDonald’s, a few weeks before she geared up to quit, the transaction was almost invisible. Sitting at a table, the dealer handed Raquel a bus pass, drugs concealed underneath. The bathrooms were closed, so Raquel asked the man to watch the girls and headed to the nearby Dunkin’ Donuts to get high.

The children, unconcerned by her absence, continued playing with a toy doctor’s kit.

Their mother reappeared 10 minutes later looking alert, almost refreshed. Her mascara was smeared, but her green eyes were clear.

Raquel is a woman of rapidly shifting moods, quick to anger and quick to laugh. She is demanding and dramatic, but also affectionate and generous, giving away cigarettes, opening her home to friends in need. And she is remarkably organized — budgeting around the arrival of benefit checks, juggling welfare appointments, always arriving early.

Above all else for her are her daughters. She frets over them constantly, and relies on them to take care of each other and, sometimes, her. When Raquel starts to panic or cry, as she often does, they comfort her with back rubs.

Watching the girls chase each other around the apartment the night before she started on methadone, Raquel worries that she can’t do it. Drugs are too much a part of who she is.

But she must. If she relapses, she’ll lose them.

Mimi held her Mom’s purse and the puppy in her arms as she stood outside the clinic and waited for her mom to get her dose of methadone. Raquel brought home a new puppy the night before, and Mimi had begged Raquel to let her skip camp and spend the day with her and the puppy instead. It was only when they arrived at the clinic that Raquel realized they weren’t allowed to bring pets inside.Jessica Rinaldi/Globe Staff
Mimi held her Mom’s purse and the puppy in her arms as she stood outside the clinic and waited for her mom to get her dose of methadone. Raquel brought home a new puppy the night before, and Mimi had begged Raquel to let her skip camp and spend the day with her and the puppy instead. It was only when they arrived at the clinic that Raquel realized they weren’t allowed to bring pets inside.

The next morning, Raquel wakes up “dope sick” — freezing one minute, burning up the next, her stomach cramped and skin crawling. After Jose takes the girls to school, Raquel takes the bus to Chelsea to get high.

Later that morning at the clinic, she swallows her first “happy cup” of red liquid methadone. She starts with 20 milligrams, the first step toward the 100 or so milligrams where most people level out. Many clients stay “on the clinic” for a few years, some far longer.

At first, Raquel continues to use, gradually weaning herself off heroin as her daily dose of methadone rises. Her routine remains largely the same. She spends mornings drinking shakes at McDonald’s, surrounded by other people from the clinic. The idea of getting a job never seems to come up.

On her way back from the clinic one day last December, Raquel stopped to buy Christmas presents for the girls with the cash that her friend, who has been her source for heroin, had given her as a deposit for the month’s rent. He would be moving in later that day, her first day at the clinic.Jessica Rinaldi/Globe Staff
On her way back from the clinic one day last December, Raquel stopped to buy Christmas presents for the girls with the cash that her friend, who has been her source for heroin, had given her as a deposit for the month’s rent. He would be moving in later that day, her first day at the clinic.
Estrella lifted her legs so that Raquel could reach into a drawer as she made dinner. Above all else for Raquel are her daughters. She frets over them constantly, and relies on them to take care of each other and, sometimes, her.Jessica Rinaldi/Globe Staff
Estrella lifted her legs so that Raquel could reach into a drawer as she made dinner. Above all else for Raquel are her daughters. She frets over them constantly, and relies on them to take care of each other and, sometimes, her.

Mary Ann Sullivan, a volunteer at the Salvation Army community center in Chelsea where Raquel goes for lunch, has watched Raquel get clean and relapse before. Chelsea is a hard place to stay sober, Sullivan said. Addicts are everywhere, trying to “drag you back in.”

By mid-January, Raquel is up to 65 milligrams, and struggling. She’s wetting the bed, and her hair is falling out. Her short-term memory is also failing: “I’m forgetting how to take buses,” she says, dressed in pajama bottoms at Dunkin’ Donuts, her hand wrapped around a large coffee with eight Sweet’N Lows.

As the girls played on an Orange Line train on their way to a completion ceremony for Raquel’s trauma and addiction program, she started to nod off from the methadone. Raquel said, “It’s like a battle going on inside me between the methadone and the addiction; and I know I can win but it’s hard.”Jessica Rinaldi/Globe Staff
As the girls played on an Orange Line train on their way to a completion ceremony for Raquel’s trauma and addiction program, she started to nod off from the methadone. Raquel said, “It’s like a battle going on inside me between the methadone and the addiction; and I know I can win but it’s hard.”

Like other people living on the margins, Raquel has figured out ways to get what she wants. She orders “Frozen” boots for the girls from a shoplifter who charges her half price and gets dentures from a woman who claims to be licensed in Colombia. She buys the antianxiety drug Klonopin and other prescription drugs for $1 or $2 a pill on the street.

At times, the Klonopin, on top of the methadone, puts her in a fog, eyes glazed, speech slurred, nodding off in the middle of a sentence with a cigarette burning between her fingers. Raquel swears she isn’t doing heroin, and her urine screens from the clinic confirm it.

Surrounded by other proud parents Raquel clapped and cheered and blew kisses to Mimi during her kindergarten graduation ceremony.Jessica Rinaldi/Globe Staff
Surrounded by other proud parents Raquel clapped and cheered and blew kisses to Mimi during her kindergarten graduation ceremony.

It is a momentous day. Mimi is graduating from kindergarten. Then Raquel, wearing a tight T-shirt dress and leopard necklace, will graduate from a trauma and addiction program.

It had been a dark spring. In April, depressed and suicidal, Raquel spent almost a week in a Boston psychiatric hospital, a bleak ward with peeling paint and a stale cafeteria smell.

After she got out, she attended a three-week outpatient addiction program in Jamaica Plain. And she emerged feeling hopeful.

She stopped taking Klonopin and hanging out in the square. She threatened to kick Jose out for coming home drunk. As the weather warmed, she took her girls to the playground and bought them ice cream.

The children she gave up years ago have been on her mind. She wants to find them. She knows where her oldest daughter is — in prison for selling drugs, her children being raised by adoptive parents.

Raquel and Estrella walked to Mimi’s kindergarten graduation with a “Frozen” balloon in tow moments before the wind changed direction and sent the balloon into Raquel’s cigarette, popping it. In a panic, Raquel raced back to the store and begged an employee to blow up another “Frozen” balloon for her. She rushed back to the school, making it there just in time for the ceremony.Jessica Rinaldi/Globe Staff
Raquel and Estrella walked to Mimi’s kindergarten graduation with a “Frozen” balloon in tow moments before the wind changed direction and sent the balloon into Raquel’s cigarette, popping it. In a panic, Raquel raced back to the store and begged an employee to blow up another “Frozen” balloon for her. She rushed back to the school, making it there just in time for the ceremony.
After a day filled with both Mimi’s kindergarten graduation and Raquel’s completion ceremony for her trauma and addiction program, the girls shared a bag of Cheetos while they waited for the pizza to arrive.Jessica Rinaldi/Globe Staff
After a day filled with both Mimi’s kindergarten graduation and Raquel’s completion ceremony for her trauma and addiction program, the girls shared a bag of Cheetos while they waited for the pizza to arrive.

On the day of the graduation, Raquel stands outside Mario Umana Academy in East Boston with Estrella, Uncle Bobby, and Jose. “My first time seeing my babies graduate,” Raquel says.

Then she spots a family with a balloon and realizes she is empty-handed. So she rushes to the nearby Shaw’s and finds a big, blue “Frozen”-themed one for Mimi and a bunch of white carnations. For a few moments, everything feels OK.

Then the lit tip of her cigarette grazes the balloon, and it deflates instantly. Raquel erupts into tears. She hustles down the street to buy another one.

As they returned from a day filled first with Mimi’s kindergarten graduation and then Raquel’s certificate ceremony, Raquel cradled Estrella in her arms while they waited for the train to take them home. “When are you gonna graduate?” Estrella asked later. “Not for a long time,” Raquel said, “until Mommy gets better.”Jessica Rinaldi/Globe Staff
As they returned from a day filled first with Mimi’s kindergarten graduation and then Raquel’s certificate ceremony, Raquel cradled Estrella in her arms while they waited for the train to take them home. “When are you gonna graduate?” Estrella asked later. “Not for a long time,” Raquel said, “until Mommy gets better.”

Inside at the ceremony, Mimi stands on her tiptoes and waves, smiling furiously. “Mommy!”

Raquel blows her kisses. When Mimi gets her certificate, Raquel clasps her hands, a wide, proud grin on her face.

A few hours later, at the conclusion of her therapy program in Jamaica Plain, Raquel starts to cry.

“I didn’t think this was going to work,” she says when she gets her certificate of completion. “It never works.”

Then she beams: “I’m going to put this in a frame.”

Estrella jumped up and down on the bed as Raquel begged her to stop. After eight months with the clinic, Raquel relapsed, the methadone wasn’t helping her to control the physical pain she was in. After the people at the clinic refused to increase her dose, she broke down and asked a friend to sell her a bag of heroin.Jessica Rinaldi/Globe Staff
Estrella jumped up and down on the bed as Raquel begged her to stop. After eight months with the clinic, Raquel relapsed, the methadone wasn’t helping her to control the physical pain she was in. After the people at the clinic refused to increase her dose, she broke down and asked a friend to sell her a bag of heroin.

Raquel is a mess. Aching, cramping, sweating. Food doesn’t stay down, and when it does it runs right through her.

She is convinced she needs more methadone. But the clinic won’t up her dose until a doctor evaluates her. She just has to tough it out for a few more days.

But she doesn’t want to tough it out. “It will be your fault if I relapse,” she remembers yelling at her counselor.

Her heroin supplier is staying with her again, and it’s almost too easy. After eight months of treatment, Raquel is using again.

High on heroin, Raquel checked Facebook on her phone moments after she wrote a post to ask for help to find a new apartment. “I am in desperate need of all the help I can get I have two children ages 4 and 6,” part of the post read, “and am a recovering addict struggling everyday to move forward for my children.”Jessica Rinaldi/Globe Staff
High on heroin, Raquel checked Facebook on her phone moments after she wrote a post to ask for help to find a new apartment. “I am in desperate need of all the help I can get I have two children ages 4 and 6,” part of the post read, “and am a recovering addict struggling everyday to move forward for my children.”
The same day, Raquel began to break down after Estrella refused to listen to her. She leaned on the frame of the doorway and told her friend, a fellow user who supplies her with heroin, how alone and frustrated she feels.Jessica Rinaldi/Globe Staff
The same day, Raquel began to break down after Estrella refused to listen to her. She leaned on the frame of the doorway and told her friend, a fellow user who supplies her with heroin, how alone and frustrated she feels.

The relapse lasts less than a week, she says, and she stops when the clinic at last ups her methadone.

But the damage is done. On Aug. 27, the state takes the girls.

They are whisked away from camp, where, according to court documents, Raquel was unable to speak in complete sentences when she dropped them off, depositing the girls with “poor hygiene and inappropriate clothing.”

Often defiant, Estrella continued to play on the computer even after Raquel repeatedly asked her not to. Having lost her patience and high on heroin, Raquel snapped at Estrella, telling her that she needs the computer in order to find them a new home. The day before, their landlord had threatened them with eviction.Jessica Rinaldi/Globe Staff
Often defiant, Estrella continued to play on the computer even after Raquel repeatedly asked her not to. Having lost her patience and high on heroin, Raquel snapped at Estrella, telling her that she needs the computer in order to find them a new home. The day before, their landlord had threatened them with eviction.
Raquel winced in pain as she got up from her chair. She says the days on end of physical pain are what caused her to relapse.Jessica Rinaldi/Globe Staff
Raquel winced in pain as she got up from her chair. She says the days on end of physical pain are what caused her to relapse.

At home that afternoon, Raquel is outraged, screaming at Jose, screaming that the Department of Children and Families has no proof of her relapse. As dusk settles, she grows inconsolable. Crawling into the bed she often shares with her daughters, she clutches Estrella’s giant stuffed bear and wails: “I want my babies.”

Her kitten-sized dog, a Chihuahua Yorkie mix named Angel, chews on the toys and prescription pill bottles strewn on the floor. Jose sits silent on the couch.

“Maybe I’m not good enough for them, maybe they need someone better than me,” Raquel says, nearly whispering.“I’m nothing but a junkie.”

Raquel clutched Estrella’s giant teddy bear and cried for hours when she returned home after learning that the Department of Children and Families had taken her daughters away while they were at camp.Jessica Rinaldi/Globe Staff
Raquel clutched Estrella’s giant teddy bear and cried for hours when she returned home after learning that the Department of Children and Families had taken her daughters away while they were at camp.

Raquel and Jose arrive separately at the DCF office for their weekly visit with the girls, loaded down with Halloween costumes and chocolate milk.

In the month Mimi and Estrella have been gone, the distance between the couple has grown.

At a court date a day after the children were taken, Jose broke down, quickly, quietly, wiping his eyes with his gray tie after learning it would be a few months, at least, before the court would consider sending them home. Raquel reached out to hold his hand, but he ignored her.

Raquel and her Uncle Bobby held hands as they crossed the street and made their way toward the Suffolk County Juvenile Court where Raquel and her partner, Jose, will go before a judge to find out how long it will take and what they will have to do to get the girls back.Jessica Rinaldi/Globe Staff
Raquel and her Uncle Bobby held hands as they crossed the street and made their way toward the Suffolk County Juvenile Court where Raquel and her partner, Jose, will go before a judge to find out how long it will take and what they will have to do to get the girls back.
After returning home from a DCF visit with her children, Raquel paused on the steps across from their apartment to call Jose. Increasingly, she has been in more and more physical pain when it comes to getting up and down the stairs, and she needs Jose’s help with the groceries. But she says is staying with the clinic and away from heroin, the drug tests she has taken back her up.Jessica Rinaldi/Globe Staff
After returning home from a DCF visit with her children, Raquel paused on the steps across from their apartment to call Jose. Increasingly, she has been in more and more physical pain when it comes to getting up and down the stairs, and she needs Jose’s help with the groceries. But she says is staying with the clinic and away from heroin, the drug tests she has taken back her up.

The hourlong visit takes place in a small room filled with toys, a social worker keeping close watch outside an open door as the girls dive into snacks, thrilled to see their mom. When it ends, Raquel kisses the girls goodbye and they climb into the van, going where exactly, she does not know. As the door starts to close, Mimi looks back and her face collapses.

“Mimi, stay strong,” Raquel calls out, her eyes welling up. “It’s almost over.”

Then the door slams shut.

At the end of Mass, the children’s choir started to sing and Raquel broke down, “I miss my babies,” she said quietly inside St. Rose of Lima Church four months after her daughters were taken away.Jessica Rinaldi/Globe Staff
At the end of Mass, the children’s choir started to sing and Raquel broke down, “I miss my babies,” she said quietly inside St. Rose of Lima Church four months after her daughters were taken away.

The rest of the fall was hard. Raquel got pneumonia and came home from the hospital on oxygen and with a walker. She is still taking methadone, staying busy going to therapy and working on her relationship with Jose, who has started taking her to the church where she was baptized. He wants to adopt Mimi in case something happens to Raquel.

The next court date is in February, but it’s unclear what it will take to get the girls back. For a time, DCF wanted Raquel to go into a residential treatment program. She balked at that. If she’s away too long, she could lose her Section 8 voucher, leaving no home for the children.

“As far as they’re concerned, I’m a junkie, and I’ll never be anything more,” she said.

After a bout with pneumonia, Raquel found herself at Spaulding Rehabilitation Hospital in Cambridge, trying to get used to being on oxygen and working on building the strength to climb the four flights of stairs up to her apartment.Jessica Rinaldi/Globe Staff
After a bout with pneumonia, Raquel found herself at Spaulding Rehabilitation Hospital in Cambridge, trying to get used to being on oxygen and working on building the strength to climb the four flights of stairs up to her apartment.
Raquel counted out her morning medicine. “My doctor keeps telling me these are what’s keeping me alive.” she joked.Jessica Rinaldi/Globe Staff
Raquel counted out her morning medicine. “My doctor keeps telling me these are what’s keeping me alive.” she joked.

Sitting alone in her apartment on a windy afternoon, Raquel turns off her oxygen to smoke a cigarette. There is no Christmas tree this year, no stockings hung on the door. A pile of unwrapped gifts — dolls and jewelry kits from the Salvation Army — cover the couch.

When the girls come back, Raquel plans to celebrate all the holidays they missed: putting together Halloween costumes, cooking a Thanksgiving turkey, showering them with Christmas gifts.

Mimi and Estrella seem to be adjusting to their temporary life in foster care. There are fewer tears during supervised visits, fewer wrenching goodbyes — a shift that brings their mother both comfort and pain.

“Sometimes I feel like they don’t even miss me,” she says, lips trembling.

The gray afternoon grows dim. Raquel looks around the empty room and lights another cigarette.

Raquel smoked a cigarette as she lay in bed. She’s been feeling sick again but she’s afraid to tell the nurse who comes for her home visit. The last time she was sick, she ended up in the hospital with pneumonia, and the court date to get her children back was postponed until 2016.Jessica Rinaldi/Globe Staff
Raquel smoked a cigarette as she lay in bed. She’s been feeling sick again but she’s afraid to tell the nurse who comes for her home visit. The last time she was sick, she ended up in the hospital with pneumonia, and the court date to get her children back was postponed until 2016.

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Produced by Russell Goldenberg, Elaina Natario, Laura Amico, and Emily Z. Fortier