A year after our original reporting published, Rich Lord and I traveled back to see how “OD Road” is changing, slowly, into Recovery Road. Here in Pittsburgh’s once most fatal ground for the epidemic, overdoses are dropping, and 1,050 “saves” have been made — almost all by other opioid users — using naloxone distributed by Prevention Point Pittsburgh since 2017.

I had to check that my mouth wasn’t hanging open while visiting Donna Williams. She had opened up from her “raw, get out of my neighborhood” approach to people in addiction to wanting to offer clean needles and health services on her block instead. She baked cookies for the men in the recovery house up the street, she is partnering with a man who formerly sold and used drugs to transform the minds of her neighbors.

Despite the cautious optimism, ripples of trauma are still carrying through families for generations. Here’s what people shared with us.