Andrea Hsu

In a windowless classroom at the John J. Moran medium-security prison in Cranston, R.I., three men sit around a table to share how and when they began using opioids.

For Josh, now 39, it was when he was just 13 years old. "I got grounded for a week in my house, so I grabbed a bundle of heroin and just sat inside and sniffed it all week."

"I started using heroin at 19," says Ray, now 23. "I was shooting it. It was with a group of friends that I was working with, doing roof work."