Sharen I. Duke has served as executive director and CEO of Alliance for Positive Change since its founding in 1990. Under her leadership, the nonprofit has grown from a three-person AIDS service agency into one of NYC’s premier multiservice community organizations that provides access to quality health care, housing, harm reduction, substance use treatment, mental health support, and a renowned peer training and job placement program that cultivates leadership and economic mobility.
Was there something or someone that inspired you to pursue a career in the nonprofit sector?
My father was a Holocaust survivor, and I grew up with values of equity, social justice and an obligation to work to make the world a better place. I felt compelled to join the fight against stigma, bigotry, racism, and homophobia that were so prevalent in the early days of the HIV epidemic. At Alliance, people receive the support they need to believe in themselves and move forward in the direction they choose.
What is the proudest moment of your career so far?
It was 1993 and I had convinced the president of a family foundation to provide Alliance with a two-year grant to hire our first peer educator, who was unemployed and on public assistance, into a full-time job. Today, Alliance employs over 125 peer educators and community health workers in paid positions, and over 30 percent of Alliance’s full-time staff are former Peers who have left welfare and joined the world of work.
What policy changes could be made to aid in your work within the nonprofit sector?
New York State must invest in the workforce development of certified peer workers/community health workers whose lived experience helps them effectively deliver health and human services within their own communities. One way to bring this about would be to create a Medicaid billing code for “navigation and linkage to care” that will allow medical and community organizations to hire peers/community health workers as members of care teams.