In the shadows of Madrid’s most notorious drug slum, an American missionary family plants roots among heroin addicts and builds an unlikely church. Shooting Up is Jonathan Tepper’s searing memoir of a childhood spent in San Blas, where syringes littered playgrounds and his closest friends were recovering junkies twice his age.

When Elliott and Mary Tepper arrive in 1985 with their four young sons, San Blas is ground zero of Europe’s heroin epidemic. While other children play soccer, Jonathan befriends bank robbers and former prostitutes. His heroes aren’t athletes but men like Raúl and Jambri, charismatic ex-addicts who transform their lives through the revolutionary drug rehabilitation center the Teppers help found.

What begins as eight men in an apartment becomes Betel, now one of the world’s largest drug rehabilitation networks. But this isn’t a story of institutional triumph. It’s an intimate portrait of radical compassion amid the AIDS crisis, told through the eyes of a boy watching his parents choose the damned over the respectable, witnessing miracles and tragedies in equal measure.

Tepper writes with unflinching honesty about the magnetic pull of the streets, the seductive danger of heroin, and the complicated love between broken people healing together. His prose—elegant yet raw—captures both the squalor of addiction and the stubborn persistence of grace.

This is a memoir about choosing to see beauty in ruins, finding family among outcasts, and learning that the answer to suffering is always more love. It is a story of love and loss, but it is also a love letter to friends, family, and even learning. Part Angela’s Ashes, part The Cross and the Switchblade, Shooting Up announces Tepper as a powerful new voice in memoir, one who transforms a harrowing childhood into an unforgettable testament to hope.