What is a needle exchange program?

A needle exchange program, also called a syringe service program (SSP), provides clean syringes and safe injection supplies to people who inject drugs. These programs reduce the spread of HIV and Hepatitis C, prevent overdose deaths through naloxone distribution, and connect people with treatment when they are ready. Services are free, confidential, and available without ID in most locations.

Where can I get free Narcan (naloxone) near me?

Free naloxone (brand name Narcan) is available at many harm reduction organizations, syringe service programs, local health departments, and some pharmacies. Use our directory to find naloxone distribution sites in your state. Many programs will mail naloxone to you for free. In an emergency, call 911.

Are harm reduction services confidential?

Yes. Harm reduction services are confidential and typically do not require identification, insurance, or proof of residency. Programs are designed to be low-barrier and judgment-free. Your personal information is protected.

What are fentanyl test strips?

Fentanyl test strips are inexpensive tools that can detect the presence of fentanyl in drugs. Since fentanyl is often mixed into other substances without the user knowing, these strips can save lives by alerting people to the presence of this extremely potent opioid. Many harm reduction programs distribute free fentanyl test strips.

Do I have to stop using drugs to access harm reduction services?

No. Harm reduction services meet people where they are. You do not need to be in recovery or stop using substances to access needle exchanges, naloxone, HIV testing, or other harm reduction services. These programs aim to reduce the risks associated with drug use while respecting your autonomy.

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Never Use Alone

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Stay Safe Tips

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Never Use Alone

Call 1-800-484-3731. They'll stay on the line and send help if needed.

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Carry Naloxone

Get it free from pharmacies and harm reduction agencies.

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Test Your Supply

Use fentanyl test strips. One test could save your life.

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Start Low, Go Slow

If you've taken a break, your tolerance is lower.

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Use Clean Supplies

Never share needles, pipes, or straws.

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The Goals of Harm Reduction

Keep People Alive — Preventing overdose deaths through naloxone access, education, and never using alone.
Reduce Disease Transmission — Providing sterile syringes and equipment to prevent HIV, Hepatitis C, and bacterial infections.
Improve Quality of Life — Meeting people where they are with dignity, respect, and practical support.
Connect to Care — Building trust and providing pathways to treatment, housing, and healthcare when people are ready.
Reduce Stigma — Treating substance use disorder as a health issue, not a moral failing.
Empower Communities — Supporting people who use drugs to be active participants in their own health and safety.

Harm Reduction Services

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Syringe Services

Safe syringe exchange programs that reduce disease transmission and provide a connection to care.

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Naloxone Distribution

Free or low-cost naloxone (Narcan) distribution to reverse opioid overdoses.

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HIV/HCV Testing

Confidential testing for HIV and Hepatitis C with connections to treatment.

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Wound Care

Basic wound care services to prevent infections and complications.

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Drug Checking

Fentanyl test strips and drug checking services to reduce overdose risk.

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What is Harm Reduction?

Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use. It is also a movement for social justice built on a belief in, and respect for, the rights of people who use drugs.

Meets people where they are without judgment
Reduces fatal overdoses through naloxone access
Prevents disease transmission through syringe services
Provides pathways to treatment when people are ready
Recognizes abstinence is not the only measure of success

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Frequently Asked Questions About Harm Reduction

Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences of drug use. It is a movement for social justice built on respect for the rights of people who use drugs.

No. Harm reduction meets people where they are without judgment. It acknowledges that while abstinence is ideal, it is not always immediately achievable. The focus is on keeping people alive and healthy until they are ready for recovery.

Services vary but often include needle exchange programs, naloxone (Narcan) distribution, fentanyl test strips, safer use supplies, overdose prevention education, HIV/HCV testing, peer support, and connections to treatment when individuals are ready.

Naloxone is a medication that rapidly reverses opioid overdose. It works by blocking opioid receptors in the brain. It is available as a nasal spray or injection and can be carried by anyone. Many harm reduction agencies provide it for free.

Yes. Harm reduction agencies prioritize confidentiality and operate with a non-judgmental approach. You do not need to provide identification to receive most services.

Use our directory on this page to search for harm reduction agencies by state and city. You can also call SAMHSA's National Helpline at 1-800-662-HELP (4357) for referrals.

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