Find Harm Reduction Agencies

How to Access: Casa de Salud: syringe exchange and naloxone distribution program, fentanyl test strips.

How to Access: "Offers syringe exchange (exchanging used needles for new needles)... The syringe exchange service is anonymous... Fentanyl test strips are also available at no cost."

How to Access: State-authorized syringe exchange program storefront/office. Check hours before visiting - many sites operate limited days/hours.

How to Access: CAYA Clinic - call to confirm current harm reduction services and hours.

How to Access: Impact Exchange public health vending machine network. Launched by Trac-B Exchange in 2017 - the first-in-the-nation public health vending machine program. Requires a no-cost vending card (ID needed to register); dispenses syringes, naloxone, pregnancy tests, safe sex kits, hygiene/first-aid kits, and sharps containers. A 2022 study found 41 fewer opioid overdose fatalities than predicted in Clark County the year after naloxone was added to the machines. Hosted by Center for Behavioral Health - Desert Inn.

How to Access: Impact Exchange harm reduction vending machine (Trac-B Exchange network). Sign-up required via card/PIN. Dispenses syringes, naloxone, safer-sex kits, hygiene kits, first-aid kits, sharps containers (items vary by site).

How to Access: Impact Exchange public health vending machine network. Launched by Trac-B Exchange in 2017 - the first-in-the-nation public health vending machine program. Requires a no-cost vending card (ID needed to register); dispenses syringes, naloxone, pregnancy tests, safe sex kits, hygiene/first-aid kits, and sharps containers. A 2022 study found 41 fewer opioid overdose fatalities than predicted in Clark County the year after naloxone was added to the machines. Hosted by Center for Behavioral Health - Reno.

How to Access: Queen City Harm Reduction, a program of Center for Prevention Services (rebranded from QCNE in 2021).

How to Access: Walk-in drop-in center (roughly Tue/Thu, ~12-6pm per sources) offering naloxone, fentanyl test strips, HIV tests, condoms and sterile syringe supplies directly to visitors; also a text hotline anyone can use.

How to Access: Run by Central Michigan District Health Department. Offers sterile syringes, naloxone, fentanyl test strips, and a mobile unit with free rapid HIV/Hepatitis C testing across its county offices.

How to Access: Run by Central Michigan District Health Department. Offers sterile syringes, naloxone, fentanyl test strips, and a mobile unit with free rapid HIV/Hepatitis C testing across its county offices.