Find Harm Reduction Agencies

How to Access: The Doorway, operated by Wentworth-Douglass Hospital: NH's statewide addiction treatment access point.

How to Access: The Exchange: no-cost, confidential needle exchange - safe disposal, clean needles, education, HIV/HCV testing, rehab referrals.

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 The Gay & Lesbian Community Center.

How to Access: The Grand Rapids Red Project's mobile syringe access site. Call the main line (616-456-9063) for current mobile schedule.

How to Access: Mobile syringe exchange: Tuesdays 6-8pm (Fruitvale, E.12th & 23rd Ave); Thursdays 6-8pm (Deep East Oakland, 100th & Pearmain St); Fridays 11:30am-2pm (West Oakland, MLK & 23rd St). Drop-in center at 5323 Foothill Blvd: Mon 10am-1pm, Tue 12-3pm, Fri 10am-2pm. Call 510-612-3470 for current mobile locations.