Find Harm Reduction Agencies

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 Life Change Center - Sparks.

How to Access: "Syringe exchange, overdose prevention education, Naloxone" — rotating 5 days/week across county communities, no single fixed address.

How to Access: MaineGeneral's Next Step Needle Exchange program.

How to Access: All staff trained in naloxone administration; community distribution of naloxone kits at all program sites.

How to Access: District Health Department #4's Prevention Project. Note: likely duplicate of the other District Health Department #4 listings.

How to Access: REACH Medical - Ithaca's first harm-reduction medical practice: primary care, addiction treatment, Hep C care, behavioral health.

How to Access: Lived-experience, mobile harm reduction syringe services program with street outreach. Day Center hours 12PM-6PM, closed Mondays. Contact Info@thesidewalkproject.org for current schedule.