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Harm Reduction in New Hampshire

New Hampshire authorized syringe service programs on June 16, 2017, under Senate Bill 234, and programs provide naloxone, overdose prevention supplies, drug testing strips, and connections to treatment alongside sterile syringe access and disposal. A statewide standing order lets any licensed pharmacist dispense naloxone or nalmefene to someone at risk or a person in a position to help, once they have received overdose response counseling. Fentanyl and xylazine test strips became legal under House Bill 287, signed by Governor Sununu, which removed them from the paraphernalia definition. New Hampshire's Good Samaritan law (RSA 318-B:28-b) protects someone from arrest or prosecution for drug possession when the evidence came from the act of seeking help for an overdose, though it does not shield anyone from a separate offense, and police can still detain someone as part of an unrelated investigation.

The New Hampshire Harm Reduction Coalition is set to receive the largest share of the state's harm reduction settlement funding, $875,000, to expand services across New Hampshire communities. The Department of Health and Human Services partners with the state's 13 Regional Public Health Networks and Recovery Friendly Workplace locations to distribute overdose reversal kits, and an ongoing initiative has placed hundreds of naloxone kits in every New Hampshire county.

With that much regional infrastructure already funded, a Regional Public Health Network or the NH Harm Reduction Coalition is a solid first stop anywhere in the state.

Last reviewed September 2026 by Penny Beach, PRS.

Harm Reduction Agencies in New Hampshire

Recently added agencies in New Hampshire

Hand Up Health Services

Elm St & Fayette St, Somersworth, NH, 08878 Directions

207-752-7615

Narcan/Naloxone

nhhrc.org/handup/

View Details Last updated Sep 21, 2026

SOS Recovery Community Organization

8 Greenleaf Woods Dr, Portsmouth, NH, 03801 Directions

6038412350

Narcan/Naloxone

sosrco.org

View Details Last updated Sep 21, 2026

Revive Recovery Resource Center

263 Main St., Nashua, NH, 03060 Directions

9787439636

Narcan/Naloxone

www.reviverecovery.org

View Details Last updated Sep 21, 2026

AskPETRA (Prevention, Education, Treatment, Recovery, Assistance), a program of North Country Health Consortium

262 Cottage ST Suite 230, Littleton, NH, 03561 Directions

6032591729

Narcan/Naloxone

AskPETRA.org

View Details Last updated Sep 21, 2026

Harbor Care

45 High Street, Nashua, NH, 03060 Directions

6038161966

Narcan/Naloxone

www.harborcarenh.org

View Details Last updated Sep 21, 2026

GROW Safe Syringe Services

24 Vernon Street, Keene, NH, 03431 Directions

6039034049

Narcan/Naloxone

www.kscrecovery.org/harm-reduction

View Details Last updated Sep 21, 2026

Community Org

SSANA program, Syringe Service Alliance of the Nashua Area

77 Northeastern Blvd, Nashua, NH, 03060 Directions

603-816--0595

Narcan/Naloxone

nashuanh.gov/1174/Syringe-Services-SSANA

View Details Last updated Sep 21, 2026

Queen City Exchange

690 Elm St, Manchester, NH, 03101 Directions

207-752-7615

Narcan/Naloxone

nhhrc.org/queen-city-exchange/

View Details Last updated Sep 21, 2026

View All 38 Agencies in New Hampshire

Showing 8 recently added agencies in New Hampshire out of 38 total — search a city above to narrow it down

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

Learn More

Find a Harm Reduction Agency Near You

Find Harm Reduction Services in New Hampshire

Harm Reduction in New Hampshire

Harm Reduction Agencies in New Hampshire

Hand Up Health Services

SOS Recovery Community Organization

Revive Recovery Resource Center

AskPETRA (Prevention, Education, Treatment, Recovery, Assistance), a program of North Country Health Consortium

Harbor Care

GROW Safe Syringe Services

SSANA program, Syringe Service Alliance of the Nashua Area

Queen City Exchange

Cities in New Hampshire

Harm Reduction Services

Syringe Services

Naloxone Distribution

HIV/HCV Testing

Wound Care

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