California Regional Initiatives
Harm Reduction Resources for People Who Use Drugs in California
Oakland is our home. It’s where the first harm reduction working group came together over twenty five years ago, and where our West Coast office is still located today. We remain passionately dedicated to people who use drugs and their communities in the San Francisco Bay Area and throughout California.
National Harm Reduction Coalition provides programming, technical assistance, training, and advocacy, and engages in policy to ensure that people who use drugs in California have access to the resources they need to support their health and dignity.
Find Local Harm Reduction Resources
Looking for naloxone, sterile syringes or other harm reduction resources in California? Search our map to find the program that is closest to you.
Community Opioid Response Resources & Education Budget Win
California Syringe Exchange Programs (CASEP) Coalition is a mutual-aid and advocacy network of syringe services providers and participants who work collectively to build strong harm reduction programs and who organize to reduce the harms of the racialized war on drugs and drug use at the individual level.
In 2017, volunteers and staff at SSPs in California identified a problem – they had sufficient funding to purchase supplies, but lacked the resources to hire program staff. They were unable to effectively reach people who were not in treatment or connect people to syringe access, overdose prevention, drug treatment, and healthcare services. The Harm Reduction community rallied. CASEP, Drug Policy Alliance, and National Harm Reduction Coalition came together to co-author the Community Opioid Response Resources & Education (CORRE) budget request. It was a call for dedicated state funding to support hiring and retaining staff at SSPs. After two years of dedicated community advocacy, the CORRE budget request was approved by Governor Newsom, in the California Budget Act of 2019. In 2021, the CASEP Coalition teamed up with Radical Roadmaps and created a timeline to share this story.
Native Harm Reduction
With support from NHRC staff, Arlene Brown of the Bishop Paiute Tribe developed a Native Harm Reduction Toolkit to bring together resources from Indigenous harm reduction leaders from across the country and beyond. The toolkit was informed by tribal and urban Native people from across California.
Syringe Access in California
Currently, there are 56 authorized syringe service programs (SSPs) in California, but half of the state still lacks access to these services. Many programs are stretched thin due to staffing limitations, lack of funding, and/or geographic barriers.
These vital harm reduction services in California are more essential than ever.
San Francisco DOPE Project: Saved 2,600 Lives in 2019
The Drug Overdose Prevention and Education (DOPE) Project is the largest single-city naloxone distribution program in the country. We’ve trained more than 13,000 people in San Francisco on how to administer naloxone to reverse an otherwise fatal overdose from opioids.
Grantmaking for Syringe Service Programs in California
California Harm Reduction Initiative (CHRI) was established by the California Budget Act of 2019. It included $15.2 million to strengthen substance use disorder response by supporting staffing and infrastructure at syringe services programs (SSPs).
See how this grant is being used to build capacity among SSPs to support people in California who use drugs.
State-Wide Projects: Spanning a Wide Range of Needs
Collaboration and connection are essential to help scale access to harm reduction programs. We’ve partnered with healthcare providers and coalitions to develop state-wide initiatives that deliver services to those most in need.
ED-BRIDGE: A Partnership With Health Care Providers
Treatment, culture, and connection are the three keywords of this model that delivers low threshold buprenorphine to drug users and their families in acute care settings like hospitals and clinics.
Opioid Safety Networks: Uniting Communities
Created in 2017, this group of community organizations and individuals is now the largest opioid safety network in the country, with active coalitions serving 85% of California’s 30 million people.
Get the Facts
Data helps you track progress, change perceptions, enlist the help of other organizations, and find the resources you need to help your individual community. These sites have some of the facts you need. Spend less time searching and more time serving.
CA Opioid Overdose Surveillance Dashboard:
Provides immediate access to current overdoses, deaths, and visits to health facilities at a state and county level.
Urban Institute – Medication for Opioid Use Disorder access info:
Includes a highly-visual way to see treatment gaps across the state.
CA Department of Public Health Viral Hepatitis Data:
Comprehensive data, including breakdowns by specific populations.
CA Department of Public Health HIV Data:
Demographic and clinical information is collected on all people living and diagnosed with HIV in California.
Support the Health of People Who Use Drugs in Your Community
If you want to support the health of people who use drugs in your community, consider implementing a harm reduction program.