People Who Inject Drugs

Everyone deserves access to the tools, information and support they need if they are looking to reduce the harms associated with drugs and alcohol, without question and without judgement. We provide access to safer injection equipment and disposal supplies, Narcan (naloxone) and overdose prevention education, wound care, hepatitis C testing and treatment, walk-in substance use support, opioid replacement therapy with Suboxone, and more.

Injection drug use is associated with the transmission of HIV, hepatitis C and other blood-borne illnesses, abscesses and other skin infections, and may put people who inject at risk for overdose and death. Our services are intended to help you reduce those risks, with no judgement.

Our Services

Syringe Access & Disposal Safer injection & disposal supplies, overdose prevention, and other harm reduction tools    Walk-in Substance Use Support Free harm reduction and substance use counseling groups, lounges and services.   Meth Use Support Free services and support for people looking to change their relationship to meth, speed, etc.   Opiate Use Support Overdose prevention, safer injection and other harm reduction resources   Overdose Prevention Fentanyl test strips, Narcan (naloxone) and safer drug practice info to prevent and reverse overdose   Suboxone Suboxone opioid replacement therapy is for people wanting to stop or reduce use of heroin or other opiates.   Hepatitis C Free hepatitis C testing & treatment for people who formerly or currently inject, with social & group support   Support Groups Advice, info & friendship in groups for people living with HIV, people addressing substance use & more   HIV Support & Health Navigation Testing and treatment for STIs, HIV medication starts and linkage to HIV care, health navigation & HIV testing   Cocaine & Crack Use Support Harm reduction resources and safer use supplies for people who use stimulants.  

Our Programs

For the Culture

Crystal meth support group for Black & African American men.

PROP

Support for gay, bisexual, queer men, all trans, non-binary individuals wanting to reduce meth or cocaine use.

Harm Reduction Center

The Harm Reduction Center is place of welcome and a pathway to improved health and healing. Located in the Tenderloin/SoMa neighborhood, the Harm Reduction Center provides health services and supplies that help people who inject drugs manage their health, prevent overdose, and stop HIV and hepatitis C transmission.

VISIT US

Mobile Syringe & Health Services

Find safer injection and disposal supplies and services that help you manage your health and prevent the spread of HIV and HCV at sites across San Francisco. We work with members of the Syringe Access Collaborative to ensure you’ve got what you need.

FIND US

Hepatitis C Support Groups

We offer a treatment and support group for people enrolled our Hepatitis C Wellness Program. This community-based HCV group provides a time for people to take medication and offers space for people to check in with each other, share their experiences and give and get support. Enroll in the Hepatitis C Wellness Program to join.

ENROLL

Substance Use & Harm Reduction Resources

needle exchange history photo

The Long View on Harm Reduction in San Francisco

Two of our leaders at SFAF share their memories working in harm reduction in San Francisco since the early '90s--distributing naloxone underground, fighting City Hall to establish needle exchanges, and more.

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