People Who Inject Drugs

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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

Syringe Access Services

Safer injection and substance use supplies that prevent the transmission of HIV and HCV.

Harm Reduction Center Groups

Snacks, coffee and substance use drop-in support.

Outside In

Substance use support group for people who have been at times homeless, and at other times housed.

Crystal Clear

Crystal meth support group for Black & African American men.

Start Here! Orientation to Stonewall

Get an introduction to our substance use services; learn how to reach your goals related to drugs and alcohol.

PROP

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

Substance Use & Harm Reduction Resources

How to administer Narcan Nasal Spray 4mg

Everything you need to know about how to administer Narcan Nasal 4mg

Cómo usar Narcan nasal-guía rápida

Todo lo que necesitas saber acerca de cómo administrar Narcan Nasal de 4mg

Person receiving Narcan at Harm Reduction Center

With soaring overdose deaths in San Francisco, what more can we do?

Ro Giuliano, director of Syringe Access Services programs & operations, and Laura Thomas, director of harm reduction policy, share how they understand these trends and what we can do in response.

Syringe access supplies table at Harm Reduction Center

COVID-19 and Harm Reduction: Information for People Who Use Drugs and Syringe Service and other Harm Reduction Providers

Two new fact sheets provid information to help people plan for what to do, stay healthy and...

Harm reduction is love

Charles Hawthorne breaks down how the racist war on drugs stands in the way of health and humanity for drug users, and shares his perspective on reaching people with kindness, empathy and love.

In SF, game-changing programs aim to cure all of hepatitis C

New programs in San Francisco are addressing the “silent epidemic” that affects more than 12,000 community members. HCV cure is possible, but many people don’t know it’s an option.