US Harm Reduction Resources
continually updating, not a complete list. feel free to add on any resources you find helpful.
Free Safer Supplies:
Each organization will have different supplies, but generally, harm reduction orgs provide things like syringes, safer snorting + smoking kits, Narcan, condoms, lube, and wound care supplies. Each org has different policies for how to get supplies--some do deliveries, some have drop in centers, some only do one to one needle exchange, some are more flexible.
Next Distro: mail based syringe provider for certain states. Also mails free Narcan.
NASEN: national map of syringe providers
a lot of harm reduction collectives aren't going to have their information listed on big national websites--it's always worth searching "harm reduction in my area" and seeing what's around you. Even if you don't live in a big city, there might be a harm reduction organization in your state that can help you find someone closer to you. there's a lot of rad people doing underground work who want to be there to help you who aren't as easy to find online. If there's street medic collectives, mutual aid groups or groups like Food not Bombs in your area, you can ask people in them who might know where to find harm reduction services in your area!
Drug Users Unions:
Drug users unions are activist groups made for people who use drugs, by people who use drugs! Drug users unions do advocacy work to end criminalization, as well as providing vital community support. Many drug users unions are also inclusive of sex workers and work to decriminalize sex work as well. You can search for "drug users union" in your state.
Urban Survivors Union: National, has resources for creating drug users union
Chosen Few: Drug users union for Black drug users in DC
San Francisco Drug users union
Sex Work Advocacy Groups:
Organizations that do decrim advocacy and provide support for sex workers.
Sex Worker Outreach Project USA- National, has chapters in many states.
Black Sex Worker Collective
Sex Workers Project
How to Use Safely:
Guides, videos, toolkits for safer use!
Harm Reduction Coalition Resource Library
Getting Off Right: A Safety Manual for Injection Drug Users
Safer Crack Smoking
Safer Snorting
Safer Hormone Injection
Levels of Risk: Veins
Wound Care video w/ ASL
How to Use Fentanyl Test Strips
DanceSafe-testing kits, including reagent testing kits!
Erowid-shares experiences people have with different drugs, dosages, what things to expect
Bluelight- another forum for discussing experiences with drugs.
Drug Interactions Checker
Sex Work Resources:
Tricks of the Trade by L. Synn Stern: tips for street based sex work
A Quick and Dirty Sex Worker Safety Toolkit
Girls Do What they Have to Do To Survive by YWEP
Dis/Organizing: How We Build Collectives Beyond Institutions by Rachel Kuo & Lorelei Lee
Tryst Blog
Hotlines:
Never Use Alone: 877-696-1996. Overdose Prevention Hotline--Volunteers stay on the phone with you while you use and call emergency services if you overdose.
HIPS Hotline-1 (800) 676-4477. Emotional support for drug users and sex workers. Does not work with cops.
feel free to add on more resources. love + lube <3

















