Harm Reduction

Harm reduction is a set of strategies aimed at reducing the negative effects of drug use. It considers the individuals living with Substance Use Disorder (SUD) as well as the communities in which they live. There are several parts to reducing risk: ensuring that those with an active SUD take ownership for reducing risk; identifying that the quality of life –both for the individual and the community- does not necessarily count on completely stopping the use of substances; and that the very real danger of substance misuse is acknowledged.

Reducing risk is not always easy and the methods and reasons for it are often misunderstood. Click on the links below to find out more and to learn about different ways that you can reduce harm. In the video below, Harm Reduction Coordinator, Ryan Fowler explains harm reduction and gives a training on naloxone administration.

What is Narcan?

Narcan, also known as naloxone, comes in both a nasal spray and injectable form. Narcan is most widely used in the nasal spray form and is used to counteract an opioid overdose to save lives.

Where can I get naloxone/Narcan?

AskPETRA has kits containing Narcan, CPR masks, fentanyl test strips, and other harm reduction items available for free to anyone in Northern NH who wants them. For more information or to receive yours, call 603-279-1729 or email #ob#NfxCRGEN#at#APUPAU.bet#ob#.

In addition, naloxone/Narcan is available for free by calling 211 or at your local Doorway:

  • The Doorway at Androscoggin Valley Hospital: 603-342-5000
  • The Doorway at Little Regional Healthcare: 603-259-1659

You can also get it without a prescription at your local pharmacy, but there may be a cost if you do not have health insurance.

How do I use naloxone/Narcan?
What is a Syringe Services Program (SSP)?

A Syringe Services Program (SSP) is a program that provides an array of services to people who inject drugs (PWID). Syringe services can include safe disposal containers for needles and syringes; an exchange program for needles, syringes and other injection equipment; HIV and hepatitis testing and education; wound education; referrals to substance use disorder and mental health treatment; and more.

While there can be a stigma attached to SSPs, the truth is that individuals who use IV drugs are five times more likely to enter treatment and more likely to reduce or stop injecting when they have access to an SSP (Center for Disease Control and Prevention). In addition, by providing a safe place to get rid of used needles, SSPs significantly reduce the risk of accidental needlestick injuries to first responders and members of the community. This pdf explains more about the benefits of SSPs in your community.

Wound Care

Wounds and infections are common among people who inject drugs (PWID). Unfortunately, homelessness, limited access to sterile supplies, stigma, and little to no access to basic hygiene needs are all barriers to wound care and getting treatment. Common wounds and infections can include abscesses, blood poisoning, infection of the heart lining, tetanus, collapsed veins, and hepatitis. While most PWID are offered additional medical and mental health treatment when they seek treatment for their wounds, many do not seek it out due to fear and stigma.

Click here for more information on ways to prevent wounds and infections, and the proper treatment if necessary.

Screening and Testing for HIV/ Hepatitis C

Early diagnosis of HIV and Hepatitis C is important because it provides access to treatment, education and other resources which benefits the health of the individual and helps prevent the spread of the viruses. Often if someone is at risk for one infection, they are also at risk for the other. Effective treatment can eliminate or significantly contain the viruses, making early, accessible testing even more critical for the health of the individual and the community