Health & Safety

Naloxone Kit bag with syringes and glass vials
Person reviewing sharps bin for disposal of needles - after self-administering an injection

Providing individuals with life-saving tools and connecting them to essential resources is a key approach to improving health outcomes. A person-centered strategy prioritizes meeting individuals where they are, equipping them with the necessary support to enhance their overall well-being. These efforts focus on preventing overdose, reducing the transmission of infectious diseases, and ensuring access to critical health services, including substance use and mental health care (SAMHSA).

Safety and prevention initiatives in Nevada include (but are not limited to):

  • Access to Medications for Opioid Use Disorder
  • Emergency Overdose Reversal Medications
  • Drug Testing Resources (e.g., Fentanyl & Xylazine Test Strips)
  • Community-Based Needle Exchange Programs
  • Secure Disposal Options for Syringes and Medications

This approach ensures individuals receive nonjudgmental, evidence-based support while fostering pathways to improved health and well-being.

Health & Safety Resources

Websites

National Harm Reduction Coalition

The National Harm Reduction Coalition works to increase access to evidence-based harm reduction strategies like overdose prevention and syringe access programs.

National Harm Reduction Technical Assistance Center (NHRTAC)

The National Harm Reduction Technical Assistance Center (NHRTAC) provides free help to anyone in the country providing (or planning to provide) harm reduction services to their community. This may include syringe services programs, health departments, programs providing treatment for substance use disorder, as well as prevention and recovery programs.

Tools & Resources

Change Point is a program providing confidential and judgment-free resources to support safer substance use and sexual behavior. Services are free and open to everyone, regardless of whether they are regular HOPES patients. The program also includes a mobile outreach van offering syringe services and rapid testing within the community.
Request to become an Overdose Reversal Medication Distribution site.
Infographics and step-by-step instructions.
Trac-B seeks to improve the quality of life of those affected by substance use disorders including our clients, their loved ones, and their communities. Trac-B Exchange provides harm reduction services and supplies to people engaged in the sex trade and people who are injecting or misusing drugs or other substances and are at risk for violence and communicable diseases including Hepatitis C and HIV.
This toolkit is a culturally responsive resource designed to help Native communities implement harm reduction strategies, decolonize public health approaches, reduce stigma, and engage Tribal leaders in supporting life-saving interventions.
A list and map of Fentanyl Test Strip Distribution Sites in Nevada.
Find naloxone and overdose reversal medications in Nevada.
Toll-free national overdose prevention, detection, life-saving crisis response and medical intervention services for people who use drugs while alone. Never Use Alone’s peer operators are available 24-hours a day, 7 days a week, 365 days a year.
This guide includes Naloxone Distribution in Nevada guidelines and best practices for community based organizations.
"START to be safe" is a tool that helps clients and providers explore strategies for reducing risks related to substance use and associated health and safety concerns.
This CDC resource highlights the vital role of Syringe Services Programs (SSPs) in preventing infectious diseases, providing sterile supplies, testing, counseling, and treatment referrals while promoting community safety.

Posters & Infographics

Como probar sustancias paraidentificar si contienen Xilacina infografía

Como probar sustancias paraidentificar si contienen Xilacina

Este recurso proporciona instrucciones sobre cómo analizar sustancias para detectar xilazina utilizando una tira reactiva, incluyendo instrucciones paso a paso para la prueba, consejos para la reducción de daños y recursos adicionales.
Download Resource
How to Test Substances for Fentanyl Infographic

How to Test Substances for Fentanyl

This resource provides instructions on how to use fentanyl test strips to test substances for fentanyl, including instructions on proper measurement, dilution, and reading the results.
Download Resource
How to Test Substances for Xylazine Infographic

How to Test Substances for Xylazine

This resource provides instructions on how to test substances for xylazine using a test strip including step-by-step testing instructions, tips for harm reduction, and additional resources.
Download Resource
The Harm Reduction Social Media Toolkit

Harm Reduction Social Media Toolkit

The Harm Reduction Social Media Toolkit is designed to help share knowledge about the dangers of opioid use, learn how to prevent opioid overdose/poisoning, and provide education on harm reduction.
Get the Toolkit
Prescribe 365 Brochure

Prescribe 365 Brochure

This brochure is for providers to print and display in their offices encouraging patients to openly discuss safe use of opioids.
Download Brochure
"What is Harm Reduction?" Poster from the Pacific Southwest ROTA-R

What is Harm Reduction? (Poster)

This poster identifies some of the most common harm reduction methods in an attempt to normalize the term "harm reduction" and broaden the definition.
Download the Poster

Publications

There are strategies that can assist community leaders, local and regional organizers, non-profit groups, law enforcement, public health, and members of the public in understanding and navigating effective ways to prevent opioid overdose in their communities. Use this information as a reference for evidence-based practices that have been successfully implemented in the U.S.
This toolkit provides guidance to a wide range of individuals on preventing and responding to an overdose. The toolkit also emphasizes that harm reduction and access to treatment are essential aspects of overdose prevention.
A Nevada provider's guide to prescribing Naloxone to patients who use opioids.
This CDC resource discusses the safety and effectiveness of Syringe services programs (SSPs) which are proven and effective community-based prevention programs that can provide a range of services and protect the public and first responders by facilitating the safe disposal of used needles and syringes.
The SAMHSA Harm Reduction Framework is the first document to comprehensively outline harm reduction and its role within the Department of Health and Human Services (HHS). The Framework will inform SAMHSA’s harm reduction activities moving forward, as well as related policies, programs, and practices. 
A toolkit addressing faith and faith leadership in engaging with people who use drugs and harm reduction practices.
This comprehensive guide provides information and recommendations regarding general health, safer use practices, common viral, fungal, parasitic, and other injection-related infections, overdose and overamp, tapering, withdrawal, medications for opioid use disorder, and seeking medical care.
This document provides information on xylazine, a non-opioid veterinary tranquilizer used as an additive in illicit drug supplies, notably in combination with heroin and fentanyl. It discusses the effects of xylazine use, including sedation and potential risks such as hypotension and bradycardia. The document also emphasizes harm reduction interventions for individuals who may encounter xylazine in the drug supply, including the use of naloxone for responding to overdoses and the importance of wound identification and treatment.

Webinars & Online Learning

Current News & Research

The NaloxBox Program in Rhode Island: A Model for Community-Access Naloxone

The NaloxBox initiative is an innovative, community-access naloxone program that provides tools, training, and awareness to empower laypeople to rescue victims of opioid overdose.

Good Samaritan Fatal Overdose Prevention and Drug-induced Homicide: Summary of State Laws

Research indicates that there is often a reluctance among those witnessing an overdose to summon emergency assistance from law enforcement or other first responders out of fear of arrest for drug possession or other charges. In an effort to reduce this fear and to encourage overdose witnesses to seek help, state policymakers developed Good Samaritan laws specific to drug overdoses. The purpose of these laws is to prioritize the overdose victim’s safety over arresting drug users by granting limited protection from criminal liability to persons seeking medical assistance and, in most cases, to the overdose victim. This document (1) provides a singular resource for each jurisdiction’s laws; (2) allows for a comparison of these laws between jurisdictions; and (3) identifies and highlights interesting provisions.

Harm Reduction: Findings from the Field

Alexander, C. (2024, May 07). Harm Reduction: Findings from the Field. [Blog post]. Substance Abuse and Mental Health Services Administration (SAMHSA) Blog. https://www.samhsa.gov/blog/harm-reduction-findings-field