Harm Reduction Services

sos recovery organization is proud to be a

registered syringe service provider (ssp) with the state of new hampshire's Department of health and human services

since 2022

Harm reduction Saves lives

What is harm reduction?

Harm reduction is a compassionate, evidence-based approach that meets people where they are and supports individuals in making incremental positive changes in their lives. It recognizes that every person’s journey is different and focuses on reducing the immediate risks and harms associated with substance use while providing access to support, resources, and connection to support overall wellness.

At SOS Recovery Community Organization, harm reduction means offering low-barrier, judgment-free services that help people stay safer and healthier. Our services include sterile syringe exchanges, safer use supplies, access to naloxone, HIV and Hepatitis C testing, wound care, peer support, complex care coordination, and connections to healthcare, housing, treatment, and other community resources.

Harm reduction does not encourage substance use, it saves lives. By building trust and providing support without judgment, we create pathways for people to access care, recovery, and wellness on their own terms.

If you’re interested in learning more about the 40+ years of research supporting harm reduction, explore the myths and facts below to better understand this evidence-based prevention method.

MYTH: SSPs increase drug use.

FACT: SSPs do not increase drug use. Research shows that new users of SSPs are five times more likely to enter drug treatment and about three times more likely to stop using drugs than those who don’t use the programs.

Learn more: Hagan et al., Reduced injection frequency and increased entry and retention in drug treatment associated with needle-exchange participation in Seattle drug injectors, Addictive Behaviors (2000) PMID: 11027894.

FACT: Evidence demonstrates that SSPs do not increase illegal drug use or crime. Studies in Baltimore and New York City have found no difference in crime rates between areas with and areas without SSPs. In Baltimore, trends in arrests were examined before and after a SSP was opened and found no correlation. A study in New York City assessed whether proximity to an SSP was associated with experiencing violence in an inner city neighborhood and found no association.

Learn more: Galea, S., Ahern, J., Fuller, C., Freudenberg, N., & Vlahov, D. (2001). Needle exchange programs and experience of violence in an inner city neighborhood. Journal of Acquired Immune Deficiency Syndromes, (28), 282-288.

Marx, M. A., Crape, B., Brookmeyer, R. S., Junge, B., Latkin, C., Vlahov, D., & Strathdee, S. A. (2000). Trends in crime and the introduction of a needle exchange program. American Journal of Public Health, 90(12), 1933–1936

FACT: Properly operated programs reduce syringe litter by providing safe disposal containers and encouraging return/exchange systems. When services are restricted or pushed out, unsafe disposal can actually increase.

One NIDA-funded study found an eight-fold greater quantity of improperly disposed syringes in a major city without SSPs compared to a major city with SSPs. In another study, people who received syringes from an SSP were half as likely to dispose of them improperly compared to people who got them from other sources such as pharmacies.

Learn more: Tookes, H. E., Kral, A. H., Wenger, L. D., Cardenas, G. A., Martinez, A. N., Sherman, R. L., et al. (2012). A comparison of syringe disposal practices among injection drug users in a city with versus a city without needle and syringe programs. Drug and Alcohol Dependence, 123(1–3), 255–259.

Quinn, B., Chu, D., Wenger, L., Bluthenthal, R. N., & Kral, A. H. (2014). Syringe disposal among people who inject drugs in Los Angeles: the role of sterile syringe source. International Journal of Drug Policy, 25(5), 905–910.

FACT: SSPs are cost effective and cost saving for communities. A major public health review found strong evidence that SSPs reduce public spending by preventing HIV and hepatitis C infections, which are expensive to treat long term. Studies show a return on investment of about $1.30 to $5.50 in healthcare savings for every $1 spent, with broader SSP expansion projected to save hundreds of millions by preventing new HIV infections and reducing long-term treatment, emergency responder, and hospital costs.

Learn more: amfAR Public Policy Office. (2013). Federal funding for syringe services programs: Saving money, promoting public safety, and improving public health. American Foundation for AIDS Research (amfAR)

FACT: Restricting access to SSPs through policies or ordinances can increase community harm by reducing access to sterile supplies and healthcare connections. Research shows SSPs reduce syringe sharing, lower HIV and Hepatitis C transmission, improve safe disposal practices, and connect people to treatment. Communities with less access to these services often experience worse public health outcomes and higher downstream healthcare costs.

Learn more: Frakt, A. (2016). Effectiveness and cost-effectiveness of syringe exchange programs. The Incidental Economist — Review of multiple studies showing SSPs reduce syringe sharing, decrease blood-borne infections, and are cost effective or cost saving.

FACT: Available local data from the Tri-Cities (Dover, Somersworth, and Rochester) show an overall decline in overdoses (fatal and nonfatal) in recent years following expanded harm reduction services, including SOS becoming a registered SSP in 2022. This aligns with statewide and national evidence that SSPs are associated with reduced overdose mortality and improved linkage to care, supporting them as a positive public health investment.

Learn more: Jessica Williams. (2025). Substance Use Disorder Services Funding in New Hampshire. New Hampshire Fiscal Policy Institute.

FACT: SSPs offer a comprehensive range of public health services. Guidance from the CDC shows SSPs serve as “bridges” to treatment and healthcare, with participants more likely to enter substance use treatment and reduce or stop injection compared to non-participants. New users of SSPs are about five times more likely to enter drug treatment and nearly three times more likely to reduce or discontinue injection drug use. SSPs also connect people to HIV/HCV care, naloxone, and medication-assisted treatment, increasing engagement in lifesaving services while lowering overdose risk and infectious disease transmission.

Learn more: Centers for Disease Control and Prevention (CDC). (2019). Summary of Information on the Safety and Effectiveness of Syringe Services Programs (SSPs), CS 300156-E. U.S. Department of Health and Human Services.

Hagan et al., Reduced injection frequency and increased entry and retention in drug treatment associated with needle-exchange participation in Seattle drug injectors, Addictive Behaviors (2000) PMID: 11027894.

how does it work?

Accessing our harm reduction services is simple; stop by any of our centers during open hours to receive supplies and support. Services are provided with dignity, respect, and confidentiality, and no appointment or requirements are needed. For those who are unable to come in person to our centers, we offer local delivery of our supplies through our mobile outreach team. Please call or text 603-919-7317 for inquiries.

Along with harm reduction supplies, we provide peer support, case management, healthcare services, HIV and Hepatitis C testing, treatment resources, housing support, and other community resources. These low-barrier, lifesaving services help prevent overdose, reduce the spread of disease, and ensure people have the support they need to make the changes that are right for them.

At SOS, we believe connection saves lives. By meeting people where they are, we help build a healthier, safer community for everyone.

We offer: Naloxone, Fentanyl & Xylazine test strips, safer sex supplies, pregnancy tests, overdose prevention training, syringe exchanges, safer smoking kits, boofing kits, safer sniffing kits, Plan B, birth control, hormone therapy supplies, wound care supplies, and more.

Hepatitis c virus (HCV) testing

SOS is excited to offer Dried Blood Spot Testing (DBST) in partnership with Lamprey Health Care.

SOS was selected to pilot a Dried Blood Spot Testing (DBST) program in partnership with Lamprey Health Care, bringing convenient, low-barrier Hepatitis C testing directly into a recovery community setting. As the only recovery organization in New Hampshire currently offering this service in-house, SOS is helping reduce barriers to testing and connect individuals with the care and support they need.

DBST is a simple, minimally invasive test that uses just a small finger prick of blood and takes about 10 minutes to complete. Individuals who test positive will receive a free connection to follow-up care and treatment resources, if needed. Those who complete testing will also receive a $10 incentive.

Appointments are available Mondays and Fridays from 9:00 AM–10:30 AM in our Dover center. Call our office, call/text our outreach line, or visit one of our centers to schedule your appointment.