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List of State-Certified Syringe Services Programs & Applications Open for Public Comment

The California Syringe Exchange Certification Program allows qualified organizations to apply directly to CDPH/Office of AIDS (CDPH/OA) for authorization to provide syringe services. This option allows providers to seek either local authorization from their city council or county board of supervisors, or state authorization through CDPH/Office of AIDS. California law also allows physicians and pharmacists to furnish or sell syringes to adults age 18 and older for disease prevention purposes.

Most syringe services programs (SSPs) in California have been locally authorized. The California Directory of SSPs lists all authorized SSPs in the state.

OA offers technical assistance for programs interested in pursuing state certification. For details, contact CDPH/Office of AIDS at 916-449-5900 or SSPinfo@cdph.ca.gov .

Applications Open for Public Comment and Pending Applications

CDPH/OA welcomes comments on all proposed applications. Once an organization files an application via online or mail, CDPH/OA will deem the application provisionally appropriate or notify the applicant of the reason for rejection within 30 business days. If an application is deemed provisionally appropriate by CDPH/OA, a 45-day public comment period is required prior to State certification.

Please note that all public comments submitted to CDPH may be subject to release under the California Public Records Act. Submission of comments is voluntary and it is optional for submitters to include their name and contact information.

For more information see:

Fact Sheet - Syringe Exchange Certification Program (PDF)

Operating Requirements for CDPH-Certified SSPs (PDF)

​Due to the current public health threat posed by COVID-19, decisions on SSP applications are currently taking longer than usual. CDPH is focused on prevention and response at this time, which must take priority.

 

Harm Reduction Coalition of San Diego – On Point

The Harm Reduction Coalition of San Diego (HRCSD) is proposing to provide access to sterile syringes, personal sharps containers, collection and disposal of used syringes, harm reduction supplies, wound care supplies, condoms, and other safer sex supplies for people who inject drugs. Information and education will include overdose prevention and response training, education regarding proper sharps disposal, prevention of needle-stick injuries, and safer sex education. Additional services proposed include social services referrals, crisis reduction case management and prevention education and screening for HIV and hepatitis C. 

HRCSD proposes mobile-based services and home delivery in the following San Diego communities: 

  •  City Heights - Area bounded by Interstate 15, Home Avenue, El Cajon Boulevard, and Euclid Avenue
  • Grantville - Area bounded by Highway 8, Mission Gorge, Waring Road, Interstate 15, and Friars Road
  • Oak Park -Area bounded by Federal Avenue, College Boulevard, Euclid Avenue, and El Cajon Boulevard.

HRCSD proposes operating three days a week: Monday, Wednesday, and Friday from 10:00 a.m. – 4:00 p.m.  HRCSD’s aim is to provide services on days and/or locations that the only other syringe exchange program in San Diego does not operate. Additionally, home delivery services will occur in the same service area and during the same times for those who are unable to utilize the mobile services. 

As required under California Health and Safety Code Section 121349, this website posting will open a 45-day public comment period, which will close on 8/9/2020.

All public comments must be in writing and submitted to CDPH no later than 11:59 p.m., 8/9/2020. 

Public comments may be sent to: SEPApplication@cdph.ca.gov 


Inland Empire Harm Reduction

Inland Empire Harm Reduction (IEHR) is a community-based public health project whose mission is to improve the health and well-being of people affected by drug use in Riverside County. IEHR proposes to provide access to sterile syringes and other harm reduction supplies and dispose of used syringes. These new services will complement existing overdose education and naloxone distribution services. Other current services include provision of fentanyl test strips and education on their use, education and resources on risk reduction and safer injection, safer sex materials including condom distribution, referrals to viral hepatitis and STI testing and treatment, referrals to drug treatment, healthcare and housing services.

Home delivery and pickup will be by appointment on Tuesday, Thursday, Saturday, and Sunday between the hours of 12:00 p.m. – 10:00 p.m.

Service Area: the cities of Riverside, Jurupa Valley, Moreno Valley, Perris, and unincorporated areas of Riverside County within an approximate 20-mile radius of downtown Riverside.

As required under California Health and Safety Code Section 121349, this website posting will open a 45-day public comment period, which will close on 8/2/2020.

All public comments must be in writing and submitted to CDPH no later than 11:59 p.m., 8/2/2020.

Public comments may be sent to: SEPApplication@cdph.ca.gov


Bakersfield's AIDS Project- The Exchange Program

Bakersfield's AIDS Project (BAP) syringe exchange program, The Exchange Program (TEP) has applied to CDPH to authorize a new syringe services program (SSP) in Kern County, California.  BAP was established in 1993 and provides compassionate, quality services and housing for people living with and at risk for HIV/AIDS and lesbian, gay, bisexual, transgender, and questioning people. BAP is dedicated to promoting harm reduction by providing drug user health education and prevention throughout Kern County. BAP works in collaboration with other local service providers countywide.

TEP is proposing to provide mobile services at Weill Park, located at 2601 Q Street, Bakersfield, CA, every Saturday from 1:00 p.m. to 3:00 p.m.  Home delivery and collection services will be available for those unable to access the mobile location, upon request. TEP will schedule home delivery and collection appointments Thursdays through Saturday within the hours of 1:00 p.m. and 4:00 p.m. A dedicated TEP home delivery line will be available for participants.

TEP will provide sterile syringes, disposal of used syringes, personal sharps containers, harm reduction supplies, wound care supplies, condoms and other safer sex supplies. Information and education will include overdose prevention, training, and distribution of naloxone, education regarding proper sharps disposal, prevention of needle-stick injuries, and safer sex education.

TEP will provide direct linkage or referrals to substance use disorder treatment services, medication-assisted treatment, fentanyl test strips, screening for HIV, hepatitis C and sexually transmitted infections, HIV and hepatitis C care and treatment, hepatitis A and hepatitis B vaccination, and housing services.

As required under California Health and Safety Code Section 121349, this website posting will open a 45-day public comment period, which will close on 07/05/2020.

All public comments must be in writing and submitted to CDPH no later than 11:59 p.m., 07/05/2020.

Public comments may be sent to: SEPApplication@cdph.ca.gov


Harm Reduction Coalition of Santa Cruz County (HRCSCC)

Due to the current public health threat posed by the novel coronavirus, CDPH is still reviewing the Harm Reduction Coalition of Santa Cruz County application. CDPH will provide an update once the review is complete.

Harm Reduction Coalition of Santa Cruz County (HRCSCC) proposes a new syringe services program (SSP) that will operate in Santa Cruz County. HRCSCC will provide education on the topics of HIV and viral hepatitis prevention, overdose prevention, safer injection, and proper syringe disposal. Other services include distribution of naloxone, safer sex supplies, fentanyl test strips, collection and safe disposal of used syringes, and access to sterile syringes and other crucial injection supplies as needed.

HRCSCC proposes operating at the following times and locations:

  • Coral Street between Limekiln and River Streets on Sundays between the hours of 9 a.m. and 11 p.m. This is the same location that HRCSCC has been providing secondary exchange services in collaboration with Santa Cruz County's SSP for 18 months.
  • Home delivery by appointment on Mondays, Wednesdays, and Fridays.

 Harm Reduction Coalition of Santa Cruz County Application (PDF)

As required under California Health and Safety Code Section 121349, this website posting will open a 45-day public comment period, which will close on 1/20/2020

All public comments must be in writing and submitted to CDPH no later than 11:59 p.m., 1/20/2020.

Public comments may be sent to: SEPApplication@cdph.ca.gov

State-Certified Syringe Services Programs

Stockton Harm Reduction Program (SHRP)

Contact Information: Harjot Virk, MPH. – 209-626-9668

Mobile services are on Saturdays from 9:00 a.m. to 12:00 p.m, every other week. The area of operation is in the south area of Stockton bounded to the north by Highway 4, to the west by Highway 5, to the south by Charter Way, and to the east by South Wilson Way

Yuba Sutter Harm Reduction & Community Outreach

Yuba Sutter Harm Reduction & Community Outreach Approval Letter (PDF)

Contact Information: Tenesha McFadden - Tmcfadden@yubasutterhrco.org

Fixed Location

  • Harmony Health: Tuesday and Thursday from 5:00 p.m.-7:00 p.m. at 1908 North Beale Road, Marysville, CA 95901

Mobile Locations

  • Yuba County Mobile Location:  The area bound by the Yuba river, F Street and Second Street, extending as far west as Second Street is paved. Monday from 9:00 a.m.-11:00 a.m.
  • Sutter County Mobile Location: The area bound by 9800 block of Second Street and the area where Second Street and Levee Road merge, extending as far west as the Feather River edge. Monday from 11:30 a.m.-3:00 p.m.

Sierra Harm Reduction Coalition (SHRC)

Sierra Harm Reduction Coalition (SHRC) Approval Letter (PDF)

Contact Information: Eric Hill Eric.Hill@shrcoalition.org and Tom Ewing tom.ewing@shrcoalition.com 

Phone Number: (530) 212-0279 

Service hours are Monday through Friday from 8 a.m. to 5 p.m. The program offers all services using a mobile health unit and will operate in various locations in El Dorado County up to the border of Sacramento and El Dorado counties to the west, the border of Placer and El Dorado counties to the north, the border of the Amador County and El Dorado Counties to the south and the town of Kyburz to the east. Home delivery services for participants unable to make it to the mobile sites will be made by-appointment and will take place Monday through Friday, 9 a.m. to 5 p.m.

Northern Inyo Healthcare District (NIHD) Harm Reduction Project

Northern Inyo Healthcare District (NIHD) Harm Reduction Project Letter of Approval (PDF) 

Contact Information: (760) 873-2012 / Dan David – dan.david@nih.org

Northern Inyo Healthcare District (NIHD) Harm Reduction Project will provide services at the NIHD Rural Health Clinic office at 153-B Pioneer Lane, Bishop, California, Monday through Friday, 8:00 a.m. to 5:00 p.m. In addition, for people unable to attend the NIHD Harm Reduction Project's Rural Health Clinic site, the program will offer home delivery of services in Inyo County within an approximately 60 mile radius from the NIHD Rural Health Clinic, by appointment.

The Point at Gender Health Center (GHC)

The Point at GHC Letter of Approval (PDF)

Contact Information: (916) 476-2916 / alejandro@ghcmail.org

Service locations are:

  • 2020 29th Street Sacramento, CA 95817. The Point at GHC will be open Monday through Friday, 10a.m. to 8 p.m.

Northern Valley Harm Reduction Coalition – Butte County

Northern Valley Harm Reduction Coalition Letter of Approval (PDF)

In order to reduce the spread of HIV and viral hepatitis and to reduce the existing risk of outbreaks of hepatitis C viral infection and HIV in Butte County, the California Department of Public Health, Office of AIDS (CDPH/OA) has approved the Northern Valley Harm Reduction Coalition (NVHRC) application to provide syringe exchange services. Authorization is effective October 14, 2019 through October 14, 2021. NVHRC may apply for renewal before the end of the two-year period.

CDPH/OA has determined that NVHRC has met the requirements outlined in California Health and Safety Code Section 121349 to qualify for authorization. Additionally, CDPH/OA has determined that conditions exist for the rapid spread of HIV, viral hepatitis, or other blood-borne diseases in Butte County. Information about the CDPH/OA decision-making process may be found in the CDPH/OA Syringe Exchange Certification Program - Recent Decisions and Frequently Asked Questions (PDF) fact sheet on the OA web site.

NVHRC services will include overdose education and prevention, naloxone distribution, syringe access and disposal, condom distribution, information on safer injection practices, hepatitis C and HIV testing and counseling, and linkage to other mental health and medical providers. Additionally, staff will give referrals for substance use disorder treatment services, hepatitis A and hepatitis B vaccinations, screenings for sexually transmitted infections, and housing services.

For questions about this authorization, please contact SEPinfo@cdph.ca.gov.

To contact NVHRC: (530) 332-8065 /nvharmreduction@gmail.com

To learn more about NVHRC's work please visit,  Northern Valley Harm Reduction Coalition

Locations and hours of operation:

The program will be administered by NVHRC volunteers and staff and will take place on Sundays between 9:00 a.m. and 11:00 a.m. within the area bounded by:

  • Humboldt Avenue between Highway 99 and Boucher Street
  • Everett Street between Humboldt Avenue and Wisconsin Street
  • Wisconsin Street between Everett Street and Davis Street
  • Davis Street between Wisconsin Street and Virginia Street
  • Virginia Street between Davis Street and Community Park
  • Guill Street between Virginia Street and Highway 99, including the area of Ohio Street between Guill Street and Community Park.

Home Delivery – NVHRC is approved to provide home delivery and collection.

  • NVHRC will arrange home delivery of syringe access and disposal services in advance with program participants, and may provide home delivery services at any time agreed upon; and
  • Services will be available to individuals in private residences as well as tents, recreational vehicles, and other non-traditional forms of housing occupied by program participants.
  • Services will be delivered in the City of Chico.

Mono County Harm Reduction Project

Mono County Harm Reduction Project Letter of Approval (PDF)

Contact Information: (760) 924-1740 / rroberts@mono.ca.gov

Service locations are:

  • Mono County Behavioral Health at 452 Old Mammoth Road, #304, Mammoth Lakes, California;

Monday through Thursday, 8:00 a.m. – 6:00 p.m., and Friday 8:00 a.m. – 5:00 p.m.;

  • Walker Wellness Center at 107655 Highway 395, Walker, California;

Monday and Wednesday, 10:00 a.m. – 3:00 p.m.; and Mobile health outreach: weekly home delivery services as needed to reach people who cannot access fixed sites.

 Community Outreach Matters (Formerly ALM Mission)

Contact Information: (530) 440-5880 / rebeccabobrow1959@gmail.com  

Locations and hours of operation:

All services will be provided in the City of Clearlake at the times and locations listed below.

  • Clearlake Park area at Eastlake Drive and 2nd Street (nearest cross street is Bush Street)

Mondays 1:00 p.m. - 2:00 p.m.

  • Burns Valley Road by artificial tree at sharp corner (nearest cross street is Moose Trail)
    Mondays 2:10 p.m. - 3:10 p.m.

  • Olympic Drive at parking lot across from Maple Street
    Mondays 3:20 p.m. - 4:20 p.m.

  • Empty lot on corner of Moss Avenue and Davis Avenue (nearest cross street is 40th Avenue)
    Mondays 4:30 p.m. – 5:30 p.m.

  • Private home deliveries  Mondays 5:30 p.m. – 8:30 p.m.

Siskiyou County Public Health – Siskiyou County Syringe Services Program

Siskiyou County Syringe Services Program Letter of Approval (PDF)

Contact Information: (530) 841-2121 / jskillen@co.siskiyou.ca.us / County of Siskiyou Public Health

Locations and hours of operation:

  • Every 1st and 3rd Thursday from 2:00 p.m. - 5:00 p.m. by the Siskiyou County Behavioral Health building, 2060 Campus Drive, Yreka (area bounded by Greenhorn Road, Interstate 5 and Outsen Road);
  • Every 2nd and 4th Thursday from 2:00 p.m. - 5:00 p.m. by the Siskiyou County Public Health building in the Greenway, 810 South Main Street, Yreka (area bounded by Main Street, Oberlin Road and Montague Road);
  • Every 2nd and 4th Tuesday from 1:00 p.m. - 3:00 p.m. by the Tulelake Police Department, 470 C Street, Tulelake (area bounded by Hwy 139, Stateline Road, Yost Road and Ridgeview Street).

Harm Reduction Services – Safe Points Syringe Exchange

Harm Reduction Services Letter of Approval (PDF)

Contact Information: 916-456-4849 / hrssacramento@gmail.com

Locations and hours of operation:

  • Two mobile health units will operate in various locations in Sacramento County Monday through Friday from 11 a.m. to 5 p.m. Geographic boundaries for Sacramento mobile services will be prioritized by areas of need within the region spanning Latrobe Road to the East (Sherman Island), East Levee Road to the southwest, I street Bridge to the west, Elverta Road to the north and Calvine Road to the south.
  • Joan Viteri Memorial Clinic - free medical clinic (3647 40th St., Sacramento, CA 95817) on Saturdays from 12 p.m. to 5 p.m.
  • Gender Health Center (2020 29th St. #201, Sacramento, CA 95817) Monday through Friday from 9 a.m. to 8 p.m.
  • Harm Reduction Services (2800 Stockton Blvd., Sacramento, CA 95817) Monday through Friday from 12 p.m. to 6 p.m.

Humboldt Area Center for Harm Reduction

CDPH/OA has determined that the Humboldt Area Center for Harm Reduction (HACHR) has met the requirements outlined in California Health and Safety Code Section 121349 to qualify for authorization. Additionally, CDPH/OA has determined that conditions exist for the rapid spread of HIV, viral hepatitis, or other blood-borne diseases in Humboldt County. Information about the CDPH/OA decision-making process may be found in the CDPH/OA Syringe Exchange Certification Program - Recent Decisions and Frequently Asked Questions (PDF) fact sheet on the OA web site.

In order to reduce the spread of HIV and viral hepatitis and to reduce the existing risk of outbreaks of hepatitis C viral infection and HIV in Humboldt County, CDPH/OA has approved HACHR's application to provide syringe exchange services. Authorization is effective October 8, 2018 through October 8, 2020. HACHR may apply for renewal before the end of the two-year period.

Humboldt Area Center for Harm Reduction (HACHR) services will include overdose education and prevention, naloxone distribution, syringe exchange, condom distribution, drug testing (fentanyl test strips), information on safer injection practices, hepatitis C and HIV testing and counseling, warm handoff to treatment providers, and on-site collaboration with mental health and medical providers. Additionally, staff will give referrals for substance use disorder treatment services, hepatitis A and hepatitis B vaccinations, screenings for sexually transmitted infections, and housing services. For questions about this authorization, please contact SEPinfo@cdph.ca.gov.

HACHR Contact Information:

Contact Information: Jessica Smith, Executive Director – (707) 298-9198 / hachr707@gmail.com

Mailing address: Humboldt Area Center for Harm Reduction, 1522 3rd Street, Eureka CA 95501

Locations and hours of operation:

  • Arcata Outreach #1 
    In the area bounded by Old Samoa Road, Jackson Ranch Road, Vaissade Road and K Street.
    Wednesday 12:00 p.m. - 2:00 p.m.
  • Arcata Outreach #2
    In the area bounded by Redwood Highway, Hendon Road, Wymore Road and Valley East.
    Wednesday 2:00 p.m.- 4:00 p.m.
  • Eureka Drop-in 1522 3rd Street, Eureka
    Monday-Saturday 10:00 a.m. - 6:00 p.m.
  • Orick Outreach
    In the area bounded by Hufford Road, Lundblade Street, Redwood Highway and Drysden Road.
    Monday 1:00 p.m. - 5:00 p.m.
  • McKinleyville Outreach
    In the area bounded by Murray Road, Ocean Drive, School Road and Central Avenue
    Friday 10:00 a.m. - 12:00 p.m.
Community Outreach Harm Reduction Team

Contact Information: (510) 761-9795

Locations and hours of operation:

  • Every Sunday from 2 p.m. - 7 p.m. at 35th Street and Peralta Street and the surrounding areas, bounded by 40th Street, Broadway, Peralta Street, and 3rd Street. Oakland
  • Every Thursday from 6 p.m. - 8 p.m. in the areas bounded by 45th Street, Broadway, Adeline Street, and 3rd Street. Oakland

Northern Sierra Harm Reduction - Plumas County Public Health Agency

Contact Information: James Wilson (530) 283-7099 jameswilson@countyofplumas.com

Locations and hours of operation:

  • Plumas Crisis Intervention and Resource Center (591 Main Street, Quincy, CA 95971) on the first and third Tuesdays from 3pm – 5pm.
  • Portola Resource Center (164 Ridge Street, Portola, CA 96122) on the first and third Wednesday from 3pm – 5pm.
  • Chester Wellness Center (372 Main Street, Chester, CA 96020) on the first and third Thursday from 3pm – 5pm.

Merced Needle Exchange – Merced Family Medicine Registry

Contact Information: Raj Mann, MD (517) 861-7150 / rajmann12@gmail.com

Location and hours of operation:

  • Merced Needle Exchange services will be provided on Saturdays from 10am – 2pm in the parking lot of the Family Care Clinic at 315 Mercy Avenue in Merced.

Kings County Needle Exchange Program

Contact Information: Sheila Grant-Shaffer (559) 852-2578

Locations and hours of operation:

  • Hanford - every Tuesday from 2:30 PM to 4:30 PM
  • Corcoran - every 4th Tuesday of the month from 11:00 AM to 12:00 PM
  • Avenal - every 3rd Tuesday of the month from 11:00 AM to 12:00 PM

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