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Recovery & harm reduction

Addiction recovery and harm-reduction services

Treatment programs, detox, and harm-reduction services — including options that don't require sobriety to enter.

Substance-use services range from full residential treatment (28-day, 90-day, or longer programs) to outpatient counseling to harm-reduction sites that provide clean supplies, naloxone, and safe-use education. Not every program requires sobriety to enter — Housing First and harm-reduction philosophies hold that stable housing improves treatment outcomes, not the reverse.

Find recovery & harm reduction near you

116 matching resources across the US and Canada.

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    What to know

    • If you're using and not ready to stop, harm reduction is the safer choice. Programs like Insite (Vancouver), RainCity Housing, HIPS (DC), and many syringe exchanges provide supplies, naloxone, and overdose-prevention support without requiring sobriety.
    • SAMHSA National Helpline (1-800-662-4357) is free, 24/7, English & Spanish. They'll find treatment in your area.
    • Medication-assisted treatment (methadone, buprenorphine, naltrexone) has the strongest evidence for opioid use disorder. Some programs are now low-barrier — they don't require detox first.
    • Many shelters provide on-site recovery programming. Some require sobriety; some don't. Ask.
    • If you've overdosed or you're worried about a friend, naloxone (Narcan) is free at most syringe exchanges and many pharmacies — no prescription needed.

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