Harm Reduction

Harm Reduction & Overdose Prevention Resources

Contact us or ANY of the following organizations for free harm reduction trainings & supplies!

Harm Reduction Services

  • Project Safe Point – Syringe exchange services (free & completely anonymous) to Columbia & Greene County residents on Wednesday of each week in addition to training in overdose prevention methods, treatment readiness programs, referrals to doctors and rehab clinics, HIV and Hepatitis C screenings and Medicated Assisted Treatment.


  • Never Use AloneToll-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. No stigma. No judgment. Just love


6 Tips for Practicing Safe Drug Use

  1. Know where you’re head is at: are you anxious, stressed, worried, scared? What is the environment like? Who are you with?
  2. Make a safety plan: Does anyone know where you are? Do you have a plan for transportation?
  3. Pick one drug- take it slow: using multiple substances increases the chances of an overdose, consuming less of anything is always safer, and never use substances alone.
  4. “Test it before you ingest it”: most illicit substances are contaminated with fentanyl and recently zylazine, testing substances will help you make informed decisions about whether you want to use that substance.
  5. Recognize the signs of an overdose & respond: know the signs of an overdose, call 911 and carry naloxone!
  6. Spread Awareness to keep others safe: tell your kids, your friends, your co-workers, neighbors, share far and wide!

Tips for preventing an overdose:

Changes in tolerance from not using or using less.

Unknown strength of illicit drugs/ using fentanyl or xylazine test strips

Mixing opioids with respiratory depressants or “downers” such as alcohol or benzodiazepines.

Mixing opioids with stimulants, such as cocaine and methamphetamine.

Signs of an Overdose:

Falling asleep, loss of consciousness

Shallow or no breathing

Limp body (though may be rigid with fentanyl)

Choking or gurgling sounds

Small, constricted, ‘pinpoint’ pupils

Pale blue or cold skin, lips, or nails

If you suspect an opioid overdose:

Call 911 immediately

Administer naloxone.

Giving naloxone to a person who is overdosing can save their life.

Naloxone is not harmful if someone is NOT having an overdose.

If you are trained and comfortable do rescue breathing and/or chest compressions.

Wait for emergency help to arrive.

Emotional and Mental Health

Call 988 Suicide & Crisis Lifeline – A national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week.

NYS Office of Mental Health Emotional Support Help Line Call 

1-844-863-9314, 7 days a week from 8am – 10pm

Syringe Kiosks


For more information on Harm Reduction

National Harm Reduction Coalition

OASAS Harm Reduction

SAMHSA Harm Reduction

Good Samaritan Law

The outcome of any overdose is largely determined by how quickly the person receives help, and often those who are overdosing or witnessing an overdose don’t call 911 out of fear of arrest. The New York State Good Samaritan Law protects everyone, regardless of age, who seeks medical help for themselves or someone else during an overdose. Even those who are in possession of illicit drugs (less than 8 ounces), drug paraphernalia, or alcohol where underage drinking is involved, don’t have to fear arrest or prosecution as a result of calling 911 for an overdose. This crucial law empowers and encourages anyone who witnesses an overdose to call 911 and get the victim the help they need.

 You are protected by the Good Samaritan Law

Medication Take-Back

In order to prevent misuse of medications, Columbia and Greene County have several locations where you can dispose  any of unused, unwanted, or expired prescription and nonprescription Medication. By disposing of medications properly you will:

  • Prevent drug abuse
  • Prevent accidental overdose
  • Prevent accidental poisoning of children and pets
  • Reduce crime by keeping drugs off the street
  • Reduce environment pollution
  • Protect our local nature and water supply


Deterra bags are a convenient and effective way to dispose of unwanted, expired, or unused medication.

Contact Us For Free Bags!

Columbia & Greene County Medication Take Back Locations

Coxsackie Village Police Department
119 Mansion Street, Coxsackie
Open: 8am – 12am Daily

Chatham Police Department
77 Main Street, Chatham
Call CC Sheriff, ask for Chatham drop box
(518) 828-3344

Columbia County Sheriff’s Office
85 Industrial Tract, Greenport
Open: 24/7

Columbia County Sheriff’s Substation
Crossroad at Rt 22 and Rt 23, Hillsdale
Open: 24/7

Greene County Sheriff’s Office
80 Bridge Street, Catskill
Open: 9am – 5pm Monday – Friday

Hudson Police Department
701 Union Street, Hudson
Open: 24/7

Hannaford Valatie
2967 Rt 9, Valatie
Open: 7am – 11pm Daily

Kelly’s Pharmacy
4852 Rt 81, Greeneville
Available during open hours

Kelly’s Pharmacy
12189 Rt 9W, West Coxsackie
Available during open hours

Town of Cairo Police Department
16 Railroad Ave., Cairo 12413
Open: 8am – 12am Daily
Call to drop off: (518) 622-2324

Town of Durham Police Station
7309 Rt 81, East Durham
Open: 7am – 3pm Daily
Call to drop off: (518) 239-6310

Town of Windham Police Department
371 Rt 296, Hensonville
Open: 9am – 3pm Daily
Call to drop off: (518) 734-3030

View Additional locations in New York State