Harm Reduction Program

(formerly known as Needle Exchange Program)

Hours and Locations

Day Time* Location
Monday 1:30PM - 3:30PM      Knox Avenue:  
Story Road and Knox Avenue (one block west from King Road) in San Jose                                  
Tuesday 1:00PM - 3:00PM      2nd St and 280: 
Under the 280 overpass in San Jose (between S 1st and 2nd St)
  5:00PM – 7:00PM                                              Crane Center: 
976 Lenzen Avenue, Ste 1800, San Jose (parking lot on the southwest side of the building) 

9:00AM – 5:00PM
Drop-In Location      

Crane Center: 
976 Lenzen Avenue, Ste 1800, San Jose (parking lot on the southwest side of the building)
Friday 9:30AM - 11:30AM                                                    Valley Health Center: 
7475 Camino Arroyo, Gilroy
  2:00PM - 4:00PM                         Little Orchard: 
Little Orchard St. in San Jose (midway between Curtner and San Jose Avenue)                                                                            
*Please arrive at least 30 minutes before closing if you are interested in a HIV or Hepatitis C rapid test. 

No Harm Reduction Program (HRP) services on Saturday, Sunday  and County holidays. Services on Thursdays are conducted through local partners and housing sites. If you are a community partner/business in Santa Clara County and would like to request HRP services, please contact us at [email protected] or  408-792-5529.

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New Medication Assisted Treatment (MAT) Service available at Harm Reduction Program locations

In response to the opioid crisis, the County of Santa Clara Public Health Department is offering Medication Assisted Treatment (MAT) to our Harm Reduction Program participants. The MAT program will make it easier to obtain Opioid Use Disorder (OUD) treatment, including MAT, behavioral health interventions, linkages and referrals, and other OUD support services.  For more information and services contact the MAT Navigation staff at 510-473-7504 or 408-963-9452.

This pilot project is titled Bay Area Medication Assisted Treatment (BAMAT) and Peer Support Program in partnership with Bay Area Community Health and funded by the Sierra Health Foundation.

Our Services/Referrals

Additional Health Resources

Valley Homeless Clinic at Alexian
Drop-in psychiatric and health care clinic for unhoused individuals, call for hours and location.
(408) 272-6050 

Homefirst Shelter Clinic 
Drop-in health care clinic for unhoused individuals, call for hours and location.
(408) 510-7543

Mobile Medical Unit
Drop-in health care clinic for unhoused individuals, call for location near you.
(408) 690-6180

Mobile Dental Unit
Routine and emergency dental care, call for a location near you.
(408) 568-9446

Naloxone Finder
Locate where you can get Naloxone for free.

Never Use Alone CA Hotline
Call 1-800-469-4470

Call 2-1-1 for 24/7 information on housing, food distribution and other assistance programs.  

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For Our Community Partners

About the County of Santa Clara Drug User Health Advisory Committee (DUHAC)

DUHAC is a collaborative advisory board comprised of drug users and others who are concerned with drug user health in the county.  The mission of the DUHAC is to empower drug users and other community stakeholders to guide and oversee harm reduction services by providing a formal mechanism for stakeholders to provide recommendations, guidance and feedback on agency policies regarding, treatment of and service provision to drug users and proximate community members. In addition, DUHAC members may also choose to participate in “upstream activities” and advocacy with regard to policies that impact harm reduction services and drug user related health at the local and/or state levels.

In order to achieve this mission DUHAC members commonly embrace the values of the Principles of Harm Reduction including:

  • Compassion
  • Non-judgment
  • Science and evidence
  • Cultural humility and competency
  • Equity 
  • Service
  • Recognition of autonomy
  • Empowerment
  • Shared responsibility

Interested in joining DUHAC or have questions?  Please contact [email protected]

About the Santa Clara County Opioid Overdose Prevention Project (SCCOOPP)

SCCOOPP is a coalition of health care professionals and other volunteers from a variety of backgrounds whose aim is to promote opioid safety throughout our county for all residents. Our coalition is part of a larger network of opioid safety coalitions throughout the state, called the California Opioid Prevention Network.  Interested in joining or have questions?  Contact us at [email protected].

Harm Reduction FAQs

    Harm Reduction Programs (HRPs) are evidence-based programs that improve the health and safety of people who use drugs. They have been proven to prevent diseases that can spread through sex and/or shared drug use equipment (HIV, hepatitis C, gonorrhea, Chlamydia) through provision of safer supplies, services and information. They also link clients to treatment for substance use and help prevent overdose deaths among people who inject drugs. For more information on Harm Reduction, please visit National Harm Reduction Coalition (HRC) or amfAR.org.

    The County of Santa Clara HRP provides services and supplies free of cost for the community. These harm reduction supplies include, but are not limited to: 

    • HIV, Hepatitis C, STI testing and treatment
    • Sharps containers
    • Safer smoking supplies
    • Bandages or gauze
    • Safer Sex supplies
    • Caps or cookers
    • Tourniquets
    • Sterile water
    • Cotton
    • Alcohol wipes
    • Linkage to Medication Assisted Treatment (suboxone and methadone)
    • Hygiene supplies
    • Naloxone, overdose prevention supplies, fentanyl test strips, and training
    • Referrals to medical and social services

    Under California law, it is lawful to carry syringes, safer smoking supplies (including pipes), naloxone, or other materials you may receive from the Harm Reduction Program. Know your rights. To learn more, see the resources below from the California Department of Public Health (CDPH) Office of AIDS:

    If you have or find new or used syringes that you wish to dispose of, bring them to any of our locations. See our schedule for hours and locations at the top of this web page. Find other drop-off locations near you here. 

    • DO NOT Throw syringes in the garbage or recycling bins*. 
    • DO NOT Flush syringes down the toilet or drop into storm drains*.  

    *Protect yourself, your community, your environment, and family and friends. The proper disposal of syringes is important! 

    • Prescription opioids are strong medicines, usually pills, that a person can get from a doctor to treat pain. These powerful medicines can also have serious risks and side effects.  Common types are oxycodone (OxyContin), hydrocodone (Vicodin), morphine, and methadone.
    • Fentanyl is a manmade pain reliever. It is many times more powerful than other pain-relieving drugs and is approved for treating extreme pain, like cancer-related pain. Illegally made and distributed fentanyl has been on the rise in several states.
    • Heroin is an illegal pain-relieving drug.

    No, the HRP is an anonymous and confidential program for all Harm Reduction supplies or services.  Additional referrals for medical services may require personal identifying information.  

    Contact Us

    Contact Harm Reduction staff at (408) 792-5529  Monday to Friday (except Tuesday) from 8:00 AM -5:00 PM, and Tuesday 10:00 AM -7:00 PM, or at [email protected].

    The Harm Reduction Program has been approved by the Santa Clara Board of Supervisors, as permitted by HS code 11364.7

    ©2023 County of Santa Clara. All rights reserved.