Harm Reduction Resources in Lexington
Harm reduction is a public health approach that works to minimize the negative consequences of substance use without requiring abstinence as a precondition for support. In Lexington, harm reduction programs have contributed to the decline in overdose fatalities from 177 in 2023 to 120 in 2024. These programs save lives and often serve as the first point of connection between people who use drugs and the treatment system.
What Is Harm Reduction?
Harm reduction encompasses strategies that reduce the negative health, social, and economic impacts of substance use. Rather than demanding immediate abstinence, harm reduction meets people where they are. Programs include naloxone distribution for overdose reversal, syringe service programs to prevent infectious disease, drug checking services, wound care for people who inject drugs, and connection to treatment when the individual is ready. These services do not enable drug use — they keep people alive long enough to choose recovery.
Naloxone (Narcan) Access in Lexington
Naloxone (brand name Narcan) is an opioid overdose reversal medication that can be administered as a nasal spray. In Kentucky, naloxone is available without a prescription at pharmacies through a statewide standing order. Free naloxone is available through the Lexington-Fayette County Health Department and Voices of Hope at 644 N Broadway. Everyone who uses opioids, lives with someone who uses opioids, or may encounter an opioid overdose should carry naloxone. It has no effect on people who have not used opioids and cannot be misused.
Syringe Service Programs
The Lexington-Fayette County Health Department operates a syringe services program (SSP) that provides sterile injection equipment, safe disposal of used equipment, HIV and hepatitis C testing, wound care, and connections to treatment and social services. SSPs are proven public health interventions that reduce infectious disease transmission without increasing drug use. Research shows that people who access SSPs are five times more likely to enter treatment than those who do not.
From Harm Reduction to Treatment
Harm reduction and treatment are not opposing approaches — they are complementary. Many people first connect with the treatment system through harm reduction services. When someone is ready for treatment, having an established relationship with health services makes the transition smoother. If you or someone you know is using substances and not yet ready for treatment, harm reduction services can keep them safer until they are ready. When the time comes, call (859) 350-1103 to discuss treatment options.
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