Boston Medical Center (BMC) Grayken Center for Addiction Training and Technical Assistance (TTA)

A Resource for Healthcare and Social Services Professionals

Resources

Harm Reduction

Harm Reduction at SAMHSA
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National Harm Reduction Coalition
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National Harm Reduction Technical Assistance Center (NHRTAC)
The NHRTAC provides free help to anyone in the country providing (or planning to provide) harm reduction services to their community.
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Overdose Response

Getting Naloxone from a Pharmacy (MA)
Information for community members about how to get naloxone to help prevent overdose deaths.
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HHS First Responder Opioid Overdose Reversal with Naloxone
Steps to respond to a suspected opioid overdose while reducing risk of COVID-19 exposure.
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Safer Injection Practices

Getting off Right: A Safety Manual for Injection Drug Users
The Harm Reduction Coalition's safety manual for injection drug use.
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Syringe Service Program Laws
This is a cross-sectional dataset that presents state-level statutes and regulations that impact SSPs in effect as of August 1, 2019. The map identifies the method of authorization for SSPs, requirements for the establishment of SSPs, the types of services provided directly and by referral, drug paraphernalia possession laws, and whether an SSP is operating in the jurisdiction.
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Syringe Service Programs Locations: NASEN Directory
NASEN directory of SSPs in the United States. Be aware that this directory includes only those SSPs who have authorized NASEN to publish their information solely for NASEN directory purposes. It is not, nor is it intended to be, a comprehensive listing of all SSPs in the United States.
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Safer Sex/ChemSex & STI Screening

ChemSex First Aid Guide
This booklet covers some general First Aid practices for some specific chemsex-related emergencies. It includes some information on how to make judgment calls, and when not to; when to call an ambulance, as well as some tips to help avoid some of the most common emergencies that can happen in chemsex environments. This document was written and prepared by David Stuart and Ignacio Labayen De Inza. Sept 2018.
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ChemSex Tool Kit
This toolkit is designed to give harm reduction organizations and syringe services programs an overview of chemsex, including the communities impacted and the range of use; a description of the different substances being used, including their effects, what to expect when using, and how to stay safe; a summary of education to provide participants, the importance of peers, harm reduction strategies, and the role technology plays in chemsex. Includes appendices that have a menu of kits that harm reduction programs can put together for participants, a glossary of common terms used in chemsex, and a guide to chemsex party planning.
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Male Sexwork Handbook: A Basic Guide to Working Safe, Sane, and Smart in the Sex Industry
This handbook, created by HOOK in partnership with the Harm Reduction Coalition, helps those that work with male sexworkers in social services and professionally by stating the concerns and negotiations that face male sexworkers. This information is intended to allow them to better communicate, comprehend, and be sensitive to male sexworker situations and decisions. For those who work in the industry, this handbook serves to communicate the kind of street-sense knowledge that helps you work with both eyes open in hopes that your sessions and experiences enable you to meet your immediate and long-term goals, whether that be a life in the sex industry or recovery from some strokes of bad luck.
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Safer Sex Guide
This guide, created by CATIE (Canadian AIDS Treatment Information Exchange), gives tips on how to prevent sexually transmitted infections (STIs) and explains how to make sex safer.
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Safer Smoking Practices

Safer Crack Smoking
This resource, created by CATIE (Canadian AIDS Treatment Information Exchange), provides information about how to smoke crack and helps to identify when a person is overamping and needs to rest, and when a person needs emergency medical services.
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Safer Crystal Meth Smoking
This resource, created by CATIE (Canadian AIDS Treatment Information Exchange), provides information about how to about how to smoke crystal meth and helps to identify when a person is overamping and needs to rest, and when a person needs emergency medical services.
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Safer Sniffing Practices

Safer Snorting Kit
This one-page flyer, created by the Harm Reduction Action Center, lists and explains the items needed to sniff safely.
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Grayken Center for Addiction TTA is a program of Boston Medical Center (BMC), a 514-bed academic medical center located in Boston's historic South End and the largest safety-net hospital in New England.

Funding for Grayken Center for Addiction TTA is provided by:

Massachusetts Department of Public Health Bureau of Substance Abuse Services (BSAS)
GE Foundation
Opioid Response Network

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