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5 Life-Saving Facts About The Richmond VA Needle Exchange Program (And Why It's More Than Just Needles)

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The conversation surrounding public health in Richmond, Virginia, has shifted dramatically over the past few years, moving toward evidence-based solutions to combat the ongoing opioid crisis and the spread of bloodborne diseases. As of December 24, 2025, the "needle exchange" concept has evolved into a sophisticated, multi-faceted public health initiative known as the Comprehensive Harm Reduction (CHR) Program, primarily spearheaded by the Health Brigade (formerly the Fan Free Clinic). This program is a critical, life-saving resource for the Richmond metro region, providing far more than just sterile supplies; it serves as a crucial gateway to treatment, testing, and essential social services.

The Comprehensive Harm Reduction model is not only a local strategy but an internationally recognized approach proven to reduce the transmission of HIV and Hepatitis C (HCV) while simultaneously increasing the likelihood of individuals seeking and entering substance use treatment. For residents of Richmond and Henrico Counties, understanding the full scope of these services is vital, as the program represents a community-wide effort supported by key partnerships like the Richmond and Henrico Health Districts (RHHD) and the City of Richmond.

Fact 1: The Program is a "Comprehensive Harm Reduction" (CHR) Initiative, Not Just an Exchange

While the term "needle exchange" is the most common vernacular, the official name—Comprehensive Harm Reduction (CHR) Program or Syringe Services Program (SSP)—better reflects the breadth of services provided. The core mission extends beyond the sterile distribution and safe disposal of used hypodermic needles and syringes.

The philosophy of CHR is to meet individuals where they are, without judgment, and provide tools that minimize the negative health and social consequences associated with drug use. This comprehensive approach is a public health strategy that is evidence-based and directly addresses the high rates of HIV and Hepatitis C among people who inject drugs (PWID).

Key Services Provided by Health Brigade’s CHR Program:

  • Sterile Supplies: Distribution of free, sterile syringes, needles, cookers, cotton filters, and ties.
  • Safe Disposal: Crucial collection and safe disposal of used syringes, which protects the public and sanitation workers from accidental needle stick injuries.
  • Disease Testing: Free, confidential testing for bloodborne pathogens, including HIV and Hepatitis C.
  • Vaccinations: Free vaccinations are frequently offered at exchange sites, often in partnership with the Richmond and Henrico Health Districts (RHHD).
  • PrEP Access: Information and referrals for Pre-Exposure Prophylaxis (PrEP), a daily medication that can prevent HIV.
  • Wound Care: Distribution of essential wound care supplies, addressing common health issues related to injection.
  • Safer Sex Supplies: Provision of condoms and other supplies to promote sexual health.

Fact 2: Life-Saving Opioid Overdose Resources are Distributed for Free

One of the most critical components of the Richmond CHR program is the distribution of overdose-reversal medication and preventative tools. Addressing the opioid crisis is a top priority for the City of Richmond and its partners, and this is where the program’s impact is most immediate.

Naloxone (Narcan®) Distribution

The program provides free Naloxone (often known by the brand name Narcan®) kits to participants and community members. Naloxone is an opioid antagonist that can rapidly reverse an opioid overdose, saving a life within minutes. Distribution includes essential training on how to recognize an overdose and administer the medication effectively.

Fentanyl Test Strips (FTS) Now Available

In a major step forward for harm reduction, the distribution of Fentanyl Test Strips (FTS) has become a key service. Fentanyl, a synthetic opioid 50 to 100 times more potent than morphine, is increasingly contaminating the illicit drug supply, leading to a surge in fatal overdoses. FTS allow users to check their substances for the presence of Fentanyl, providing a vital layer of protection.

Fact 3: The City of Richmond Has Installed 24/7 Harm Reduction Vending Machines

The commitment to harm reduction in Richmond reached a new level with the installation of specialized vending machines across the city. This initiative, often in partnership with the Richmond City Health District, ensures that life-saving resources are not limited by operating hours.

These vending machines provide free, anonymous, and round-the-clock access to critical supplies. They are strategically placed in areas of high need to ensure accessibility for the most vulnerable populations.

What You Can Get from the Harm Reduction Vending Machines:

  • Naloxone (Narcan®) kits for overdose reversal.
  • Fentanyl Test Strips.
  • Personal hygiene items.
  • QR codes linking directly to local treatment, recovery, and support services.

Fact 4: Health Brigade Operates Both a Fixed Site and Mobile Exchange Sites

To maximize reach across the Richmond metro area, the Health Brigade program utilizes a combination of a fixed-site location and a mobile outreach unit. This ensures that services are accessible to those in the West End, East End, and other communities who may face transportation barriers.

The mobile outreach model is essential for community engagement, allowing staff to build trust, provide education, and offer referrals directly in neighborhoods where they are most needed. The schedule below reflects the most reliably published fixed and mobile hours, but it is highly recommended to call for the most current schedule due to potential changes.

Current Health Brigade Syringe Services Program Schedule (As of Late 2025):

Fixed Site Location (West End)

  • Location: Health Brigade, 1010 North Thompson St, Richmond, VA 23230.
  • Hours: Mondays, 5:00 PM to 8:00 PM.

Mobile Site Location (East End)

  • Location: Mobile-site at 1813 “T” Street (at Rogers/Luck's Field).
  • Hours: Tuesdays, 12:00 PM to 3:00 PM.

For the most up-to-date information, including additional mobile sites or schedule changes, please call Health Brigade directly at (804) 358-6343.

Fact 5: The Program is a Direct Gateway to Substance Use Treatment and Social Services

The primary long-term goal of the Comprehensive Harm Reduction model is to reduce disease, but its secondary, equally important function is to serve as a bridge to recovery. Studies show that individuals who use syringe services programs are five times more likely to enter drug treatment than those who do not.

The staff at Health Brigade and its partner organizations, such as the Nationz Foundation and the Foundation for Opioid Response Efforts (FORE), are trained to provide non-coercive referrals. This means they connect individuals with treatment options—including Medication-Assisted Treatment (MAT)—and social support systems when they are ready.

Referral and Entity Network:

  • Substance Use Treatment: Referrals to inpatient, outpatient, and detoxification programs.
  • Medication-Assisted Treatment (MAT): Connections to providers offering FDA-approved medications like Methadone, Buprenorphine, and Naltrexone.
  • Social Services: Assistance with housing, food insecurity, and mental health services.
  • Community Partners: Collaboration with the Richmond City Health District and other local organizations to provide a holistic network of care.
  • Peer Support: Access to Certified Peer Recovery Specialists, who have lived experience and provide invaluable support and guidance.

The Richmond VA needle exchange program—the Comprehensive Harm Reduction Program—stands as a beacon of public health innovation in Virginia. By focusing on compassion, evidence-based practices, and a vast network of essential services, it continues to be a crucial force in preventing the spread of disease, reversing overdoses, and connecting individuals with the long-term support needed for recovery.

5 Life-Saving Facts About the Richmond VA Needle Exchange Program (And Why It's More Than Just Needles)
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needle exchange richmond va

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