{"id":4706,"date":"2017-06-29T19:19:42","date_gmt":"2017-06-29T19:19:42","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/disease-prevention\/?page_id=4706"},"modified":"2026-03-12T17:34:54","modified_gmt":"2026-03-12T17:34:54","slug":"chr","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/disease-prevention\/chr\/","title":{"rendered":"Comprehensive Harm Reduction"},"content":{"rendered":"<div id=\"pl-4706\"  class=\"panel-layout\" ><div id=\"pg-4706-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4706-0-0\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-4706-0-1\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-4706-0-2\"  class=\"panel-grid-cell panel-grid-cell-empty\" ><\/div><div id=\"pgc-4706-0-3\"  class=\"panel-grid-cell\" ><div id=\"panel-4706-0-3-0\" class=\"so-panel widget widget_sow-social-media-buttons panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-social-media-buttons so-widget-sow-social-media-buttons-atom-963bb580e5c3-4706\"\n\t\t\t\n\t\t>\n\n<div class=\"social-media-button-container\">\n\t\n\t\t<a \n\t\tclass=\"ow-button-hover sow-social-media-button-facebook-0 sow-social-media-button\" title=\"Find us on Facebook\" aria-label=\"Find us on Facebook\" href=\"https:\/\/www.facebook.com\/DiseasePreventionHotline\/\" \t\t>\n\t\t\t<span>\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-fontawesome sow-fab\" data-sow-icon=\"&#xf39e;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\t\n\t\t<a \n\t\tclass=\"ow-button-hover sow-social-media-button-phone-0 sow-social-media-button\" title=\"Contact\" aria-label=\"Contact\" href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/contact-us\/\" \t\t>\n\t\t\t<span>\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-fontawesome sow-fas\" data-sow-icon=\"&#xf095;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/span>\n\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-4706-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4706-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-4706-1-0-0\" class=\"so-panel widget widget_pt_tabs pt-widget-tabs panel-first-child panel-last-child\" data-index=\"1\" >\t\t\t<div class=\"pt-tabs\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<ul class=\"pt-tabs__navigation  nav  nav-tabs\" role=\"tablist\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link  active\" data-toggle=\"tab\" href=\"#tab-chr-program\" role=\"tab\">CHR Program<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<li class=\"nav-item\">\n\t\t\t\t\t\t\t\t<a class=\"nav-link\" data-toggle=\"tab\" href=\"#tab-for-currentinterested-chr-sites\" role=\"tab\">For Current\/Interested CHR Sites<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<\/ul>\n\n\t\t\t\t\t<div class=\"pt-tabs__content  tab-content\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade  in  active\" id=\"tab-chr-program\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w69b2f93ed5ba4\"  class=\"panel-layout\" ><div id=\"pg-w69b2f93ed5ba4-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69b2f93ed5ba4-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5ba4-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<figure id=\"attachment_12424\" aria-describedby=\"caption-attachment-12424\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-12424 size-medium\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2024\/10\/chr_photo-300x300.jpg\" alt=\"Photo of the back of a t-shirt used by CHR staff.  The shirt includes advice such as always having Narcan on hand and having a safety plan.\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2024\/10\/chr_photo-300x300.jpg 300w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2024\/10\/chr_photo-150x150.jpg 150w, https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2024\/10\/chr_photo.jpg 546w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-12424\" class=\"wp-caption-text\">CHR Outreach Staff<\/figcaption><\/figure>\n<h1>What is Comprehensive Harm Reduction?<\/h1>\n<p>Comprehensive Harm Reduction (CHR) is a set of public health services. CHR is designed to reduce the negative impact of drug use. It helps prevent HIV, hepatitis C, other infections, overdose and death. It is intended for those who are unable to, or not ready to stop using drugs. CHR may also be called syringe services or needle exchange. Yet, CHR programs provide much more than just needles and syringes.<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>CHR includes:<\/li>\n<li>the distribution of sterile and disposal of used hypodermic needles and syringes,<\/li>\n<li>naloxone to reverse overdoses,<\/li>\n<li>education,<\/li>\n<li>peer support,<\/li>\n<li>referral to drug treatment,<\/li>\n<li>testing for HIV and hepatitis, and<\/li>\n<li>linkage to medical care and support services.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Those receiving services from CHR sites have protection from prosecution for possession of paraphernalia acquired through programs.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69b2f93ed5ba4-0-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-0-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>CHR Sites<\/h2>\n<p>You can find a map of sites authorized to provide CHR services below.\u00a0 Click on the pins\/buttons around the map to access the CHR site information.\u00a0 This will bring up location details for each site.\u00a0 All CHR site are listed on the map.<\/p>\n<p>CHR staff contacts and their phone numbers are given when you click on a site pin\/button.\u00a0 Please contact CHR staff for specific questions and needs such as service hours, etc.\u00a0 Some sites offer mobile outreach in areas adjacent to their physical location.\u00a0 If you are unable to make it to their physical location, please contact them and ask if they offer mobile services.<\/p>\n<p><strong>Please note:\u00a0<\/strong>if you are a Virginia state employee viewing this page you may have issues viewing the site map if you have your agency profile logged into the browser.\u00a0 Open this page in a new browser or log your profile out for the map to load accurately.\u00a0 State employees needing additional help accessing the site map, please email <strong>Chris Barnett<\/strong> at <a href=\"mailto:christopher.barnett@vdh.virginia.gov\">christopher.barnett@vdh.virginia.gov<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5ba4-1\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69b2f93ed5ba4-1\" ><div id=\"pgc-w69b2f93ed5ba4-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5ba4-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"2\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-1-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div class=\"x_elementToProof x_ContentPasted1\">\n<!-- iframe plugin v.6.0 wordpress.org\/plugins\/iframe\/ -->\n<iframe loading=\"lazy\" title=\"VDH CHR Sites\" src=\"https:\/\/www.google.com\/maps\/d\/u\/0\/embed?mid=1AWet4w53_xsx0b0T8quiQqFsB9EiCJw&#038;ehbc=2E312F%22\" width=\"100%\" 0=\"aspect-ratio:\" 1=\"16:9\" height=\"500\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\"><\/iframe>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69b2f93ed5ba4-1-0-1\" class=\"so-panel widget widget_sow-button panel-last-child\" data-index=\"3\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-1-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-9f9ae4120992-4706\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.google.com\/maps\/d\/viewer?mid=1AWet4w53_xsx0b0T8quiQqFsB9EiCJw&#038;ll=37.92458608023155%2C-79.4246674&#038;z=7\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t<span class=\"sow-icon-fontawesome sow-far\" data-sow-icon=\"&#xf279;\"\n\t\tstyle=\"color: #ffffff\" \n\t\taria-hidden=\"true\"><\/span>\n\t\t\tFullscreen Map\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5ba4-2\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69b2f93ed5ba4-2\" ><div id=\"pgc-w69b2f93ed5ba4-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5ba4-2-0-0\" class=\"so-panel widget widget_sow-accordion panel-first-child panel-last-child\" data-index=\"4\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-2-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-accordion so-widget-sow-accordion-default-6797702dccd3-4706\"\n\t\t\t\n\t\t><div>\n\t<div class=\"sow-accordion\">\n\t\t\t<div class=\"sow-accordion-panel\n\t\t\t\t\t\"\n\t\t\t\tdata-anchor-id=\"chr-sites-text-list-includes-jurisdictions\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header-container\" role=\"heading\" aria-level=\"2\">\n\t\t\t\t\t<div class=\"sow-accordion-panel-header\" tabindex=\"0\" role=\"button\" id=\"accordion-label-chr-sites-text-list-includes-jurisdictions\" aria-controls=\"accordion-content-chr-sites-text-list-includes-jurisdictions\" aria-expanded=\"false\">\n\t\t\t\t\t\t<div class=\"sow-accordion-title sow-accordion-title-icon-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\tCHR Sites (Text List - Includes Jurisdictions)\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"sow-accordion-open-close-button\">\n\t\t\t\t\t\t\t<div class=\"sow-accordion-open-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf218;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"sow-accordion-close-button\">\n\t\t\t\t\t\t\t\t<span class=\"sow-icon-ionicons\" data-sow-icon=\"&#xf209;\"\n\t\t \n\t\taria-hidden=\"true\"><\/span>\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\n\t\t\t<div\n\t\t\t\tclass=\"sow-accordion-panel-content\"\n\t\t\t\trole=\"region\"\n\t\t\t\taria-labelledby=\"accordion-label-chr-sites-text-list-includes-jurisdictions\"\n\t\t\t\tid=\"accordion-content-chr-sites-text-list-includes-jurisdictions\"\n\t\t\t\tstyle=\"display: none;\"\t\t\t>\n\t\t\t\t<div class=\"sow-accordion-panel-border\">\n\t\t\t\t\t<table style=\"border-color: #13294b;\" border=\"2px\" cellspacing=\"4\" cellpadding=\"15px\">\n<tbody>\n<tr style=\"background-color: #006298;\">\n<td><\/td>\n<td>\n<h3><span style=\"color: #ffffff;\"><strong>Site<\/strong><\/span><\/h3>\n<\/td>\n<td>\n<h3><span style=\"color: #ffffff;\"><strong>Authorized Jurisdictions<\/strong><\/span><\/h3>\n<\/td>\n<\/tr>\n<tr>\n<td>1<\/td>\n<td>Lenowisco Health District<\/td>\n<td>Wise, Scott and Tazewell Counties<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Mount Rogers Health District<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Smyth County<\/span><\/td>\n<\/tr>\n<tr>\n<td>3<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">New River Health District<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Floyd, Giles, Montgomery, Pulaski Counties and the City of Radford<\/span><\/td>\n<\/tr>\n<tr>\n<td>4<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Hampton\/Peninsula Health Districts<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">York and James City Counties, Cities of Hampton, Newport News and Williamsburg<\/span><\/td>\n<\/tr>\n<tr>\n<td>5<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Council of Community Services<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">City of Roanoke<\/span><\/td>\n<\/tr>\n<tr>\n<td>6<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">AIDS Response Effort<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Town of Berryville and City of Winchester<\/span><\/td>\n<\/tr>\n<tr>\n<td>7<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Chris Atwood Foundation<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Fairfax, Loudon and Prince William Counties<\/span><\/td>\n<\/tr>\n<tr>\n<td>8<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Strength in Peers<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Augusta, Rockingham, Page and Shenandoah Counties and the Cities of Harrisonburg, Staunton and Waynesboro<\/span><\/td>\n<\/tr>\n<tr>\n<td>9<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Virginia Harm Reduction Coalition<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Roanoke, Henry, Patrick, Frankin Counties and the Cities of Roanoke and Martinsville<\/span><\/td>\n<\/tr>\n<tr>\n<td>10<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Health Brigade<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">City of Richmond<\/span><\/td>\n<\/tr>\n<tr>\n<td>11<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Nationz Foundation<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Henrico County, Cities of Richmond and Petersburg<\/span><\/td>\n<\/tr>\n<tr>\n<td>12<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Minority AIDS Support Services<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Cities of Newport News, Hampton, Norfolk, Virginia Beach, Portsmouth and Chesapeake<\/span><\/td>\n<\/tr>\n<tr>\n<td>13<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Community Access Network<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">City of Lynchburg<\/span><\/td>\n<\/tr>\n<tr>\n<td>14<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Salem Virginia Veterans Administration Hospital<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">City of Salem- Veterans only<\/span><\/td>\n<\/tr>\n<tr>\n<td>15<\/td>\n<td><span data-olk-copy-source=\"MessageBody\">Hampton Veterans Administration Medical Center<\/span><\/td>\n<td><span data-olk-copy-source=\"MessageBody\">City of Hampton- Veterans only<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5ba4-3\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69b2f93ed5ba4-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5ba4-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"5\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-3-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Resources and Helpful Links<\/h2>\n<h3>Virginia-Specific Resources<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/127\/2017\/12\/Opioid-Resources-VSP-Div-II.pdf\">Virginia Opioid Resource Guide<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/drug-overdose-data\/primary-overdose-prevention\/\">VDH Primary and Overdose Prevention Webpage<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/data\/opioid-overdose\/\" target=\"_blank\" rel=\"noopener\">VDH Opioid Dashboard<\/a><\/li>\n<li><a href=\"https:\/\/dbhds.virginia.gov\/behavioral-health\/substance-abuse-services\/revive\" target=\"_blank\" rel=\"noopener\">REVIVE! Education (Overdose Reversal)<\/a><\/li>\n<li><a href=\"https:\/\/curbthecrisis.com\/\" target=\"_blank\" rel=\"noopener\">Curb the Crisis - Virginia Addiction Prevention and Recovery Resources<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/09\/Flu-Shot-Flyer.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Flu Shot Flyer<\/a>\u00a0(<a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/10\/CHR-Flu-Flyer_Espanol.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">en Espanol<\/a>)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>National Helpline<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>For help with substance use, call the National Helpline at 1-800-662-HELP (4357)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>Fact Sheets\/Frequently Asked Questions (FAQs)<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/09\/CHR-FAQs-Public.pdf\" target=\"_blank\" rel=\"noopener\">FAQs for the Public<\/a><\/li>\n<li><a href=\"https:\/\/www.amfar.org\/wp-content\/uploads\/2022\/05\/fact-sheet-Syringe-Exchange-031913.pdf\" target=\"_blank\" rel=\"noopener\">Fact Sheet on Public Safety, Law Enforcement, and Syringe Exchange<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69b2f93ed5ba4-3-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"6\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5ba4-3-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Contact Us<\/h2>\n<p>For questions about HIV or hepatitis contact the Virginia Disease Prevention Hotline at (800) 533-4148.\u00a0 You can also email the hotline at <span style=\"text-decoration: underline;\"><a href=\"mailto:hiv-stdhotline@vdh.virginia.gov\">hiv-stdhotline@vdh.virginia.gov<\/a><\/span>.<\/p>\n<p>For information about CHR programs, contact <a href=\"mailto:chr@vdh.virginia.gov\">chr@vdh.virginia.gov<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"tab-pane  fade\" id=\"tab-for-currentinterested-chr-sites\" role=\"tabpanel\">\n\t\t\t\t\t\t\t<div id=\"pl-w69b2f93ed5bb0\"  class=\"panel-layout\" ><div id=\"pg-w69b2f93ed5bb0-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69b2f93ed5bb0-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Resources\/Forms for Agencies Seeking Approval to Operate a CHR Program<\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/redcap.vdh.virginia.gov\/redcap\/surveys\/?s=YE8DADXAHDYWMTHE\" target=\"_blank\" rel=\"noopener\">VA CHR Program Authorization Application<\/a>\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/09\/CHR-Application_09-2020.docx\">Request to Amend the Operation of a CHR Program in Virginia<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/07\/VA-CHR-Program-Requirements.docx\">VA CHR Program Requirements<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2017\/06\/CHR-Security-Plan-Template.docx\" target=\"_blank\" rel=\"noopener noreferrer\">Security Plan for CHR program<\/a><\/li>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2017\/06\/CHR-Program-Work-Plan-Template.docx\" target=\"_blank\" rel=\"noopener noreferrer\">CHR Program Work Plan Template<\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/aidsetc.org\/aetc-program\/inova-health-system-juniper-program\" target=\"_blank\" rel=\"noopener noreferrer\">Mid-Atlantic AIDS Education and Training Center-Inova Health System<\/a><\/li>\n<li><a href=\"https:\/\/www.maaetc.org\/sites\/view\/8\" target=\"_blank\" rel=\"noopener noreferrer\">Mid-Atlantic AIDS Education and Training Center-Virginia Commonwealth University\u00a0<\/a><\/li>\n<li><a href=\"http:\/\/vharcc.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Virginia HIV\/AIDS Resource and Consultation Centers\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.osha.gov\/pls\/oshaweb\/owadisp.show_document?p_table=standards&amp;p_id=10051\" target=\"_blank\" rel=\"noopener noreferrer\">OHSA Bloodborne Pathogens Standards (29 CFR 1910.1039)\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/infectioncontrol\/pdf\/outpatient\/guide.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CDC Guide to Infection Prevention in Outpatient Settings: Minimum Expectations for Safe Care\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/stacks.cdc.gov\/view\/cdc\/20711\" target=\"_blank\" rel=\"noopener noreferrer\">USPHS Guidelines for Management of Occupational Exposure<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5bb0-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-w69b2f93ed5bb0-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-1-0-0\" class=\"so-panel widget widget_sow-hero panel-first-child panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-1-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-hero so-widget-sow-hero-default-e5a383cbe49e-4706 so-widget-fittext-wrapper\"\n\t\t\t data-fit-text-compressor=\"0.85\"\n\t\t>\t\t\t\t<div class=\"sow-slider-base\" style=\"display: none\" tabindex=\"0\">\n\t\t\t\t\t<ul\n\t\t\t\t\tclass=\"sow-slider-images\"\n\t\t\t\t\tdata-settings=\"{&quot;pagination&quot;:true,&quot;speed&quot;:&quot;800&quot;,&quot;timeout&quot;:&quot;8000&quot;,&quot;paused&quot;:false,&quot;pause_on_hover&quot;:false,&quot;swipe&quot;:&quot;on&quot;,&quot;nav_always_show_desktop&quot;:&quot;&quot;,&quot;nav_always_show_mobile&quot;:&quot;&quot;,&quot;breakpoint&quot;:&quot;780px&quot;,&quot;unmute&quot;:false,&quot;anchor&quot;:null}\"\n\t\t\t\t\t\t\t\t\t\tdata-anchor-id=\"\"\n\t\t\t\t>\t\t<li class=\"sow-slider-image  sow-slider-image-cover\" style=\"visibility: visible;;background-color: #333333\" >\n\t\t\t\t\t<div class=\"sow-slider-image-container\">\n\t\t\t<div class=\"sow-slider-image-wrapper\">\n\t\t\t\t<h1>Naloxone (Narcan) Partner Program<\/h1>\nVDH is offering free Naloxone to approved harm reduction partners\n\n<div class=\"sow-hero-buttons\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-212b26757ca1\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/naloxonepartnerprogram\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tApply Now\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div>\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"sow-slider-image-overlay sow-slider-image-cover\" style=\"opacity: 0.5;background-image: url(https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2021\/05\/shutterstock_767767987.png)\"  ><\/div>\t\t<\/li>\n\t\t<\/ul>\t\t\t\t<ol class=\"sow-slider-pagination\">\n\t\t\t\t\t\t\t\t\t\t\t<li><a href=\"#\" data-goto=\"0\" aria-label=\"Display slide 1\"><\/a><\/li>\n\t\t\t\t\t\t\t\t\t<\/ol>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-next\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"next\" aria-label=\"Next slide\" data-action=\"next\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-right\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-prev\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"previous\" aria-label=\"Previous slide\" data-action=\"prev\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-left\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5bb0-2\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69b2f93ed5bb0-2\" ><div id=\"pgc-w69b2f93ed5bb0-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-2-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-2-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<div id=\"m_7365139354662821668gmail-page\">\n<div id=\"m_7365139354662821668gmail-content\">\n<div id=\"m_7365139354662821668gmail-primary\">\n<div>\n<div id=\"m_7365139354662821668gmail-pl-4706\">\n<div id=\"m_7365139354662821668gmail-pg-4706-0\">\n<div id=\"m_7365139354662821668gmail-pgc-4706-0-0\">\n<div id=\"m_7365139354662821668gmail-panel-4706-0-0-0\">\n<div>\n<div>\n<h2>Information for Interested Sites<\/h2>\n<p>Comprehensive Harm Reduction (CHR) sites must be authorized by the State Health Commissioner.<\/p>\n<p>CHR standards and application materials are available on this page.\u00a0 As of July 1, 2020, organizations wishing to conduct CHR programs will have fewer restrictions in establishing services\/obtaining authorization.\u00a0 <b>\u00a0<\/b>The major changes to the previous law are:<\/p>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>CHR sites can be established in any jurisdiction in Virginia.\u00a0\u00a0The previous law allowed sites only in specific communities at greatest risk for a hepatitis C or HIV outbreak.<\/li>\n<li>Potential sites are no longer required to obtain letters of support from law enforcement, local government, and the local health director in order to apply.<\/li>\n<li>CHR program participants now have protection from prosecution for possession of paraphernalia acquired through the program. Previously only CHR site staff and volunteers had this protection.<\/li>\n<li>The number of mandatory core services has been reduced.\u00a0 This enables smaller organizations to apply for authorization. Agencies seeking VDH funding, however, must still offer the full range of CHR services.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5bb0-3\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69b2f93ed5bb0-3\" ><div id=\"pgc-w69b2f93ed5bb0-3-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-3-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-3-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Helpful Links<\/h2>\n<h3>Virginia-Specific Resources<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2020\/08\/CHR-FAQ_Providers.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">FAQs for Providers<\/a><\/li>\n<li><a href=\"https:\/\/law.lis.virginia.gov\/vacode\/title32.1\/chapter2\/section32.1-45.4\/\" target=\"_blank\" rel=\"noopener noreferrer\">Legislation Authorizing Comprehensive Harm Reduction in Virginia<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>National Resources<\/h3>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/www.cdc.gov\/hiv\/pdf\/risk\/cdc-hiv-syringe-exchange-services.pdf\">CDC Program Guidance for Syringe Services Programs, 2016<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pgc-w69b2f93ed5bb0-3-1\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-3-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"4\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-3-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Naloxone (Narcan) Partner Program<\/h2>\n<p>VDH offers free Naloxone to approved harm reduction programs.<\/p>\n<p>Learn more about the program and how to apply.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-w69b2f93ed5bb0-3-1-1\" class=\"so-panel widget widget_sow-button panel-last-child\" data-index=\"5\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-3-1-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-16b9558ff695-4706\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/epidemiology\/naloxone\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tLearn More\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><div id=\"pg-w69b2f93ed5bb0-4\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w69b2f93ed5bb0-4\" ><div id=\"pgc-w69b2f93ed5bb0-4-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w69b2f93ed5bb0-4-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"6\" ><div class=\"panel-widget-style panel-widget-style-for-w69b2f93ed5bb0-4-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h2>Contact Us<\/h2>\n<p>For additional information about the CHR site application process, or to check on a submitted application, contact <a href=\"mailto:chr@vdh.virginia.gov\">chr@vdh.virginia.gov<\/a>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t<\/div><\/div><\/div><div id=\"pg-4706-2\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-4706-2-0\"  class=\"panel-grid-cell\" ><div id=\"panel-4706-2-0-0\" class=\"so-panel widget widget_sow-hero panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-hero so-widget-sow-hero-default-b3d814de8b7b-4706 so-widget-fittext-wrapper\"\n\t\t\t data-fit-text-compressor=\"0.85\"\n\t\t>\t\t\t\t<div class=\"sow-slider-base\" style=\"display: none\" tabindex=\"0\">\n\t\t\t\t\t<ul\n\t\t\t\t\tclass=\"sow-slider-images\"\n\t\t\t\t\tdata-settings=\"{&quot;pagination&quot;:true,&quot;speed&quot;:800,&quot;timeout&quot;:8000,&quot;paused&quot;:false,&quot;pause_on_hover&quot;:false,&quot;swipe&quot;:true,&quot;nav_always_show_desktop&quot;:&quot;&quot;,&quot;nav_always_show_mobile&quot;:&quot;&quot;,&quot;breakpoint&quot;:&quot;780px&quot;,&quot;unmute&quot;:false,&quot;anchor&quot;:null}\"\n\t\t\t\t\t\t\t\t\t\tdata-anchor-id=\"\"\n\t\t\t\t>\t\t<li class=\"sow-slider-image  sow-slider-image-cover\" style=\"visibility: visible;;background-color: #333333\" >\n\t\t\t\t\t<div class=\"sow-slider-image-container\">\n\t\t\t<div class=\"sow-slider-image-wrapper\">\n\t\t\t\t<h1 style=\"padding-left: 40px\">CHR Program Data<\/h1>\n<p style=\"padding-left: 40px\">Find various data on CHR programs in Virginia<\/p>\n<div class=\"sow-hero-buttons\" style=\"padding-left: 80px\"><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-button so-widget-sow-button-atom-7b2b43487958\"\n\t\t\t\n\t\t><div class=\"ow-button-base ow-button-align-center\"\n>\n\t\t\t<a\n\t\t\t\t\thref=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/chrdata\/\"\n\t\t\t\t\tclass=\"sowb-button ow-icon-placement-left ow-button-hover\" target=\"_blank\" rel=\"noopener noreferrer\" \t>\n\t\t<span>\n\t\t\t\n\t\t\tClick Here\t\t<\/span>\n\t\t\t<\/a>\n\t<\/div>\n<\/div><\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"sow-slider-image-overlay sow-slider-image-cover\" style=\"opacity: 0.5;background-image: url(https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/10\/2019\/08\/stock_data.jpeg)\"  ><\/div>\t\t<\/li>\n\t\t<\/ul>\t\t\t\t<ol class=\"sow-slider-pagination\">\n\t\t\t\t\t\t\t\t\t\t\t<li><a href=\"#\" data-goto=\"0\" aria-label=\"Display slide 1\"><\/a><\/li>\n\t\t\t\t\t\t\t\t\t<\/ol>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-next\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"next\" aria-label=\"Next slide\" data-action=\"next\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-right\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-prev\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"previous\" aria-label=\"Previous slide\" data-action=\"prev\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-left\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>CHR Program For Current\/Interested CHR Sites CHR Outreach Staff What is Comprehensive Harm Reduction? Comprehensive Harm Reduction (CHR) is a set of public health services. CHR is designed to reduce the negative impact of drug use. It helps prevent HIV, hepatitis C, other infections, overdose and death. It is intended for those who are unable [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-4706","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Comprehensive Harm Reduction - Disease Prevention<\/title>\n<meta name=\"description\" content=\"Information on comprehensive harm reduction (CHR) in Virginia. You can also find sites authorized to conduct CHR services in the state.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/disease-prevention\/chr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Comprehensive Harm Reduction - Disease Prevention\" \/>\n<meta property=\"og:description\" content=\"Information on comprehensive harm reduction (CHR) in Virginia. 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