Tennessee’s #1 Harm Reduction Resource

Check Out Our First Piece of Research

Last month, we presented our very first piece of research at the Southern Harm Reduction Conference. You can now find that presentation on our YouTube channel — here’s the video:

This research would not have been possible without Ms. Paige Lemen, a Ph.D.-in-progress at the University of Tennessee Health Science Center in Memphis, one of our board members, and our research-partner-in-crime. Follow her Instagram here.

Open, Effective 8:00 p.m., Friday, September 9th

We are once again open.

Closed Until Further Notice – Wednesday, September 7th

As all our participants know, I run our syringe exchange from my car. It’s not a company car. It’s not paid for with somebody else’s money. It’s my personal vehicle. And my vehicle is currently broken. We could be up and running at some point tomorrow, for all I know, but it’s probably going to take a few days. For that reason, we are closed until further notice.

Keep in mind most syringe exchanges are only open one or two days a week, if that, and only for one or two hours at a time. We’re open 13 hours a day, every day of the week.

We may be open for 1 or 2 hours on Saturday or Sunday. Keep in touch with our website and social media to know when or if that will happen. You can find all our social media on our “Contact Us” page.

Exciting Update – August 10th

Southern Harm Reduction Conference of 2022
Atlanta Harm Reduction Coalition

In July, we submitted two abstracts to the Atlanta Harm Reduction Coalition in consideration for the Southern Harm Reduction Conference of 2022. Last week, we were informed that both of our abstracts were accepted! We’ll be making two presentations at this year’s SHRC, held in Atlanta from August 25 – 27

  1. The State of High-Dose Naloxone in the U.S.” For nearly a decade, peer-reviewed publications, pharmaceutical companies, and parts of the recovery and public health communities have called for high-dose naloxone formulations (HDNF) in response to the North American overdose crisis. Our syringe exchange’s in-house data shows that the purported need for HDNF has been vastly overstated, resulting in mass harm to people who use opioids — in fact, we found 93% of overdose reversals involving injectable naloxone required less naloxone than the equivalent of a half-dose of NARCAN®, and 82% of all overdose reversals required less than a single dose of NARCAN®.
  2. Bridging the Gap“. A disconnect has long existed between harm reduction workers and the drug-user-oriented medical community. This leads to healthcare workers using bias to make decisions for both people using drugs safely and for those suffering from substance use disorders (SUDs). For example, many physicians are put into unqualified positions to detect potential lies that patient are in pain and that they are “drug seeking”. Another example: SUD researchers studying potential treatments and cures that remain solely on abstinence from drug use rather than focusing on the mental health disorder.

New Content – August 3rd


We added a new section, “Policy”, to our navigation menu. We plan on uploading policy briefs here — in-depth explanations of the state of harm reduction in Tennessee.

Our first policy brief is “The State of Syringe Access in Tennessee“. It covers laws related to syringe access, a map of Tennessee’s syringe exchanges, and much, much more.

New Content – August 1st


We updated the name of our “MAT” section to “Treatment”. We also created a Treatment page so visitors can better navigate our Treatment section.

We also added a new resource called “MAT Basics” — it’s a short and sweet, provider-oriented guide that explains the differences between buprenorphine (Suboxone®) and methadone.

Update – July 18th

How Do I Get Free NARCAN® in Tennessee?

We recently updated “How Do I Get Free NARCAN® in Tennessee?” to include a new option for Tennesseans to source naloxone. Naloxone Exchange (nXg) is an online pharmacy that ships naloxone to many states across the country, including Tennessee. It’s not free, sadly, with naloxone kits starting at $49. We still recommend several other sources of naloxone before you consider using NxG — read about those options and more by clicking the article title above.

Update – July 27th
We further updated this page to include the possibility of getting free naloxone from a pharmacy with CoverRX, a prescription drug program for low-income Tennesseans..

New Content – July 9th

How to Request Supplies From Us

Do you need syringes, naloxone, or other harm reduction supplies? This resource explains everything you must do to become a participant in our syringe exchange, rural West Tennessee’s first and only resource of its kind. Also included is an explanation of how our program operates, including a comparison to fixed and mobile Syringe Services Programs.

Five-column, 17-row table of Tennessee's Syringe Services Programs (in other words, official, state-approved syringe exchanges); also includes one unofficial, unapproved syringe exchange.  

Table taken from another webpage of ours, titled "Syringe Services Programs (SSPs) and Harm Reduction Programs in Tennessee."

The five columns, read left to right, read "City, Agency, Address, Hours," and "Days"; aside from the header, the other 16 rows are listed alphabetically top-to-bottom based on each syringe exchange's city of location.  The cities/towns with syringe exchanges are as follows:

Athans, Chattanooga, Clairfield, Jackson, Johnson City, Knoxville, Memphis (six), Nashville (two), Newport, Tazewell.

Syringe Services Programs (SSPs) and Harm Reduction Programs in Tennessee

On Friday, July 8th, we finished upgrading our directory of Tennessee’s Syringe Services Programs (syringe exchanges). We made some major changes to improve readability, such as adding this table of times of agency names, addresses, cities, and hours and days of opera tion.

We also included a biography and brief history about every organization on the list. Click any organization’s name from the “Agency” column to jump forward to that organization’s section, where you’ll also find each group’s social media pages, services provided, recent accomplishments and features in local media, and more.

Now a 501(c)(3) nonprofit organization