What is Harm Reduction?
Harm reduction is an important component of Kentucky's comprehensive approach to addressing substance use through prevention, treatment, and recovery — and empowering people to reach their own goals, through incremental change. Harm reduction is a practical and transformative approach that incorporates community centered public health strategies to empower people who use drugs, and their families. Harm reduction emphasizes engaging directly with people who use drugs to prevent overdose and infectious disease transmission; improve physical, mental, and social wellbeing; and offer low barrier options for accessing health care services. Harm reduction services provide an opportunity to reach people who aren't otherwise accessing healthcare services by providing naloxone, wound care kits and drug testing strips. Harm reduction incorporates a spectrum of strategies that meet people where they are ― on their own terms and may serve as a pathway to additional health and social services, including additional prevention, treatment, and recovery services.
Harm reduction services are provided free of cost at many local health departments in Kentucky as established in
Senate Bill 192. For more information regarding legality, please see
KRS 218A.
Naloxone Availability and Overdose Response Education
What is naloxone?
Naloxone is a medication that temporarily reverses opioid overdose. It works by blocking the effects of opioids on the brain. To find out where you can receive naloxone at no-cost, visit www.FindNaloxoneNowKY.org.
An opioid overdose happens when someone takes too much of an opioid. They become unconscious and their breathing begins to shut down. If an overdose is not reversed, it's likely that this person will stop breathing and die. That's why it's important to give naloxone quickly when you suspect an opioid overdose.
How is naloxone administered?
Knowing how to administer naloxone properly is just as important as recognizing the signs and symptoms of an opioid overdose. Because individuals have different learning styles, www.FindNaloxoneNowKY.org offers access to the trainings in a variety of formats:
- a thorough, five-step training that can be printed on a business card,
How is naloxone distributed throughout Kentucky?
Strategic planning for naloxone distribution focuses on getting naloxone to people likely to witness overdose in the communities where it's needed most. See Kentucky's 2025-2026 Naloxone Saturation Plan to learn more about this approach.
Drug Testing Strips
Drug testing strips can help individuals understand if fentanyl or xylazine is in a substance before they use it. Fentanyl is an extremely potent opioid that may be added to drugs like heroin, methamphetamine, cocaine and pills. Fentanyl increases the risk of overdose. Xylazine is a tranquilizer that is increasingly added to products sold as heroin. It can complicate an overdose and can cause skin wounds that may be difficult to heal. Fentanyl test strips (FTS) and xylazine test strips (XTS) can detect the presence of these substances, but they aren't perfect. False negative and false positive results are both possible - individuals can still overdose even when the strip is negative.
Individuals should follow these instructions closely to get the most accurate results.
Upcoming Mobile Harm Reduction Unit Events
Looking to attend a mobile harm reduction unit event?
View the calendar
Hosting an event?
Request the mobile unit
6 Year Anniversary
Kentucky Harm Reduction Summit
The Kentucky Harm Reduction Summit is a free learning opportunity for Harm Reduction Care Navigators: Adult Peer Support Specialists, Recovery Coaches, First Responders, Healthcare Professionals, Legal Professionals, Local Health Department Staff, and Public Health Educators, to expand their knowledge and fellowship with others in the harm reduction field. This event affords many the chance to discuss the state of harm reduction in their region and exchange ideas regarding evidence-based-best practices to saving lives in the Kentucky.
The Kentucky Harm Reduction Summit is organized by the Kentucky Department for Public Health in collaboration with the Kentucky Injury Prevention and Research Center. It is supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of cooperative agreement 1 NU17CE010186. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, CDC, HHS, or the U.S. government. For more information, please visit CDC.gov.
Previous Harm Reduction Summit Session Recordings
Previous Harm Reduction Summit Endured Materials
First Responders-Comprehensive Addiction and Recovery Act Grant
In 2023, the Kentucky Department for Public Health was awarded the First Responders- Comprehensive Addiction and Recovery Act (FR-CARA) grant by The Substance Abuse and Mental Health Services Administration. The goal of the FR-CARA grant in Kentucky is to expand naloxone training and dispensing for first responders throughout rural counties and to increase awareness for ongoing harm reduction activities and personal safety measures for opioid exposures.
See if your county and agency are eligible: 
FR-CARA Fact Sheet.pdf
Harm Reduction Expansion Projects
Each year, the Kentucky Department for Public Health provides funding to partnering Local Health Departments to expand harm reduction efforts such as increasing hours of operation, hiring peer support specialists, hosting outreach events, implementing media campaigns, and purchasing supplies.
FY24 KDPH KORE Harm Reduction Expansion Project Accomplishments.pdf
FY24 KDPH Naloxone Distribution Box Project Accomplishments.pdf
FY24 KDPH OHE Harm Reduction Project Accomplishments.pdf
FY24 KDPH KY ASAP Harm Reduction Expansion Project Accomplishments.pdf
Want to be stay in touch with KDPH Harm Reduction?
Request to be added to the contact list here.