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What It Is

Kentucky Syringe Exchange Programs

What Are Syringe Exchange Programs (SEPs)? 
Syringe exchange programs (SEPs) have existed and been studied extensively in the United States since 1988. SEPs are community-based programs that provide access to sterile needles and syringes free of cost, facilitate safe disposal of used needles and syringes and offer safer injection education. SEPs in Kentucky also provide linkages to critical services and programs, including substance use disorder treatment programs; overdose prevention education; screening, care and treatment for HIV and viral hepatitis; prevention of mother-to-child transmission; hepatitis A and hepatitis B vaccination; screening for other sexually transmitted diseases and tuberculosis; partner services; and other medical, social and mental health services.

In direct response to Senate Bill 192 enacted during the 2015 regular legislative session, the Kentucky Department for Public Health has published guidelines for local health departments implementing harm reduction and syringe exchange programs.

SB 192 impacts KRS 218A.500
Why Does Kentucky Need Syringe Exchange Programs ? 
Syringe exchange programs are designed to mitigate a number of public health issues, including emergence of a new HIV epidemic. An Indiana town near Louisville recently had an HIV outbreak among people who inject drugs. Austin, Ind. now has HIV rates comparable to those in sub-Saharan Africa. Undoubtedly, this outbreak will cost Indiana millions of dollars to treat the new HIV infections. 

Nearly half of Kentucky’s counties are at risk of an HIV outbreak
Recently the CDC analyzed every county in the United States to determine how vulnerable others might be to an HIV outbreak like the one in Indiana. Of the 220 counties across the US identified as highly vulnerable, 54 are in Kentucky (see map below). Kentucky has also had some of the highest rates of hepatitis C in the nation for several years. This is foretelling, because most of these new hepatitis C infections are from people who inject drugs and share needles, cookers and other contaminated equipment. Hepatitis C rates like those in Kentucky are seen as the canary in the coal mine for an HIV outbreak. SEPs have proven capable of reducing the chance of an outbreak.
Printable KY SEP MAP

Facts about Syringe Exchange Programs 
  • SEPs do not encourage the initiation of drug use nor do they increase the frequency of drug use among current users. (1)
  • SEPs reduce the spread of infections like HIV and viral hepatitis. (2)
  • SEPs do not increase community crime. Community residents may worry that syringe exchange locations will increase theft, sex trades, assaults, and an increase of contaminated needles on the street. However, studies have shown that syringe exchange programs actually decrease crime in the area they are located. (3)
  • SEPs increase community safety. Research shows that SEPs promote public health and safety by taking syringes off the streets and protecting law enforcement personnel from needle stick injuries, which can result in the transmission of diseases such as HIV/AIDS and hepatitis B and C. (4)
  • SEPs connect people to treatment. One study found that SEP participants are five times more likely to enter a drug treatment program than nonparticipants. (5)
Recommended Best Practices for Effective Syringe Exchange Programs in the United States 
Syringe exchange programs are central to reducing disease and other health burdens among people who inject illicit drugs. Three decades of research have demonstrated the effectiveness of SEPs in preventing HIV and other blood-borne infections, as well as connecting people who inject drugs (PWIDs) with a range of vital medical and social services and supports. The Recommended Best Practices report from the New York City Department of Health and Mental Hygiene with the Drug Policy Alliance summarizes the consensus among United States SEP experts of the underlying principles and programmatic elements that enable or constrain SEP effectiveness. Effective SEPs have the support of local governing bodies and match sound operational characteristics with responsiveness to the unique features of their host communities. New or expanding SEPs may benefit from technical assistance from the considerable expertise of those experienced in operating SEPs around the country. The panel highlighted operational characteristics that are critical for effective SEPs, and measures to be avoided because they undermine the primary goal of SEP: to make new, sterile syringes available to PWIDs.

Characteristics of Effective SEPs (6
  • Ensure low threshold access to services
    • Maximize access by number of locations and available hours
    • Ensure anonymity of participants
    • Minimize the administrative burden of participation
  • Promote secondary syringe distribution
    • Train and support peer educators
    • Do not impose limits on number of syringes (doing so promotes sharing of needles)
  • Maximize responsiveness to characteristics of the local PWID population
    • Adapt planning activities and service modalities to subgroup needs
  • Provide or coordinate the provision of other health and social services
  • Used Syringes are Dangerous
  • How to Clean Your Syringes
  • Include diverse community stakeholders in creating a social and legal environment supportive of SEPs
SEP Practices to avoid (6
  • Supplying single-use syringes
  • Limiting frequency of visits and number of syringes
  • Requiring one-for-one exchange (results in sharing of needles)
  • Imposing geographic limits
  • Restricting syringe volume with unnecessary maximums
  • Requiring identifying documents
  • Requiring unnecessary data collection

Hours and Locations of Syringe Exchange Programs

Address (Alphabetized by City)
MON
TUE
WED
THU
FRI
SAT
Boyd County
The Neighborhood 
2516 Carter Ave
Ashland, KY
----11-2-    
Knox County Health Department (HD)
261 Hospital Dr
Barbourville, KY
---1-3--
Nelson County HD
325 S Third St
Bardstown, KY
8-12,
1-4
8-12,
1-4
8-12,
1-4
8-12,
1-4
8-12,
1-4
-
Lee County HD
48 Center St
Beattyville, KY
8-48-48-48-48-4-
Madison County HD
1001 Ace Dr
Berea, KY
---1-5--
Owsley County HD
501 Highway 28
Booneville, KY
8-48-48-48-48-4-
Barren River District HD
Warren County
1109 State St
Bowling Green, KY
---12-4--
​KY River District
Wolfe County HD
145 KY-11
Campton, KY
​-​-​-​1-4​-​-
​Muhlenburg County HD
105 Legion Dr
Central City, KY
​-​-​-​2-4​-​-
Adair County HD
801 Westlake Dr
Columbia, KY
8-4:308-4:308-4:308-4:308-4:30-
​Northern Kentucky HD
Kenton County (Mobile Unit)
St Elizabeth Healthcare Urgent Care
1500 James Simpson Jr Way
Covington, KY
--​-​1-4​-​-
Harrison County Health Center
364 Oddville Ave
Cynthiana, KY
---12-4:30--
Boyle County Health Center
(basement) 
448 S 3rd St
Danville, KY
----1-3-
Pendleton County Health Center
329 KY-330
Falmouth, KY
1-3-----
Franklin County HD
100 Glenns Creek Rd
Frankfort, KY
8-4:308-4:308-4:308-4:308- 4:30-
Carter County HD
300 W Main St
Grayson, KY
8-38-38-38-38-3-
Greenup County HD
806 Seaton Ave # 1
Greenup, KY
--1-4---
Mercer County HD
900 N College St
Harrodsburg, KY
8-4:308-68-4:308-68- 12:30-
​KY River District
Perry County Health Center
239 Lovern St
Hazard, KY
​1-3:30​-​8-11​-​1-3:30​-
Breathitt County HD
955 Hwy 30 W
Jackson, KY
​--​1-4​-​-​-​
Russell County HD
211 Fruit of the Loom Dr
Jamestown, KY
8-4:308-4:308-4:308-4:308-4:30-
Garrard County Health Center
89 Farra Dr
Lancaster, KY
8-4:308-68-4:308-4:308-12-
Lexington-Fayette County HD 
Dr. Rice C. Leach Community Room
650 Newtown Pike
Lexington, KY
----11-4:30-
​Laurel County HD
525 Whitley St
London, KY
​-​-​-​2-4​-​-
Jefferson County/Louisville Metro
Public Health & Wellness 
400 E Gray St
Louisville, KY
11-41-61-63-611-411-2
Lake Dreamland Fire Station
4603 Cane Run Rd
Louisville, KY
---11-2--
1455 Bicknell Ave 
(corner of Bicknell and Taylor)
Louisville, KY
--11-2---
Portland Family Health Center
(parking lot)
2215 Portland Ave
Louisville, KY
----1-4-
Redeemer Lutheran Church
3640 River Park Dr
Louisville, KY
-9-12----
Clay County HD
330 Shamrock Rd
Manchester, KY
----12:30 -3:30-
Mason County HD
130 E Second St
Maysville, KY
8-4:308-4:308-4:308-4:308-4:30-
Jackson County HD
456 Main St St
McKee, KY
----12-3:30-
Rowan County HD
730 W Main St
Morehead, KY
-1-3:30----
Robertson County HD
45 McDowell St
Mt. Olivet, KY
---2-4:30--
​​Northern Kentucky HD
Campbell County
Mobile Unit
St Elizabeth Healthcare Urgent Care 
1400 N Grand Ave
Newport, KY
​-​1-4​-​-​-​-
Jessamine County HD
210 E Walnut St
Nicholasville, KY
3-6-----
​Bourbon County HD
341 E Main St
Paris, KY
​-​-​-​-​1-4​-
Pike County HD
119 River Dr
Pikeville, KY
4:30-5-----
Floyd County HD
283 Goble St
Prestonsburg, KY
--3-6---
Madison County HD
214 Boggs Ln
Richmond, KY
-3-7----
Elliott County Health Center
109 David Blair Blvd
Sandy Hook, KY
--2-4---
​Lake Cumberland District
Pulaski County HD
45 Roberts St
Somerset, KY
​8-4​8-4​8-4​8-4​8-4​-
Lincoln County HD
44 Health Way
Stanford, KY
8-48-58-48-4--
Powell County HD
376 N Main St
Stanton, KY
---5:30-7--
​Woodford County HD
229 N Main St
Versailles, KY
​8-4:30​8-4:30​8-6​8-4:30​8-12​-
​KY River District 
Letcher County HD
115 E Main St
Whitesburg, KY
​-​-​8-11​-​1-3:30​-
McCreary County HD
119 Medical Ln
Whitley City, KY
8-4:308-4:308-4:308-4:308-4:30-
Whitley County HD
368 Penny Ln
Williamsburg, KY
----2-4-
Grant County Health Center
234 Barnes Rd
Williamstown, KY
--1-4---
Clark County HD
400 Professional Ave
Winchester, KY
----12-4-
 
Printable KY SEP Hours


Naloxone (Narcan) Availability

Single Signature Naloxone Prescription 
Purpose 
Pharmacists are uniquely positioned to help reduce morbidity and mortality associated with opioid overdose by dispensing naloxone to at-risk patients or their friends and family members, and educating them on the proper use of these products. This non-patient specific prescription (standing order) authorized by the Kentucky Department for Public Health (KDPH) establishes the protocol that allows Kentucky-licensed naloxone protocol trained pharmacists to dispense naloxone to at-risk patients and third parties in pharmacies located in Kentucky.

Process 
Print the form below and fax to (502) 564-9377 to be registered in the KDPH program.
This non patient-specific prescription is valid for one year from the date authorized.
Download and Print the Single Signature Prescription Form

Naloxone
Naloxone (Narcan) is a prescription medication that can reverse an overdose that is caused by an opioid drug. When administered during an overdose, naloxone blocks the effects of opioids on the brain and restores breathing. It can be given as an injection into a muscle or as a nasal spray.

Where to get Naloxone in Kentucky


Don't Let Them Die

 
Lethal overdoses claimed more than 1,400 lives in Kentucky last year, a 7.4 percent increase from 2015. Fentanyl, a synthetic opioid up to 50 times more potent than heroin, was a factor in 623 deaths, while heroin contributed to 456 deaths. The highest number of fatalities occurred among people ages 35 to 44, followed by ages 45 to 54. Kentucky currently has the third highest overdose rate in the country and a recent study showed 80 percent of heroin users start with prescription opioids.

"We don't have the luxury of pretending there isn't a problem," said Gov. Matt Bevin. "Every life is worth saving. There is not a person we would not want to see redeemed and removed from this addiction and it is up to all of us to work together and find solutions." 

The governor's office has established a website with information about opioids, treatment and the overdose antidote, naloxone. Officials plan to continue updating the website as new initiatives are announced.

Documentation