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Opioid Prevention and Response

Safer Drug Use During the COVID-19 Outbreak - Guidelines

COVID-19 Guidance for Harm Reduction Programs

Addiction to opiates/opioids is no longer a hidden issue - it is in plain sight. 

Substance use disorder, especially the use of opiates injected intravenously, has become an epidemic in Butler County and is resulting in unprecedented overdose death. 

This has impacted the health of the public significantly.  Hepatitis, HIV and sexually-transmitted infections are on the rise. Since 2002, new cases of HIV has increased by 800% and Hepatitis C cases have increased by 300% in Butler County. 

Harm Reduction programs can help reduce the negative impacts of the opioid epidemic. 

Harm reduction is a comprehensive, public health initiative intended to reduce the negative effects of drug and alcohol use. 

Harm reduction programs exist for several types of drugs, including opioids, alcohol, stimulants, Ecstasy, and marijuana. They range from needle exchange sites to managed alcohol programs to drug-testing kits at music festivals.

All programs are FREE for Butler County residents 

PROJECT DAWN (Deaths Avoided with Naloxone)
A free community-based overdose education and naloxone distribution program. Provides a drug overdose prevention and educational program for family, friends, or other interested parties, of those who are at high risk for Opioid Overdose.

Project DAWN participants receive training on:

  • Recognizing the signs and symptoms of overdose
  • Distinguishing between different types of overdose
  • Performing rescue breathing
  • Calling emergency medical services
  • Administering intranasal Naloxone
All Participants will receive a free kit containing 2 doses of Naloxone.

Classes are held at the Butler County General Health District. To schedule an appointment call (513) 863-1770  

Also known as needle or syringe exchange programs, BIDPP is a comprehensive, mobile community-based public health initiative that provides disease prevention, education and referral services for people who inject drugs.  

BIDPP services include:

  • Referral to treatment programs to combat addiction, as well as to medical, mental health and social services
  • Education about overdose prevention, infectious diseases and injection safety
  • Safe disposal of used injection equipment
  • Access to sterile injection equipment to fight the spread of infectious diseases
  • Testing and referral to treatment for infectious diseases such as hepatitis, HIV, sexually transmitted infections, and pregnancy testing
  • Hepatitis vaccination
  • Access to an overdose reversing drug; and distribution of personal care items such as socks and underwear, as needed.
According to the Centers for Disease Control and Prevention, people who inject drugs and use a Harm Reduction Program are FIVE times more likely to enter treatment for substance use disorder and are more likely to reduce or stop injecting.


10 AM - 1 PM 
400 block of Crawford Street, Middletown, Ohio.
Call the Middletown City Health Department for more information (513) 425-1818
Made possible by a partnership with the City of Middletown Health Department and the Butler County Mental Health and Addiction Recovery Services Board (MHARS Board)

2 PM- 4 PM 
Mercy Fairfield Hospital, 3000 Mack Road, Fairfield, Ohio
*Located in a gravel lot behind the hospital 
Made possible by a partnership with the Fairfield Opiate Task Force, Mercy Health and the Butler County Mental Health and Addiction Recovery Services Board (MHARS Board)

For more information visit: Exchange Project 
Follow the Exchange Project on social media for daily updates. Facebook and Twitter

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Greater Cincinnati Locations

Day  Location  Address  Time
 Monday  Northside  1670 Cooper St., Cincinnati, 45223  1 - 4 PM
Tuesday   Middletown  400 Block of Crawford St., Middletown, 45044 10 AM - 1 PM 
Tuesday Fairfield Fairfield Mercy Hospital, 3000 Mack Rd., Fairfield, 45014 2 PM - 4 PM
Wednesday   Over the Rhine 106 W. McMicken Ave., Cincinnati, 45202   10 AM - 1 PM
 Thursday Clermont County  3000 Hospital Dr., Clermont County, 45013   10 AM - Noon 
Thursday Corryville Hamilton County Public Health, 250 William Howard Taft, Cincinnati, 45219 1 PM - 4PM
Thursday Northside Caracole, 4138 Hamilton Ave., Cincinnati, 45223 5 PM - 7:30 
 Friday Western Hills  Talbert House Western Hills, 4968 Glenway Ave., Cincinnati, 45238  1 PM - 4 PM 

Caracole's mobile testing van travels provides easy community access to FREE HIV and HEPATITIS C testing, educational materials and community referrals. 

If you have questions regarding community testing, to find where will be located,* or to inquire about bringing our van to your event/location, please contact the HIV Prevention team at 513.761.1480 or email us at prevention@caracole.org   
* Van locations are subject to change dependent upon weather.