Safer Use Techniques
States of Change
Harm Redux History
Drugs 101
Overdose Prevention
100

A technique that ensures you will never use a needle that is contaminated

What is using sterile supplies every time?
100

A stage that is defined by a person practicing a new behavior and is best supported by focusing on supporting self efficacy through obstacles along the way

What is the action stage?

100

The first state in the US to open a legally sanctioned supervised injection site for people who use drugs

What is New York

100

This synthetic opioid has led to the current opioid overdose epidemic due to its potency and low cost compared to other opiates

What is Fentanyl?

100

This form of Naloxone comes in a device that can administer the drug intranasally. 

What is Narcan

200

A technique that reduces stress on the area of injection

What is rotating injection sites?

200

A stage defined by "ambivalence" and a reluctance to decide to make a change in behavior or not and is best supported by evaluating pros and cons of a behavior

What is the contemplation stage?

200

In order to distribute safer use supplies during a time when syringe access services were still illegal, volunteers used this transportation device to fly under the radar of the police

What is a baby stroller?

200

This strong tranquilizer used in veterinary medicine has been showing up in heroine, fentanyl, and speedball in many parts of the US, because this drug is not an opiate, naloxone has no effect on it

What is Xylazine?

200

This drug is able to reverse opiate overdoses and save lives.

What is Naloxone

300

A technique that has been enabled by 24/7 support phone numbers

What is never using alone?

300

A stage defined by strategizing how to make a change in behavior and is best supported by identifying social supports and the skills needed for change

What is the preparation stage?

300

This advocacy organization started in 1993 by Francie and Stephanie Comer, Dan Biggs, George Clark (head of SF's needle exchange at the time), and Dave Purchase

What is the National Harm Reduction Coalition

300

First made in 1874 from morphine, a natural product of the opium, poppy

What is Heroine?

300

This technique is crucial to use in between doses of Naloxone to decrease the risk of brain damage from lack of oxygen.

What is Rescue Breathing?

400

This technique helps inform you about what your drugs are made of

What are Fentanyl test strips?

400

A stage defined by continued commitment to sustaining a new behavior and is best supported by reenforcing rewards and safety planning around returning to past behaviors

What is the maintenance stage?

400

San Francisco's first needle exchange program established in 1988 when a group of people recognized they needed to do something to stop the spread of HIV among people who inject drugs

What is Prevention Point?

400

These drugs can produce symptoms of overdose that look very different from opiates. Known as overamping, these symptoms include extreme anxiety or paranoia, chest pain, increased heart rate, nausea or vomiting, irregular breathing, or shortness of breath

What are stimulants?

400

This is how long Narcan stays in the system before wearing off.

What is Approximately 90 minutes

500

This harm reduction saying refers to using measured amounts of drugs over an extended period of time in order to reduce the likelihood of overdose 

What is 'you can always use more, you can never use less'?

500

A stage defined by a complete lack of interest around changing a particular behavior and is best supported by discussing current needs and desires

What is precontemplation?

500

This heroic mascot promoted the use of bleach to clean used syringes so that they could be reused during a time when there was limited access to sterile supply distribution

What is bleach man?

500
While an overdose from this drug rarely leads to death, it is very important to protect a person using this drug from injuries resulting from falling by using in a safe position, such as sitting or lying down.

What is ketamine?

500
This is how long one should wait after administering Naloxone before giving another dose.
What is three minutes?