Comprehensive Harm Reduction

Comprehensive Harm Reduction (CHR) is a set of public health strategies intended to reduce the negative impact of drug use including HIV, hepatitis C, other infections, overdose and death among people who are unable or not ready to stop using drugs.

CHR includes the distribution of sterile and disposal of used hypodermic needles and syringes, education, referral to drug treatment, testing, and an array of other health services.

Comprehensive Harm Reduction (CHR) sites must be authorized by the State Health Commissioner. CHR standards and application materials are available on this page. As of July 1, 2020, organizations wishing to conduct CHR programs will have fewer restrictions in establishing services and obtaining authorization. The major changes to the previous law are:

1. CHR sites can be established in any jurisdiction in Virginia. The previous law allowed sites only in specific communities at greatest risk for a Hepatitis C or HIV outbreak.
2. Potential sites are no longer required to obtain letters of support from law enforcement, local government, and the local health director in order to apply.
3. CHR program participants now have protection from prosecution for possession of paraphernalia acquired through the program. Previously only CHR site staff and volunteers had this protection.
4. The number of mandatory core services has been reduced, which may enable smaller organizations to apply for authorization. Agencies seeking VDH funding, however, must still offer the full range of CHR services.

Authorized CHR Sites in Virginia

CHR Staff at Lenowisco Health District.

Naloxone (Narcan) Partner Program

Virginia Opioid Resources

CHR Program Data

Resources & Helpful Links

Information for Agencies Seeking Approval to Operate a CHR Program