Harm Reduction

The MaineGeneral Harm Reduction Program, a program of MaineGeneral Community Care, offers free and anonymous services:

  • Needle exchange and clean supplies
    • Exchanges on a 1-for-1 basis only
    • New clients receive a membership card and welcome packet
  • Harm reduction counseling
  • HIV/Hepatitis C testing
  • Safer sex supplies and education
  • Overdose prevention and naloxone (NARCAN®) education (presently we can't dispense naloxone kits on site)
  • Referrals to primary care, substance use disorder treatment, recovery resources and other services

Next Step Needle Exchange

The Next Step Needle Exchange is located in Augusta and Waterville.

In Augusta, the program is located on the second floor at 9 Green Street. In Waterville, it is located on the Terrace Level of the Thayer Center for Health (TCH) at 149 North Street.

The program is an anonymous exchange for those 18 years old or older.

It works on a “point for point” exchange - for every syringe brought in by an exchange member, they receive an unused one in return. Other injection supplies such as alcohol pads and triple antibiotic ointment also are available.

The Next Step Needle Exchange is open in Augusta on Tuesdays from 2:30 - 4:30 p.m., and on Wednesdays from 12:30 - 4:30 p.m.

In Waterville, the service is available on Fridays from 10 a.m. to 2 p.m.

Printable Information

HIV/Hepatitis C Testing

You'll find free HIV and Hepatitis C testing at our 9 Green Street, Augusta and 149 North Street, Waterville locations for those who have used injection drugs.

The anonymous testing process uses Oraquick testing technology which is completed in about 30 minutes. No appointment is needed during Needle Exchange hours (see above). Testing outside of walk-in hours is by appointment.

Overdose Prevention and Naloxone

Most opioid overdoses in Maine happen by accident. If you or a family member have been prescribed a prescription painkiller, you may want to ask your health care team for an emergency opioid reversal kit that includes a prescription of naloxone, which reverses opioid overdoses.

For more information on how to use the kit, check out these instructionswatch our video or call (207) 872-4102.

How to Avoid Accidental Overdose

We help educate community members and organizations on the opioid crisis in Maine, how to identify and respond to an opioid overdose and how to use emergency opioid overdose reversal kits.

Please call (207) 872-4102 to schedule one of our presentations.

Safer Sex Dispensary

Free condoms and other safe sex supplies are available on the second floor at 9 Green Street, Augusta and the Terrace Level, Thayer Center for Health, Waterville. This resource is open to the public and can be used anonymously.

Community Education and Resources

MaineGeneral's Prevention & Healthy Living offers educational presentations on opioid overdose prevention and naloxone use. To schedule one, please call (207) 872-4102.

  • What You Need to Know About Naloxone: A training on how to use intra-nasal emergency opioid overdose kits
  • Sex and Drugs Jeopardy: An interactive presentation about addiction, medication-assisted treatment, opioid overdoses, HIV and Hepatitis A, B and C
  • Information on treatment options in Kennebec and Somerset counties. Find treatment options for adults and for teens.

Locations & Hours

  • Augusta: 9 Green Street, second floor
    Tuesdays, 2:30 - 4:30 p.m.
    Wednesdays, 12:30 - 4:30 p.m.
  • Waterville: TCH, 149 North Street, Terrace Level
    Fridays, 10 a.m. - 2 p.m

Directions from TCH Main Entrance: Take elevators down to Terrace Level. Across from elevators, enter door marked Prevention Center and look for the welcome sign and waiting area on the left.

A United Way partner program.

United Way Logo

Contact Us

(207) 872-4102