Support Package

Questionnaire

When possible, NASEN provides program support packages (PSPs), These packages are intended to support newly emerging syringe service programs or resource-lacking programs with the very basic of harm reduction supplies to assist in the beginning stages of developing their programs.

Please note that program support package applications must be completed in full with a non P.O. Box ship-to address and current contact information. All applicants will receive a follow-up email with information on the status of their program application. Please only submit one application per program in a two year period. Waitlists may apply due to the availability of funding.

Program Details
Legal Status
Program Contact
Questions
  Yes No
Is this program currently operational?*
Did your program lose funding due to COVID-19?*
Has your organization received a program support package from Dave Purchase Project/NASEN in the past 2-years?*
Are you a syringe service program?*
Are you an overdose prevention program?*
Are you a current NASEN Buyers Club customer?*
Have you applied for any other grants or funding opportunities?*
Do you distribute Narcan (i.e., Naloxone)?*
Are you a drug user's union?*
Are you a sex worker's union?*
Are you aware of any other harm reduction programs in your community?*
Do you offer services specifically for people who identify as transgender?*
Do you have a physician's license?* (This is a requirement for Narcan in some states)
Do you offer delivery services?*
Are you currently listed on the NASEN Directory?* (nasen.org/map)
If not, may we publish your information on the NASEN Directory?*
Do you identify as a rural, suburban, or city-based program?*


   
How many days a week does this program operate?*
How many participants per week do you serve (average)?*
Are you run by a local or state health department? If so, which?
   
Do you use a data collection system? If so, which?
   
Please select the harm reduction supplies you are currently most in need of.










* Personal sharps containers
** May require a physician's license

   
Additional Locations

If your exchange is operated at different location(s) than the address you provided above, please provide additional locations below.

Address
Hours
Address
Hours
Delivery

If your exchange offers harm reduction supply delivery, please provide additional locations below.

Contact
Delivery Hours
Submit

Upon distribution of the supplies, SSPs receiving program support packages are asked to submit a short narrative summarizing how the program support package impacted their ability to provide exchange services as well as basic demographic data on the participants they served.

1. NASEN publishes a US syringe Exchange Directory that is distributed to other programs for the purposes of networking, collaboration, and directing participants who are traveling or moving.
2. The American Foundation for AIDS Research (amfAR) publishes a yearly syringe exchange map that shows cities that have an operating exchange.
3. The Beth Israel Medical Survey is currently the only collection and source of National Syringe Exchange data for the United States. This survey is a key component and tool in lifting the federal ban on funding syringe exchange. The Dave Purchase Survey, formally known as the Beth Isreal Medical Survey, is currently the only collection and source of national syringe exchange data for the United States. This survey is akey component and tool in lifting the federal ban on fundig syringe exchanges.
4. NASEN occasionally collaborates with individuals and/or organizations conducting research regarding syringe exchange/harm reduction efforts in the United States (e.g., Don Des Jarlais, PhD. of New York University/Beth Israel/Mt Sinai to conduct the biennial Dave Purchase Memorial National Survey of Syringe Exchange Projects).