Where Can You Get Narcan?

Community Regional Medical Center(Go to the Emergency Department)2823 Fresno St, Fresno, CA 93721 (no fee/no cost)

Fresno County Department of Public Health1221 Fulton Street, Fresno, CA 93721

Fresno/San Joaquin Needle Exchange (prescription only) (559) 412-6226

Zachary Horton Foundation 2585 E. Perrin #103 Fresno, CA 93720

Dose of Reality: Safer Use/Harm Reduction

Opioids can harm you. That’s why we are sharing safer use tips to reduce the harm you or someone you love may experience when using opioids. While these tips won’t eliminate all dangers of opioids, they will lower your chances of an overdose, infection, or other bad outcome. The purpose of these tips is to keep people who use opioids alive and well.

Tips to protect yourself

Come up with an overdose plan. Talk to family members and friends about what they can do to help you in case of an overdose.

Naloxone saves lives. Naloxone is an overdose reversal drug. Carry it with you. Let others know you have it. A trusted family member or friend can administer naloxone to save your life. It can take more than one dose of naloxone to reverse an overdose.

It’s dangerous to take opioids when you are alone. If a trusted family member or friend is around and alert, they can look for the signs of an overdose and administer naloxone should an overdose occur. If a trusted family member or friend is not available, call Never Use Alone.

Mixing drugs is risky. Combining opioids with other drugs, including alcohol, puts you at greater risk for an overdose.

Consider your physical health. People living with asthma or other breathing problems, kidney issues, liver issues, and HIV are at high risk for an overdose.

More tips for people who are prescribed opioids

Limit your use of the medicine. Unlike antibiotics where taking the entire course of medication is necessary, you should stop taking opioids as soon as your pain subsides. Take only the dose prescribed on the schedule prescribed.

Don’t share your medicine. Opioids were prescribed to you based on your unique needs. A recommended dose for one person could be harmful to another person.

Safely store your medicine. Leaving opioids on counters or in easily accessible medicine cabinets can lead others to take your opioids without your knowledge. Store your opioids in a safe place out of reach of children and pets. The best spot is a locked box or cabinet.

Safely dispose of leftover medicine. There is no need to hang onto opioids you did not take. If your pain returns, that’s because your body likely has not fully healed and you may need other help to fully recover. Take leftover opioids to a drug drop box.

More tips for people who use other opioids

Fentanyl test strips are legal. Fentanyl test strips can be used to check for the presence of fentanyl in drugs. They are available for free at many locations in Wisconsin. Learn more about fentanyl test strips.

Injecting opioids is dangerous. Injecting opioids can increase the risk of overdose and infection. Reusing needles and supplies or sharing them with others increases the chance of a negative outcome, such as contracting hepatitis C or HIV. Not sanitizing the injection site beforehand can lead to infection. Syringe services programs provide access to sterile syringes and supplies, accept used syringes and supplies for safe disposal, and provide testing and treatment for infectious diseases. Find a syringe services program near you.

Opioids can act fast on your brain and body. This can put you at greater risk of an overdose. People who don’t regularly consume opioids can be at greater risk of an overdose. Those who use opioids from an unknown source are also at greater risk of an overdose if they consume too much.

Your health matters. Overall health impacts the risk of an overdose. Dehydration, lack of sleep, and hunger can increase the likelihood of an overdose.

Save a life with naloxone

You can reverse an opioid overdose if you know what to do and you act in time. Whether you use opioids, love someone who does, or just care about the people in your community, it’s important to be prepared if you encounter someone who is experiencing an opioid overdose.

Carrying naloxone can save lives. This is the drug that blocks the harmful effects of opioids on the brain. It is specific to opioids. If opioids are not involved with the overdose, it will not cause any harm.

How to give someone naloxone

Nasal naloxone (NARCAN®)

NARCAN® is simple to use. Each NARCAN® device contains one dose.

Call 911 and follow the operator’s instructions.

Place the tip of the nozzle in either nostril until your fingers touch the nose.

Press the plunger firmly to release the dose.

Give rescue breaths if needed.

NARCAN® usually starts working within a few minutes and lasts from 30 to 90 minutes. More than one dose of NARCAN® is sometimes needed. If there is no response after two to three minutes, give a second dose of NARCAN® in the other nostril.

Learn more about nasal naloxone

Signs of an Overdose/How to Administer Nasal Naloxone, P-03094 (wallet card)This wallet card provides an overview of the signs of an opioid overdose and how to administer nasal naloxone. It is available in English, Hmong, and Spanish.

Watch the following video to learn how to recognize an opioid overdose and how to use NARCAN® to save a life.

Injection naloxone

Injection naloxone is easy to use.

Call 911 and follow the operator’s instructions.

Pop off the flip top from the naloxone vial.

Insert the needle into the vial and draw up 1cc into the syringe.

Inject the needle straight into the muscle (through clothes, if necessary) on the shoulder, thigh, or upper outer part of the buttocks, and then push in the plunger.

Injection naloxone usually starts working within a few minutes and lasts from 30 to 90 minutes. More than one dose of injection naloxone is sometimes needed. If there is no response after two to three minutes, give a second dose of injection naloxone.

Talk about naloxone

If you have concerns about a loved one taking a prescription opioid or using drugs commonly mixed with fentanyl, like heroin, methamphetamine, and cocaine, here are some tips on having a conversation about naloxone.

Ask what they know about naloxone. Simply starting the conversation shows that you care and can be a source of support.

Make it clear that their safety is your main priority. Naloxone can save their life—or a loved one’s—by quickly and safely reversing an opioid overdose.

Share that naloxone is for anyone who uses opioids and other substances that are commonly mixed with fentanyl or other synthetic opioids. Naloxone is effective for any opioid overdose, including prescription pain relievers, heroin, and fentanyl overdoses.

Meet them where they’re at. They may be struggling, so offer your support by listening and giving them your undivided attention. Let them know they’re important to you. That’s why preparing for an emergency by carrying naloxone is so important.

Know the real facts about naloxone and help call out misinformation. They should know that carrying naloxone won’t get them in trouble.

Emphasize that carrying naloxone is normal and responsible. Point out that many doctors and pharmacists recommend providing naloxone with every opioid prescription. This can help reduce a potential fear of judgment.

Offer to help them get naloxone. Naloxone can be purchased without a prescription at a pharmacy and at no cost from many organizations throughout the state. Find out where you can get naloxone above.

Remind them that should tell others around them that they have naloxone and where to find it when using substances. After all, naloxone cannot be self-administered.

Encourage them to keep multiple doses of naloxone on hand. Sometimes it takes more than one dose to reverse an overdose.

Promote the importance of carrying naloxone: Visit the Dose of Reality: Partner Resources section for flyers, posters, and social media posts, as well as audio and video advertisements.

Safe disposal saves lives

Safely disposing of unused and unwanted medications and used medical supplies helps protect the people around you and your environment. There are many safe disposal options available to everyone throughout your area.

Our Foundation has been established as Zach’s legacy. We want him to be remembered. Our hope is to connect with families and communities struggling with addiction and provide support in many shapes and forms.

All In House

Male beds

970 N Bush Ave. Clovis

Contact: (559) 281-0947

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Centers for Living

Five area male & female homes

Fresno & Clovis locations

Contact: (559) 270-6429

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The Colony

Male beds

472 E Stuart Ave. Fresno

Contact: (562) 419-0748

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Copper Home

Co-ed beds

3960 E International Ave. Clovis

Contact: (559) 348-3029

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Zach’s House on Ellery

Female beds

742 E Ellery Ave. Fresno

(559) 349-7581

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The Fortress

Male beds

670 N Claremont Ave. Clovis

(559) 723-9064

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Grace House

Male beds

6222 N Bond St. Fresno

Contact: (559) 281-0947

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Lions Den

Male beds

1597 E Trenton Ave. Fresno

Contact: (559) 281-0947

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Villa House 

Male beds

2183 W San Jose Ave. Fresno

Contact: (559) 371-2600

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The Nest

Male beds

1686 N Delbert Ave. Fresno

Contact: (559) 930-8155

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Safe House

Male beds

1560 E El Paso Ave. Fresno

Contact: (559) 281-0947

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Serenity House

Female beds

1645 E Sample Ave. Fresno

Contact: (559) 281-0947

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Stay Up Recovery

Male beds

5889 E Ramona Ave. Fresno

(714) 655-8691

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Sierra Wellness Home

Male beds

476 W Palo Alto Ave. Fresno

Contact: (559) 348-3029

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Women’s Sober Living Fresno

Female beds

http://womenssoberlivingfresno.com

Contact: 559-930-1324

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Ascend Behavioral Health

Ascend exists to help restore hope in the lives of Fresno teenagers affected by mental health conditions. Our goal at Ascend is to help restore healthy neuropsychological “brain” functioning in each teen we serve. In doing so, we strive to not only reduce the symptoms of mental health conditions, but to help our teens start a journey towards healing and wholeness. We know that quality psychological care can be very difficult to find. When you or a loved one is suffering, trying to understand and navigate the broken mental health system in our country is daunting. We are here to provide hope in your time of suffering by being a beacon of hope and a path towards healing.

1781 E. Fir Ave, Suite 101, Fresno, CA 93720

(559) 472-3371

www.ascendbh.com

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Aspire Counseling Services

Aspire Counseling Services provides behavioral health, substance use disorders treatment in the Fresno area through an effective Partial Hospitalization Program and Intensive outpatient program for men, women, adolescents, and families struggling with behavioral health issues in Fresno Madera counties. The therapists and counselors at Aspire Counseling Services have an abundance of experience and care with treating behavioral health, substance use disorders.

7498 N Remington Ave Suite 102

Fresno, CA 93711

Office: (559) 777-6797

24hr line 888-585-7373

www.aspirecounselingservice.com/fresno

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First Steps Recovery

First Steps Recovery is a luxury residential drug and alcohol treatment program in Clovis and Fresno, CA that specializes in providing every aspect of addiction treatment with quality and compassion. Our proven drug treatment programs in the Central Valley attract patients and their families from throughout the country, as well as locally in Fresno, Clovis, and Sacramento. Most private insurance accepted. Outpatient and PHP services available as well.

2121 Herndon Ave Clovis CA 93611

24hr line (844) 489-0836

(559) 907-8128

www.firststepsrecovery.com

Contact: Sean

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Fresno Rescue Mission

Rescue, Restore and Empower through Christ-centered communities of transformation. Recognizing the teachings of Jesus; that the least, the last, and the lost will always be in our midst, Fresno Rescue Mission partners with the Christian community, social service agencies, businesses, families, and individuals to meet the spiritual and physical needs of all men, women, and children in our community.

263 G Street, Fresno CA 93706

(559) 268-0839

Contact: Rachael

Most private insurance accepted

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Herndon Recovery Center

Herndon Recovery recognizes that chemical dependency is a treatable illness that may require professional assistance. Facilities are committed to providing health care services to regain the necessary skills and ability to be in maximum control of emotions and behaviors. A dual-diagnosis facility capable of assessing patients for underlying issues, such as co-occurring mental disorders.

7055 N. Chestnut Ave. #101, Fresno, CA 93720

(559) 298-5111

www.herndonrecoverycenter.org

Confidential Email: herndonrecovery@gmail.com

Services are covered by most insurance plans. Medi-Cal and Medi-Care are not accepted.

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Light House Women’s Recovery Center

The Light House Women’s Recovery Center offers both Residential and Non-Residential drug and alcohol addiction treatment programs to women suffering from life-controlling substance abuse.

1545 Fulton Street, Fresno, CA 93721

559-222-4824

www.lighthousewomensrecovery.org

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My Time Recovery

My Time Recovery is the Central Valley’s premiere evidence-based dual diagnosis drug rehab and alcohol treatment center located in Fresno, California. My Time Recovery is accredited by the Joint Commission, licensed DHCS residential facility for detox, certified intensive outpatient, and partial hospitalization program. MyTime serves adults and accepts most private insurance.

83 E Shaw Ave #200, Fresno CA 93710

(559) 550-2809

www.mytimerecovery.com

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PH Wellness

PH Wellness is a detox and residential treatment center located in Riverside California. We are an evidence-based rehab for those struggling with addiction and co-occurring mental health conditions. Our Founder Tony Hoffman is a Clovis native who has spent the last 13 years traveling the country speaking on mental health and addiction, sharing his story from prison to the Olympics. Tony’s dream with PH is to create a sobriety model we like to call F.I.T. fitness, inventory work, transferable life skills. We believe the residents of PH Wellness will benefit most from daily routines that can be replicated and implemented anywhere after they leave treatment.

7603 Dufferin Ave, Riverside CA 92504

Contact: Jacob Alonzo

951-262-8046

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Sierra Meadows Behavioral Heath

Sierra Meadows Behavioral Health exists to help restore hope in the lives of those affected by mental health conditions. We provide counseling for depression, anxiety, and behavioral health conditions. Our therapists’ aim is to help restore healthy neuropsychological “brain” functioning in each individual we serve. Morning and evening outpatient services are available as well as inpatient.

1781 E Fir Ave Suite 102, Fresno, CA 93720

24hr line (559) 326-7775

(559) 578-5869

www.sierrameadowsbehavioralhealth.com

Most private insurance accepted

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Teen Challenge Central Valley

Teen Challenge is a faith-based residential program located in Reedley, CA for men and Bakersfield for women. Teen challenge helps men and women overcome addiction through a setting of community, faith, and developing coping skills. Teen Challenge is a 1 year inpatient program. Teen Challenge is completely free of charge to the individual.

42675 Rd 44, Reedley, CA 93654

(559) 387-5132

www.teenchallengeusa.org

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Total Life Change

Contact: Pastor Tod Harris Executive Director

(559) 908-9229

P.O. Box 28522 Fresno, CA 93729

www.tlc777.org

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Touchstone Recovery

Eight Week Program involving 4 three-hour sessions a week for adults and adolescents. One-on-one Counseling once a week. Healing Techniques such as yoga and breathworks to address mind, body and spirit. Dependable alcohol and drug testing. Weekly offered appointments with Dr Guzzetta, a certified Addictionologist. Build community in your recovery in an intimate small group setting. Repair your relationships with family sessions offered twice a week

1781 E Fir Ave Suite 201, Fresno CA 93720

559-298-6711

www.touchstonerecoverycenter.com

Most private insurance accepted

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Westcare MAT Program

WestCare California’s OUR WestCare MATTERS provides evidence-based Medication-Assisted Treatment (MAT) for adult men and women within Fresno County who have an opioid use disorder, are covered by MediCal, and are enrolled in or are interested in attending a residential or outpatient treatment program. Our program uses only FDA-approved medications and recovery support services. With a combination of counseling and therapies, MAT can help individuals sustain recovery through a whole-person approach. 

1900 N Gateway Blvd Ste 116, Fresno, CA 93272

(559) 341-3810

www.westcare.com