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Harm Reduction Circle
Harm Reduction Circle
Nightlife Settings, Street-Based Outreach, Online, & Beyond

  • Proudly Serving the State of New Hampshire

    Harm Reduction Circle – New Hampshire Syringe Services Program

    Mailing Address:  P.O. Box 5564, Irvine, CA 92616
    Phone: +1 (949) 659-8180(949) 659-8180
    Hours of Operation: Variable — street outreach and peer delivery available by appointment or request.
    Services Offered: Syringe services, naloxone and fentanyl test strip distribution, mail-order supplies, peer support, wound care referrals, and linkage to treatment or housing resources.
    Make a One-Time Donation

Mission & Vision in New Hampshire

    Every person deserves the chance to survive and thrive, regardless of where they live or what they’ve been through. Harm Reduction Circle’s mission in New Hampshire is rooted in that belief — and in our founder’s deep personal connection to the Granite State. Born and raised in New Hampshire, our founder witnessed firsthand how stigma, isolation, and lack of access to resources have left too many communities struggling without the help they deserve.

Taking care of New Hampshire holds personal meaning to our organization. This is more than a program — it’s a homecoming. Our work honors the people and places that shaped our beginnings, ensuring that every resident, from rural towns to city centers, has access to life-saving harm reduction tools, compassionate education, and supportive connections.

Our purpose is to ensure that every eligible resident can access the tools, education, and support necessary to survive and thrive—regardless of geographic or socioeconomic barriers. e’re committed to breaking down barriers of geography, stigma, and policy so that New Hampshire’s most vulnerable neighbors are never left behind.

Request Services in NH

Local Focus & Peer-Led Model

HRC’s work in New Hampshire is powered by a team of ten trained local volunteers, each bringing lived or living experience. This peer-led structure ensures every service we deliver is accessible, low-barrier, and rooted in trust. We prioritize direct relationships with participants, community partners, and local service providers to ensure continuity of care and culturally responsive support.

Why New Hampshire Is at a Critical Point

  • A State in Crisis: New Hampshire’s overdose death rate is over 50% higher than the U.S. average (36 per 100,000).
  • Severe Barriers to Access: New Hampshire ranks 49th in per-capita public transit funding, leaving many rural residents 30+ miles from care.
  • Critical Funding Gaps: Although syringe services programs are authorized under state law, no state operational funding exists. Programs like ours operate entirely through grants and community donations to keep people alive.

Public Health

Public health data represent the overall risk and protective factors of every state. These indicators include opioid overdose rates, presence of community-based substance use prevention messaging, and access to naloxone and fentanyl drug testing equipment at the state level. Public health recommendations focus on the role and funding of public health departments in a system of care. Recommendations include educating communities on opioid risk and access to community-level harm reduction measures, attending to the safety of the community by strategically evaluating need, and allocating resources for opioid overdose prevention strategies.

Out of all 50 states plus the District of Columbia (51 total), New Hampshire ranks third from the bottom, meaning:

  • It has low naloxone dispensing rates, meaning fewer doses of naloxone are distributed per capita.

  • It shows limited access to community-based prevention messaging (e.g., fewer programs reaching youth or the general public with evidence-based substance use education).

  • It has relatively fewer pharmacies or health care access points where overdose prevention resources may be available.

  • A higher proportion of adults lack a personal doctor or primary health care provider, suggesting structural barriers to care.

Overdose Deaths in 2024

  • Nationally, the average rate of opioid overdose deaths in 2024 was 16.3 per 100,000 people, with a total of 54,743 deaths nationwide, a significant decrease from overdose rates in 2023. According to the CDC, 30,000 fewer people died from an opioid overdose in 2024 compared to 2023. The highest rates of opioid overdose in 2024 were in New Hampshire and Maine, both with an overdose rate of over 100 per 100,000 people in the state population.

  • New Hampshire had:

    • 109.55 deaths per 100,000 people,

    • 1,536 total deaths,

    • The highest overdose death rate in the entire United States.

  • Maine followed closely behind at 104.82 deaths per 100,000, and New Mexico ranked third at 82.06 per 100,000.

  • New Hampshire’s overdose mortality rate was nearly seven times the national average, underscoring a severe public health emergency.

  • While total deaths (1,536) are smaller than in more populous states like California or New York, the per-capita rate reveals an outsized impact relative to population size.

How We Provide Support

Syringe Services & Safe Disposal

At the heart of our work in New Hampshire is our state-authorized Syringe Services Program (SSP) — designed to prevent the spread of infectious diseases and reduce community harm. We provide confidential exchange of sterile injection supplies and ensure safe sharps collection and disposal in accordance with RSA 318-B:43. Every exchange is judgment-free and discreet, allowing participants to protect their health and safety without fear of stigma or reprisal.

Peer Support

Our outreach is powered by people who have lived it. Our trained peer volunteers—many with lived or living experience—build trust through understanding, compassion, and shared experience. Whether offering nonjudgmental listening, practical strategies for safer use, or emotional support through crisis moments, our peers meet people where they are.

We know that connection saves lives. Every interaction centers on relationship-building, empowerment, & dignity.

Resource Navigation

Our team provides one-on-one navigation support to connect participants with essential health and social services, including Medication-Assisted Treatment (MAT), HIV/HCV testing and care, housing, mental health resources, and primary medical care. When someone is ready for treatment or additional services, we provide warm handoffs—staying with them until they are safely connected to a trusted provider. Plus, we always ensure every resource is up-to-date.

Request Services in NH

Message from HRC's Founder

    “Taking care of New Hampshire holds deeply personal meaning for me. I was born and raised here — these are the communities that shaped my values and the people who first taught me what compassion and resilience look like.


When I founded Harm Reduction Circle, I knew our work had to reach back home. This is more than a program; it’s a homecoming. Every naloxone kit distributed, every conversation, and every life saved is a way of giving back to the state that raised me.


Our mission in New Hampshire is to make sure no one is left behind — no matter their zip code, background, or circumstance. Together, we’re breaking down barriers of geography, stigma, and policy so every resident has access to the care, dignity, and safety they deserve.”


— Annastasia Rose Beal, Founder & Executive Director, Harm Reduction Circle

Partner With Us!

We collaborate with a wide range of partners — including small businesses, local and national organizations, corporations, researchers, healthcare providers, and city departments — to strengthen prevention efforts and expand access to life-saving resources. Together, we share data responsibly, exchange expertise, and build sustainable, community-driven solutions that make a lasting impact across New Hampshire and beyond.

If you are interested in partnering or collaborating with us on a project we want to hear from you!

Please fill out our online inquiry form.

Submit a Partnership Inquiry

We are Seeking Local Throughout the State of NH!

Join Harm Reduction Cicle & support our work in the state of New Hampshire. Multiple roles are available that are aligned with NH’s Syringe Services Program infrastructure, including direct services for PWID, HIV/HCV prevention, linkage to care, and data collection.

Volunteer Opportunities

Report Anytime You Use Naloxone

Use this form to report an overdose reversal where naloxone was administered.

 Option to request replacement naloxone doses by mail at no cost.

Report Naloxone Use

Proudly Serving the State of New Hampshire

Donations make it possible for our peer-led teams to provide free naloxone, safer-use supplies, and compassionate care across New Hampshire’s towns and rural communities. Your support ensures that life-saving tools reach those most in need — no barriers, no stigma, just care that saves lives.

Make a One-Time Donation

Additional Services & Initiatives

We offer so much more than what you think!

Mail-Order Distribution

Proving direct-to-consumer mail-order distribution of Naloxone & drug checking tools to ensure life-saving resources are readily accessible; even if they are unable to come to us.

Request Supplies

Meals on Onewheels OC

Delivering nutritional meals, harm reduction supplies, hygiene products, & basic necessities to unhoused individuals in hard-to-reach areas using Onewheels & other PEVs.

Get Involved

Tailored Training Sessions

Customized in-person & online trainings for individuals, organizations, & businesses alike to increase awareness, reduce drug-related harm, & promote community safety.

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NarKandi Exchange Program

Combining Narcan and kandi culture to spark connection—mail us 3 pieces of kandi, and we’ll send you a unique piece of NarKandi with harm-reduction resources. 

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Research Initiatives

Conducting community-based studies on drug checking, naloxone access, and human-factors design to improve evidence-based strategies and advance public-health impact.

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Strategic Partnerships

Collaborating with local governments, universities, and nonprofits to strengthen harm-reduction infrastructure, expand outreach, and foster community resilience. 

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Rebranded Materials Resource Library

We've created open-source harm-reduction materials, toolkits, and visual assets that empower others to replicate, adapt, and share lifesaving practices nationwide.

Access Resources

Nightlife Harm Reduction

Partnering with event organizers to bring peer-led sanctuary spaces, overdose prevention, and compassionate harm-reduction services to festivals, clubs, and nightlife events.

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Orange County, CA Homeless Outreach

Providing mobile outreach, naloxone, fentanyl test strips, meals, and peer support to unhoused and at-risk residents across Orange County through consistent, street-based engagement.

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New Hampshire Syringe Services Program (SSP)

Operating a state-authorized SSP offering naloxone, fentanyl test strips, safer-use supplies, and peer-led support to individuals statewide through direct and mail-order delivery.

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