Table 1.

Summary of harm reduction service changes during COVID-19

Type of harm reduction service	Summary of service changes during COVID-19
Syringe service programs (SSP)/safer use equipment	One highly accessed SSP, closed temporarily early in the pandemic, then re-opened with limited hours Several on-site SSPs reported equipment shortage early in the pandemic One on-site SSP shifted to outdoor location Temporary allowance of the mail and mobile delivery of equipment Temporary elimination of the one-for-one needle exchange policy
Safe drug supply	Reports of more contaminated supply People who inject drugs report purchasing drugs from new dealers Increased drug use in setting of contaminated supply
Peer support	Closure of in-person services from a highly accessed recovery center in the state COVID-19 protocol restrictions result in outreach workers being unable to connect in person with justice-involved individuals
Basic services (shelter, food security, restrooms	COVID-19 screening (e.g., temperature checks), testing, physical distancing policies and quarantine protocols in shelters Closure of several on-site food services; shift to mobile services Lack of access to public restrooms
Low barrier medication for opioid use disorder treatment	Clinic and protocol changes as a result of relaxed telemedicine regulations