Overdose Prevention

Overdose Prevention & Drug Safety

Overdose deaths are preventable. Whether you use drugs or know someone who does, carrying Narcan (naloxone) and learning how to respond to an overdose can save a life. Simple steps like not using alone, carrying fentanyl test strips, and knowing the signs of overdose make our community safer. Face to Face provides free Narcan, overdose response training, and drug checking supplies –  because every life is worth saving.

Community panel

Understanding the Local Impact

  • Sonoma County faces significant overdose rates
  • Fentanyl appears in many different drugs
  • Limited treatment options create barriers to care
  • Rural areas have reduced access to services
  • Many people use drugs alone, increasing risk

How We Help Prevent Overdoses

  • Free Narcan (naloxone) distribution
  • Overdose response training
  • Drug checking services and supplies
  • Sterile use supplies
  • Connection to treatment when desired
  • Mobile services throughout the county

Drug Checking Services

Why Check Your Drugs?

The drug supply has changed dramatically, with fentanyl and other synthetic drugs appearing in many substances. Drug checking helps you

  • Know what’s in your drugs
  • Make informed decisions
  • Prevent accidental overdose
  • Stay safer when using

How to Check Your Drugs

  • Visit during drop-in hours or mobile van sites for supplies and training
  • Learn proper testing techniques
  • Understand what results mean
  • Get support for safer use practices

Treatment and Support Options

We connect you to

  • Medication Assisted Treatment (MAT)
  • Substance use counseling
  • Mental health services
  • Primary healthcare
  • Additional support services

Making an Impact Last Year We

  • Distributed thousands of naloxone kits
  • Reversed hundreds of overdoses
  • Provided drug checking supplies to thousands
  • Connected people to treatment and care
  • Trained community members in overdose response
  • Reached underserved areas through mobile services

Contact us at 707-544-1581 to

  • Get naloxone and training
  • Access drug checking supplies
  • Learn about treatment options
  • Request community training
  • Find support and resources

FREE Supplies Available from Face to Face

  • Naloxone (Narcan®), a medication for the reversal of opioid overdoses. It is available in two forms: nasal spray (4mg) and injectable (0.4mg/mL). Instructions for use can be found on the packaging, online, or on our social media. Our staff would be happy to assist you with any questions or support you need.
  • Fentanyl test strips. Fentanyl is a synthetic opioid that is similar to morphine but about 100 times more potent. Fentanyl testing strips detect the presence of fentanyl in drugs when used according to the provided instructions.
  • Xylazine (“tranq”) testing strips. Xylazine or tranq is a veterinary tranquilizer that has been found in the illicit drug supply and is frequently mixed with fentanyl. Xylazine can significantly increase the risk for fatal opioid overdose by depressing the central nervous system, causing slowed heart rate, reduced breathing, and sedation. Xylazine testing strips detect the presence of xylazine in drugs when used according to the provided instructions.
  • Syringes: available in packs of 10 or boxes of 100. We carry 25g, 27g, 28g, 29g, 30g, and 31g.
  • Syringe barrels with removable needles, as used in injectable Hormone Replacement Therapy administration. We carry 25g and 18g.
  • Additional supplies for safer injection: alcohol wipes, tourniquets (ties), cookers, cotton, sterile water
  • Sharps containers for syringe and sharps disposal. Available in fit packs, 1 quart containers, 1 gallon containers, 8 gallon containers, and 18 gallon containers.
  • Glass pipes, available in the form of bubble pipes, hammer pipes, and straight stem pipes (two pipes per visit).
  • Additional supplies for safer smoking: foil, mouthpieces, filters, petroleum jelly/chapstick
  • Safer sex supplies: condoms, lube, internal condoms, dental dams, gloves
  • Sniff kits. Snorting is the nasal administration of drugs, an alternative to injection that allows substances to enter the bloodstream through the nose. Our sniff kits include: a plastic card, plastic razor, straws, alcohol wipes, saline
  • Boofing kits. Boofing is the rectal administration of drugs, an alternative to injection that allows substances to enter the bloodstream through the anus. Our boofing kits include: 3mL barrels, BZK antiseptic wipes, lube, rubber tip, cooker, saline
  • Hygiene kits: comb, razor, toothbrush, toothpaste, facial and body soap, shampoo
  • Wound care kits: hand sanitizer, gauze, petroleum jelly, alcohol wipes, adhesive bandages, care guide
  • Period products: pads and tampons
  • Covid-19 test kits (when available)
  • Clothing and plastic rain ponchos (seasonal item)