Important Changes at MaHRTI
Announcement date: June 26, 2025
BHSB values our partnerships with the harm reduction community and the lifesaving work of supporting the health and wellbeing of people who use drugs.
After June 30, 2025, we will no longer manage the Maryland Department of Health’s statewide harm reduction training. Please refer to the Maryland Department of Health Office of Harm Reduction’s website for available training and technical assistance resources.
We remain committed to strengthening harm reduction and serving people who use drugs and plan to offer harm reduction training and technical assistance in Baltimore City.
For questions about this transition, please contact Zach Kosinski, Director, Harm Reduction at [email protected].
BHSB's Harm Reduction Work
In Context
Maryland Programs, Laws, & Regulations
- Good Samaritan law fact sheet
- Overdose Response Program info
- Overdose Response Program Statute 6.1.17
- Overdose Response Program Regulations 2019
- Syringe Services Program info
- Syringe Services Program statute
- Syringe Services Program regulations
- Syringe Services Program Application Guidance
- Syringe Services Program Application
- "Go Slow" Fentanyl Education Campaign
MaHRTI Trainer Pool

Sample Policies & Procedures for Harm Reduction Programs
In search of more Maryland examples -- if you're willing to share, email us at [email protected]!
Global Health Concerns & Harm Reduction
- CDC Guidance: Safer Sex, Social Gatherings, & Monkeypox
- Stripping During Monkeypox
- MDH guidance: Safe Harm Reduction Outreach and Services During COVID-19
- MDH video: Harm Reduction Services During COVID-19
- CDC: COVID-19 and People Who Use Drugs
- CDC: Talking to Recipients About COVID-19 Vaccines
- CDC: Vaccinate with Confidence
- COVID-19 Harm Reduction Guide for Sex Workers
Drug Checking
- Rapid Analysis of Drugs (RAD) Maryland
- Cut: A Guide to Adulterants, Bulking Agents and other Contaminants found in illicit drugs (2010)
- BTNX Fentanyl Test Strip Brochure
- BTNX Cross Reactivity (FTS, BDS, LSD)
- DanceSafe Fentanyl Test Strip Instructions (includes dilutions for false positives with methamphetamine and MDMA)
Other Helpful Resources
- Monkeypox Fact Sheet.pdf
- Monkeypox, Social Gatherings and Safer-Sex.pdf
- NHRC Office Hours pt. 1: Xylazine in the Drug Supply**
- NHRC Office Hours pt. 2: Xylazine in the Drug Supply**
- How to Administer Narcan & Rescue Breathing (Video)*
- Harm Reduction at Work Toolkit.pdf
- NASTAD Trauma Informed Approaches Toolkit 2018.pdf
- Grieving Overdose
- Coping with Overdose Fatalities: Tools for Public Health Workers
- Drug-Induced Homicide Defense Toolkit 2021.pdf
- Chemsex 101 Webinar & Toolkit
- MIND THE GAP FINAL.pdf
- Harm Reduction is Healthcare: Sustainable Funding for Harm Reduction Toolkit
- Criminalization & Experiences of Violence: Developing Responsive Harm Reduction Services for Survivors of Violence and Criminalization
- Employers Guide to Peer Worker Support and Engagement
- Know Your Rights 2015 Eng (1).pdf
- Felon Voting Rights
- What to do if youre stopped by the police .pdf
*Please note that this video includes instructions for performing chest compressions. Chest compressions are not recommended in the event of overdose by MDH or MaHRTI.
**These slides contain graphic images of wounds, please be advised.
National Advocacy & Capacity-Building Organizations
Add your resources!
Have a resource to share? Looking for something? Let us know what you want to see here! Contact us at [email protected].