Provides care coordination, specialty and primary health care, HIV/AIDS specialty care, LGBTQ+ specialty care, STI/HCV testing, syringe exchange, buprenorphine program, and harm reduction program. Also provides linkage to mental health services, substance use counseling, housing assistance, nutrition assistance, and transportation assistance.

Persons who are age 18 years or older may legally obtain and possess hypodermic needles and syringes through ESAP without a medical prescription. Licensed pharmacies, health care facilities, and health care practitioners who can otherwise prescribe hypodermic needles or syringes may register with the New York State Department of Health to sell or furnish up to 10 hypodermic needles or syringes to persons 18 years of age or older. Used needles or syringes can be safely and anonymously disposed of at dedicated disposal kiosks throughout Erie County; see separate listing, Needle Disposal - ECDOH, for details. The Erie County Department of Health (ECDOH) is a distribution site for limited free medical supplies, such as syringes, band aids, cotton, alcohol wipes, etc. for Erie County residents.

Provides the following services, conforming to a harm reduction model of care: Substance Use Counseling: Creates an action plan to support recovery and provides linkage to providers that will help achieve recovery goals. Narcan Overdose Reversal Training: Takes less than 10 minutes and provides a free Narcan kit. Syringe Exchange Program: Provides an exchange of used syringes for clean ones to people who inject substances like insulin, steroids, heroin, and cocaine. Individual & Group Support: Provides linkage to treatment and other services, along with overdose follow-up and prevention.

Offers Narcan or Naloxone kit and training for opiate users and their loved ones. Training reviews the signs of an overdose and the steps to take in the event of one.

Provides free Narcan kits to prevent overdoses, no questions asked. Responds to requests via text.

Offers a variety of support groups for those with active alcohol and substance use, those in recovery, and family and friends affected by a loved one's alcohol or substance use. SMART RECOVERY - A recovery group that focuses on accountibility and learning new, healthy habits through open discussions about personal choices and options. Mondays from 2pm-3pm. MEN'S GROUP - An education and discussion recovery group for men in the community led by a recovery coach with personal recovery. Mondays from 2pm-3pm. RECOVERY NOW - A peer-led support group for early risers that also provides assistance with drug court. Tuesdays from 8:15am-9:15am. SMART RECOVERY FOR FAMILY & FRIENDS - a support group for family & friends affected by someone using substances, coping skills, effective methods for helping and ways to remain healthy are discussed. Tuesdays from 5:30pm-6:30pm. CELEBRATE RECOVERY - A faith-based recovery group led by community members. Tuesdays from 6:30pm-7:30pm. LIVING WELL - A seven week life-skills group facilitated by local volunteers from Lockport CARES. Wednesdays from 9:30am-11:30am. SERENITY CIRCLE - A peer-led discussion group facilitated by two recovery coaches. Wednesdays from 12noon-1pm. EPIC Parenting Class - A 10-week, evidence-based parenting class run by EPIC employees. A court-approved certification is awarded at the completion of the 10 classes. Must pre-register to attend. Wednesdays from 12:30pm-1:30pm. HEALING TOGETHER - A support group for families and loved ones of people in recovery or currently using substances. Thursdays from 5:30pm-6:30pm. BIBLE STUDY - Led by community members of faith, Thursdays from 5:30pm-6:30pm. AA - OPEN mutual support groups led by members of the community. Wednesdays from 6-7pm and Thursdays from 7pm-8pm. NA - OPEN mutual support groups led by members of the community. Thursdays from 10 am-11am & Saturdays from 11am-12noon. WOMEN'S GROUP - An education and discussion recovery group for women in the community led by a Save The Michaels recovery coach and case manager. Fridays from 12noon-1pm. NARCAN TRAINING - An education session that focuses on understanding how to recognize and respond to an opioid overdose, led by NYS approved trainers. Certification given upon completion. Available upon Request.

Provides a safe space for those in recovery to spend their time. People in recovery can come and watch a football game, attend a self-help group, or meet with a recovery coach to discuss goal setting.

Provides free fentanyl test strips, xylazine test strips, and/or naloxone (Narcan) to households that request them to help prevent and/or reduce overdoses from opioids.

Offers training to meet the needs of the professional mental health and recovery community. For practicing professionals, offers certification and re-certification classes across a range of topics, including motivational interviewing, trauma and grief, and ethics, approved for credit by NYS OASAS and NYSED for LMSW/LCSW, LMHC, and LMFT. Additionally, offers CPR classes suitable for initial and re-certification of both the general public and medical professionals.

* Links to over 700 registered opioid overdose prevention programs throughout NYS provide free training and furnish free or with health insurance - low costs- naloxone kits to the community.* Offers Opioid Overdose Program Directory: https://providerdirectory.aidsinstituteny.org/ * Offers Naloxone Co-payment Assistance Program (N-CAP), a pharmacy benefit for all New Yorkers who have prescription coverage through their health insurance plans. Co-payments for naloxone in an amount up to $40 for each prescription dispensed will be billed to N-CAP, not to the individual getting naloxone. Naloxone, the drug that reverses overdoses from opioids such as heroin and many prescribed pain relief medications, is now available in more than 2,600 pharmacies throughout New York State. Individuals at risk for an overdose or their family members or friends may acquire naloxone in these pharmacies without bringing in a prescription. Directory of pharmacies can be accessed online: www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/directories.htm* Links to Community Opioid Overdose Prevention Training calendar www.nyoverdose.org/Home/Calendar* Registers eligible entities under Public Health Law 3309 with the New York State DOH, Opioid Overdose Prevention Initiative: www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/become_a_program.htm

Provides persons 18 years or older with hypodermic needles and syringes without a medical prescription.ESAP items include: insert explaining proper use, risk of blood-borne diseases, proper disposal, dangers of injected drug use, accessing drug treatment and information about HIV/AIDS.Participating pharmacies in Cortland include:CVS Cortland, L.L.C., 13 Port Watson Street, 607-723-3230Rite Aid Pharmacy, 170 Port Watson Street, 607-756-7591; 1067 State Route 222, 607-753-3029Kinney Drugs, Inc., 3656 NYS Route 281, 607-753-9359; 14 Clinton Avenue, 607-250-2522Tops Pharmacy, 3918 State Route 281, 716-288-]9230Walgreens Pharmacy, 3948 Route 281, 607-756-8489

A 20-bed program providing stabilization services in a residential setting to men and women over 18, targeting individuals in need of medically supervised detoxification services; individuals experiencing mild withdrawal or significant urges for illicit substances that cannot be managed in an outpatient setting; and/or individuals who need residential care.

Works to help individuals (adults, children (5+ yrs), teens, and elders) and families resolve their problems, overcome trauma, develop positive relationships and enhance self-esteem. Provides therapeutic intervention to help clients find more successful ways of coping. Therapists have considerable experience with anxiety, depression, divorce, family and marital problems, gay and lesbian issues, parenting, troubled relationships, grief, loss, and sexual abuse.

Provides access to sterile injection sup0plies as well as safe disposal of used syringes. Offers naloxone (Narcan) training, safety planning, and risk reduction counseling.

* Provides Narcan trainings, including a free Narcan (naloxone) Kit for anyone in the community, including business, family, or friends.

* Links to over 700 registered opioid overdose prevention programs throughout NYS provide free training and furnish free or with health insurance - low costs- naloxone kits to the community.

* Offers Opioid Overdose Program Directory: www.health.ny.gov/diseases/aids/general/resources/oop_directory/index.htm.

* Offers Naloxone Co-payment Assistance Program (N-CAP), an important pharmacy benefit for all New Yorkers who have prescription coverage through their health insurance plans. Co-payments for naloxone in an amount up to $40 for each prescription dispensed will be billed to N-CAP, not to the individual getting naloxone.

• Naloxone, the drug that reverses overdoses from opioids such as heroin and many prescribed pain relief medications, is now available in more than 2,600 pharmacies throughout New York State. Individuals who are themselves at risk for an overdose or their family members or friends may acquire naloxone in these pharmacies without bringing in a prescription.
• Directory of pharmacies can be access online: www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/directories.htm

* Links to Community Opioid Overdose Prevention Training calendar www.nyoverdose.org/Home/Calendar.

* Registers eligible entities under Public Health Law 3309 with the New York State DOH, Opioid Overdose Prevention Initiative: www.health.ny.gov/diseases/aids/general/opioid_overdose_prevention/become_a_program.htm

* Provides free access to sterile injection supplies, as well as free, safe disposal of used syringes. * Offers naloxone (Narcan) training, safety planning, and risk reduction counseling. * Linkage services (short-term case management) to HIV, Hepatitis C (HCV), and STI testing, as well as help accessing care, substance use treatment, and social services.

Provides free Naloxone training sessions and a naloxone kit to all participants who want one. Participants will learn how to recognize an overdose, prevent them and how to correctly administer Naloxone to revive a person who has overdosed.

* Provides information to the community about health department programs such as: Starlight Pediatrics (Foster Care Pediatric Clinic) Comprehensive primary care to children in Monroe County Department of Social Services Foster Care Children's Program Immunization Clinic/Immunization Program Flu Clinics - Annual program for eligible high-risk persons Emergency Clinics; Tuberculosis control - tuberculosis screening

Provides access to sterile injection sup0plies as well as safe disposal of used syringes. Offers naloxone (Narcan) training, safety planning, and risk reduction counseling.

* Supports the selling and furnishing of sterile syringes without a medical prescription in quantities of ten (10), including the proper disposal of used syringes.

* Provides a resource that offers options for the safe disposal of used "sharps" - syringes, needles and lancets - to reduce the transmission of blood borne diseases, minimizing environmental waste and creating safer jurisdictions for the community and emergency medical staff.

12 Addiction Treatment Centers (ATCs) across New York State that provide individualized care that is responsive to the needs of each client and supports long-term recovery.