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Butler Co Services


HIV transmission is approaching crisis levels in many communities, including Butler County. There has been a 300% increase in the county since 2020—most of these new HIV infections are among people who inject drugs.

Sharing needles and works can spread infections like HIV and hepatitis C.

To help you stay safe, we’ve partnered with agencies, like Regional Harm Reduction Collaborative, around the county. We offer FREE confidential HIV and hepatitis C testing plus harm reduction supplies to help you remain safe and healthy while using drugs and having sex. Test results come back in just 1 minute, with a simple finger prick.



We believe you deserve to be healthy no matter whether you don’t use drugs at all, use them only occasionally or use them frequently. Our FREE services include:

  • Injectable Narcan/naloxone

  • Nasal Narcan/naloxone

  • Safer injection equipment, including cookers, cottons, alcohol pads, tourniquets, 1 oz. bottles of bleach, safer sex materials

  • Fentanyl test strips

  • Overdose prevention education

  • Tests for HIV and hepatitis C

  • Referrals to Social Services and Treatment



Our mobile testing van provides easy community access to FREE confidential or anonymous HIV or hepatitis C testing. Find the van at these locations:

Middletown Syringe Services Program [map] New syringes available here!
4464 S. Dixie Highway, Middletown, OH 45005
Every Tuesday
10:00 AM – 1:00 PM
Services offered at back of property near fence
BCRTA Redline—last stop on Central Avenue 

East Avenue @ Chestnut Street (Hamilton City) [map]
1st and 3rd Tuesday of every month
2:30 PM – 5:00 PM

Walgreens (Hamilton City) [map]
562 Main Street, Hamilton, OH 45013
Every third Wednesday of each month
2:00 PM – 5:00 PM

Butler County General Health District [map]
301 S. Third Street, Hamilton, OH 45011
2nd and 4th Friday of every month
11:00 AM – 4:00 PM

We also work with partners to help provide the same access to care and life-saving materials at these locations:

Fairfield Syringe Services Program [map] New syringes available here!
Mercy Health Fairfield
3000 Mack Road, Fairfield, OH 45014
2nd and 4th Tuesday of every month
2:00 PM – 4:00 PM
Services offered at back of parking lot

Community Meal Center [map]
Zion Lutheran Church
212 S Front Street, Hamilton, OH 45011
Every Friday
4:00 PM – 7:00 PM



  • Diseases, such as HIV, hepatitis, etc., can be spread by sharing syringes. Hepatitis can also be spread by sharing equipment such as cookers and cottons (for injecting), and pipes or stems (smoking).

  • Whether you smoke, inject, or orally ingest your drugs, you ARE at risk of fatal overdose. Fentanyl, a powerful substance linked to the majority of overdose, has contaminated the drug supply and is commonly found in rock and powder cocaine, pressed pills, designer drugs, and methamphetamine.

  • Use of new/sterile supplies greatly reduces risk of bodily infections including abscesses and endocarditis, and illnesses such as cotton fever.



There are many things that we can do to take care of ourselves and reduce the risks associated with using drugs.

Avoid Overdose

  • Don't use alone if you can. If you are using alone, try a test shot or call someone—like Never Use Alone or the BRAVE app to connect, by voice, to a person who will stay on the call with you until you’re safe.
  • Test your drugs for fentanyl. Learn how to use a fentanyl test strip [video]
  • Remember the 4 S’s: SNORT, SMOKE or SLOWLY inject to SAMPLE a new batch.
  • Carry naloxone and know how to use naloxone [video]

Avoid Infections

  • Know where to inject—check out our Safer Injection quick guide.
  • Use new needles or clean them. Remember that insulin syringes develop a burr after a single use. New needles pierce, while old needles tear, which increases the risk of infection.
  • Use sterile water if possible to mix your drugs.

Avoid HIV and Hepatitis C

  • Have your own rigs and gear.
  • Use a clean needle for splitting drugs.
  • Use condoms and practice safe sex.

This work is funded either in whole or in part by a grant awarded by the Ohio Department of Health, Bureau of Infectious Diseases, HIV/STI Prevention and as a sub-award of a grant issued by Centers for Disease Control and Prevention under the PS18-1802 grant award number 1NU62PS924541-01-00, and CFDA number 93.940].



Reach out to learn more:

Call/text 513.399.6969 or email

HIV, AIDS, Ohio, southwest, Ohio

Rob Goeller

Harm Reduction Coordinator

HIV, AIDS, Ohio, southwest, Ohio

Zoey Peach

Health Educator

In partnership with

HIV, AIDS, Ohio, southwest, Ohio

Call/text 513.478.6620 or email
or use their texting service:, BE SAFE at 833.658.1241.

HIV, AIDS, Ohio, southwest, Ohio

Ronate Bass

Harm Reduction
Services Supervisor

HIV, AIDS, Ohio, southwest, Ohio

Daryl Hams, RN

Project Director


Caracole is proud to be a part of and supported by the following organizations:


Caracole - Positively Changing lives in the fight against HIV/AIDS

         4138 Hamilton Avenue
       Cincinnati, OH 45223

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