North Carolina Harm Reduction Coalition

What North Carolina Harm Reduction Coalition does

North Carolina Harm Reduction Coalition (NCHRC) is a statewide nonprofit grassroots organization headquartered in Raleigh, North Carolina with an additional office in Wilmington. Founded in 2013, NCHRC implements harm reduction interventions, public health strategies, drug policy transformation, and criminal justice reform in North Carolina. It serves individuals impacted by drug use, incarceration, sex work, overdose, HIV and hepatitis, as well as first responders, by providing syringe exchange, free naloxone distribution, pre-booking law enforcement diversion (LEAD), and technical assistance. The organization operates as the first statewide community-based naloxone distribution program for people who use drugs in the US South, with cumulative operational metrics of over 224,000 naloxone kits distributed and over 27,000 reported successful overdose reversals since inception.

NCHRC's core services include Syringe Services Programs (fixed-site and mobile), the Overdose Prevention program distributing naloxone via direct outreach, mail through NEXT Distro, local health departments, pharmacies, and law enforcement, the LEAD program active in at least seven North Carolina counties (Fayetteville, Wilmington, Waynesville, Statesville, Mooresville, Catawba County, Burke County), and Technical Assistance & Training including the monthly Open Exchange TA Learning Labs virtual series. The organization has trained and equipped over 180 North Carolina law enforcement departments to carry and administer naloxone. NCHRC does not develop proprietary software, algorithms, or hardware; all technology usage is incidental to service delivery and operational coordination.

The business model is that of a public-health nonprofit funded through public and private grants, with services provided free of charge to qualifying individuals. Naloxone is sourced at low cost from Remedy Alliance (under $12 per intramuscular kit) and through periodic NC DHHS nasal Narcan distributions. End-user "customers" are individuals at highest risk of overdose — people who use drugs, those in recovery, sex workers, recently incarcerated individuals, and transgender people — as well as institutional partners including NC law enforcement agencies, EMS, syringe services programs, and local and state public health departments. NCHRC engages in policy advocacy and coalition building through training events, learning labs, and participation in professional forums such as the Police Executive Research Forum.

Name

North Carolina Harm Reduction Coalition

Legal name

North Carolina Harm Reduction Coalition

Website

https://nchrc.org

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

North Carolina Harm Reduction Coalition (NCHRC) is a statewide nonprofit founded in 2013 that provides free naloxone distribution, syringe exchange, Law Enforcement Assisted Diversion (LEAD) programs, and technical assistance to people impacted by drug use, law enforcement agencies, and public health partners across North Carolina.

Ownership category

akta.pro rank

Product category

Harm Reduction Public Health Services

NAICS

Individual and Family Services (6241), Emergency and Other Relief Services (624230), Human Rights Organizations (813311)

SIC

Services-Social Services (8300), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Substance Use Recovery & Harm Reduction Support Services (BPAGAEAO)

akta.pro secondary industries

Substance Use Disorder Prevention & Recovery Services (BPAGACAE), Substance Use, Addiction & Harm Reduction Health Departments (HLAJAAAM), Youth Justice, At-Risk Youth & Violence Prevention Nonprofits (BPAGADAM)

Keywords

• Harm reduction services
• Overdose prevention
• Syringe exchange programs
• Naloxone distribution
• Drug policy advocacy

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Marketing or Sales, Others

Revenue model

1. Grant Funding: NCHRC operates primarily as a nonprofit organization funded through public and private grants. The organization receives funding to support overdose prevention programs, syringe services, and harm reduction interventions across North Carolina.

Pricing tiers

Go-to-market motion3 records

Distribution channels6 records

Marketing channels5 records

Core offering

North Carolina Harm Reduction Coalition is a statewide nonprofit grassroots organization that delivers direct harm reduction services across North Carolina, including free naloxone distribution to people at risk of overdose, sterile syringe exchange through fixed and mobile Syringe Services Programs (SSPs), Law Enforcement Assisted Diversion (LEAD) pre-booking diversion programs, and Technical Assistance & Training for law enforcement and public health partners. All services are provided free of charge to qualifying individuals and are funded primarily through public and private grants.

Product overview

North Carolina Harm Reduction Coalition is a statewide grassroots nonprofit organization that provides harm reduction services, not a technology company with a software product. The organization offers a portfolio of public health and social services including Syringe Services Programs for sterile syringe exchange, an Overdose Prevention program distributing free naloxone kits statewide (founded 2013), Law Enforcement Assisted Diversion (LEAD) programs for pre-booking diversion of low-level offenders, and Technical Assistance & Training including the Open Exchange TA Learning Labs virtual series. These services operate as direct community programs rather than technology products or platforms.

Differentiator

Problem solved

Functional benefit

Products and services

• Syringe Services Programs Fixed-site and mobile syringe exchange programs across NC counties that collect used syringes from people who inject drugs and exchange them for sterile syringes and access to social services, including substance addiction treatment.
• Overdose Prevention (Naloxone Distribution) Statewide naloxone distribution program providing free naloxone kits to individuals at high risk of experiencing or witnessing an overdose, with distribution via SSPs, mail through NEXT Distro, local health departments, law enforcement, and pharmacy channels.
• LEAD (Law Enforcement Assisted Diversion) Pre-booking diversion program that redirects low-level offenders engaged in drug or sex work activity to community-based programs and services instead of jail and prosecution; active in Fayetteville, Wilmington, Waynesville, Statesville, Mooresville, Catawba County, and Burke County.
• Technical Assistance & Training Training and technical assistance provided to law enforcement, public health departments, and provider communities on harm reduction implementation, naloxone programs, and syringe exchange operations.
• TA Learning Labs (Open Exchange) Monthly 45-minute virtual learning series for North Carolina registered syringe service programs covering operational and administrative work including grant readiness, financial management, data systems, and peer workforce topics.

Quantifiable outcome

• Over 27,000 overdose reversals reported using distributed naloxone kits
• +2 more outcomes

Named customers8 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and minor.

• NEXT DistrocoreStrategic or Co-development PartnerNCHRC partners with NEXT Distro to distribute free intramuscular naloxone by mail to individuals in North Carolina counties where syringe services programs are not available. Individuals access this service through the NEXT Distro NC gate at nextdistro.org/ncgate.
• NC Department of Health and Human ServicescoreStrategic or Co-development PartnerNCHRC works with the NC DHHS which periodically provides funds for nasal Narcan kits for organizations to distribute in the community. All SSPs in NC are required to distribute naloxone or refer to services.
• Remedy AlliancecoreStrategic or Co-development PartnerNCHRC recommends Remedy Alliance as a nonprofit wholesaler for generic intramuscular naloxone with tiered, affordable pricing options for health departments and community-based organizations seeking to purchase naloxone for distribution.
• Direct ReliefminorStrategic or Co-development PartnerSafety net health clinics (federally-qualified health centers) may qualify as Direct Relief partners to receive free intramuscular naloxone for distribution through their medication donation program when supplies are available.
• Local LME/MCO (Local Management Entities/Managed Care Organizations)minorStrategic or Co-development PartnerNCHRC directs organizations seeking naloxone to check with their local LME/MCO to see if they have capacity to supply local organizations with naloxone for community distribution.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• National Harm Reduction Coalition: National umbrella organization advancing harm reduction practice, policy, and training across the US. Directly comparable to NCHRC because it operates SSPs, naloxone distribution, and TA capacity-building at scale, and serves as a peer network for state-level coalitions like NCHRC.
• NEXT Distro: Online and mail-based harm reduction platform providing naloxone and supplies by mail. Directly comparable because NCHRC partners with NEXT Distro to deliver naloxone to NC residents, and NEXT operates the same naloxone-by-mail service model in other states.
• Chicago Recovery Alliance: Long-running Chicago-based harm reduction organization providing naloxone, syringes, and outreach to people who use drugs. Comparable to NCHRC because it operates one of the largest community-based naloxone and SSP programs in the US with a similar grassroots, peer-led delivery model.
• Remedy Alliance / For the People: Nonprofit wholesaler providing low-cost generic intramuscular naloxone to harm reduction programs and health departments. Directly comparable because it sits in the same naloxone supply and distribution chain that NCHRC depends on, serving overlapping community-based SSP customers.
• San Francisco AIDS Foundation: Operates the Syringe Access Services program and harm reduction services in San Francisco. Comparable to NCHRC because both run fixed-site and mobile SSPs, distribute naloxone, and serve people who use drugs with linkage to care, though at different geographies.
• NC Survivors Union: North Carolina-based drug user union providing harm reduction, advocacy, and peer support for people who use drugs. Comparable to NCHRC because both deliver community-based harm reduction services in NC and serve overlapping populations, though NC Survivors Union is led by people with lived experience.

Broad incumbents

• North Carolina Department of Health and Human Services (NCDHHS): State agency that funds naloxone distribution, sets harm reduction policy, and oversees SSPs in North Carolina. Comparable to NCHRC because it is both a partner and a broader institutional incumbent in the same NC overdose response ecosystem.
• Drug Policy Alliance: National advocacy organization driving drug policy reform, decriminalization, and harm reduction legislation. Comparable to NCHRC because both engage in policy advocacy, coalition building, and criminal justice reform, though DPA operates at a national scale and broader legislative remit.

Emerging players

• VOCAL-NY: New York-based grassroots organization advocating for harm reduction, housing, and criminal justice reform. Comparable to NCHRC because it combines direct harm reduction services with policy advocacy, though its geographic focus and legislative scope differ.

Others

• Police Executive Research Forum: National policing research and policy organization that convenes law enforcement leaders on issues including naloxone and post-overdose response. Comparable to NCHRC as an ecosystem partner where NCHRC leadership has testified and trained police executives on harm reduction practices.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/NCHarmReduction
• YouTubevimeo.com/nchrc
• Facebookfacebook.com/ncharmreduction
• LinkedInlinkedin.com/company/north-carolina-harm-reduction-coalition-nchrc

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about North Carolina Harm Reduction Coalition