NYC Addiction Crisis Resources — 24/7 Help

911 — medical emergency (overdose, withdrawal seizure, self-harm in progress). 988 — Suicide & Crisis Lifeline, call or text, 24/7 nationally. NYC Well — 888-692-9355, text "WELL" to 65173, chat at nyc.gov/nycwell. Free, confidential, 24/7, 200+ languages. Staffed by licensed counselors and peers. NYC Well is the single most underutilized mental health resource in the city.

SAMHSA National Helpline — 1-800-662-4357, 24/7, free, confidential, treatment referral in English and Spanish. NY OASAS HOPEline — 1-877-846-7369, 24/7, free, NY statewide SUD helpline. NYS OASAS Treatment Finder — findaddictiontreatment.ny.gov, searchable directory of all OASAS-certified programs with filters for level of care, substance, and insurance. CHAMP — 1-888-614-5400, NY's Behavioral Health Ombudsman for insurance appeals and provider disputes.

NYC operates the nation's first two publicly recognized Overdose Prevention Centers — supervised consumption sites where staff intervene to prevent overdose death, provide wound care, and refer to treatment. OPC Harlem: 360 West 125th Street. OPC Bronx: 126 East 174th Street. Both operated by OnPoint NYC. In FY 2025, OPC staff intervened over 1,000 times to prevent overdose-related injury or death (NYC Mayor's Office).

NYC Health distributes naloxone (Narcan) free through more than 500 pharmacies and all syringe service programs citywide. Naloxone is also available over-the-counter at most pharmacies without a prescription — typically $35–$50 per two-dose pack. If you know anyone who uses opioids — or might use stimulants that could be fentanyl-contaminated — carry naloxone. It reverses overdose in 2–3 minutes.

NYC DOHMH supports 14 syringe service providers across all five boroughs. Many offer free fentanyl and xylazine test strips, wound care, HIV and hepatitis C testing, and low-threshold buprenorphine induction. Drug-checking services are available at six sites for people who want anonymous confirmation of what's in their supply.