The Bevel Up series was created for health departments and community-based organizations running or supporting syringe services programs (SSPs) and other harm reduction services. The content is based on topics considered most relevant by people who use drugs: the messages and recommendations come from current and former users with experience navigating the illicit drug supply. Recommendations have been reviewed by providers who serve people who use drugs. It also updates some long-standing harm reduction practices to account for fentanyl and other opioid analogs in the drug supply. All materials were peer reviewed by Drug User Health consultants and community members nationwide. All community reviewers were compensated for their time and expertise.

The series consists of three components:

1. Five downloadable cards that can be printed "as-is" or customized with local program information. 

2. Companion PDF's with more information on each topic.

3. Customizable social media posts.

Drug use varies by region and by community, so to make these materials more useable they have been designed to be “open source,” or adaptable by the public. Card templates can be updated with local information or tips relevant to your community. QR codes on the templates connect back to this site or can be updated to link to program resources.

Bevel Up project lead: Heather Edney

Content contributors: Heather Edney, Joanna Berton Martinez, Lillie Armstrong, Kacey Byczek, Elika Upadhyay. 

Click here for content source materials.

Design and layout: Heather Edney

Illustration: Zach Weiss

Graphic design: Nina Madjid 


Thank you to the NASTAD Drug User Health team and colleagues: Lillie Armstrong, Elika Upadhyay, Billy Golden, Kacey Byczek, Christine Rodriguez, Jessica Martinez, Robyn Learned, Gina Musa, Ry Dalporto, and Amanda Reese.


Special thanks to: Joanna Berton Martinez, Paula Santiago, Joy Rucker, Maya-Doe Simkins, Eliza Wheeler, and members of the Fentanyl Collective for their help in the development of this resource.


Bevel Up resources are available through ongoing technical assistance and capacity building for state, tribal, and local drug user health programs, funded by the Centers for Disease Control and Prevention. If you have recommendations for additional or updated guidance, please reach out to the NASTAD Drug User Health program at DrugUserHealthTA@NASTAD.org.


National Harm Reduction Technical Assistance Center (NHRTAC)

The National Harm Reduction TA Center seeks to build on proven methods of harm reduction technical assistance delivery—programmatic resources, peer support and mentoring, demonstration and program models—to provide coordinated TA to new and established community-led harm reduction efforts, including syringe service programs (SSPs) across the United States and territories.  


Through the TA Center, NASTAD works with AIDS United and other partners to field and respond to requests for TA and programmatic support from SSPs and community-based harm reduction organizations.  


For more information, please email DrugUserHealthTA@NASTAD.org.

To request Technical Assistance, visit NASTAD.org/HarmReductionTA.  

This project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of PS 19-1909: National Harm Reduction Technical Assistance and Syringe Services Program Monitoring and Evaluation Funding Opportunity cooperative agreement, a financial assistance award totaling $6,775,000 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.