The Bevel Up series was created for community-based organizations, grassroots programs, health departments, and other groups running or supporting syringe services programs (SSPs) and other harm reduction services. The series content represents priority topics identified by people who use drugs. Messages and recommendations come from current and former users with experience navigating the illicit drug supply, health providers, and program staff who serve people who use drugs. Materials update some long-standing harm reduction practices in response to fentanyl and other analogs in the drug supply. All materials were peer reviewed by NASTAD Drug User Health, community members and consultants based around the US, and CDC subject matter experts. All community reviewers were compensated for their time and expertise.

The series includes three types of resources:

- Downloadable cards that can be shared and printed "as-is" or customized with program info or other updates (cards can be sized as pamphlets, flyers, or posters), 

- Companion PDFs that contain additional info on each topic, and 

- Customizable social media posts for each topic area. 

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 connect back to this site or can be updated to link to other resources. Learn to customize Bevel Up materials or contact DrugUserHealthTA@NASTAD.org for assistance. 

These materials are made possible through the National Harm Reduction Technical Assistance Center (NHRTAC), funded by the US Centers for Disease Control and Prevention. NHRTAC provides ongoing technical assistance and capacity building for state, tribal, and local drug user health programs and builds on proven methods of harm reduction TA delivery to provide coordinated assistance to new and established community-driven harm reduction efforts, including SSPs and other drug user health services. 

To receive harm reduction TA through the National Harm Reduction Technical Assistance Center, click here

To contact NASTAD Drug User Health with any questions, comments, or suggestions, click here

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.


Project Lead Heather Edney

Content Contributors Heather Edney, Joanna Berton Martinez, Lillie Armstrong, Kacey Byczek, Elika Upadhyay, and Billy Golden​

Design and Layout Heather Edney

Illustration Zach Weiss

Graphic Design Nina Madjid 


Thank you to the NASTAD Drug User Health team and colleagues, including Robyn Learned, Gina Musa, Amanda Reese, Ry Dalporto, Jessica Martinez, Nora Fuller, Christine Rodriguez, and Kirsten Forseth. 

Special appreciation to Joanna Berton Martinez, Paula Santiago, Joy Rucker, Maya-Doe Simkins, Eliza Wheeler, and members of the Fentanyl Collective for their guidance in the creation of these resources, and to the generations of drug users and advocates that have pushed to make harm reduction and safer use information available.  ​