Through outreach, engagement, advocacy, referrals, harm reduction, and recovery services, we help people access the support they need.
The Office of Recovery Services and the Recovery Services Bureau work together, with the state, city, and community partners to address substance use disorder in Boston.
Have questions? Contact:
774 ALBANY STREET
BOSTON, MA 02118
For recovery support, please call 3-1-1 or 617-635-4500.
Detection systems are increasingly identifying a non-opioid tranquilizer called xylazine in street drug samples from Massachusetts. The presence of xylazine in the street drug supply concerns public health officials. The tranquilizer contributes to oversedation and increases the risk of injury and fatal overdose. We're asking healthcare providers, outreach workers, and the general public to be vigilant. Check for signs of an overdose where xylazine may be involved.
Please call 911 if someone is experiencing an overdose. You can call 311 if someone needs services related to substance use issues. Our full advisory about xylazine is available online.
Our ProgramsOur Work
3-1-1 for Recovery Services is the City of Boston’s confidential 24/7 referral center for:
- substance use treatment, and
- recovery services.
Visit the 3-1-1 website or call 3-1-1 (617-635-4500) for help.
Access to Harm Reduction, Overdose Prevention and Education (AHOPE) is the City of Boston’s harm reduction program and needle exchange site. The program provides a range of service to active injection drug users, including:
- Integrated HIV, Hepatitis, and STI testing
- free, legal, and anonymous needle exchange
- supported referrals to HIV, Hepatitis, STI treatment
- medical, overdose prevention education and training
- risk reduction supplies to reduce the spread of HIV and Hepatitis C infection
- risk reduction counseling
- supported referrals to all modalities of substance abuse treatment, and
- other services.
A welcoming space for individuals receiving services in the Newmarket Square neighborhood.
Opened in August 2017 and moved into a new building at 26 Atkinson Street in December 2021, the Engagement Center is a welcoming, low-threshold daytime space for individuals navigating homelessness and substance use to access resources; engage in recovery, behavioral health and homeless services; and receive nursing care and medical support.
The “low-threshold model” improves access to care for people impacted by addiction by:
Lowering barriers to entry
Tailoring services to the needs of people who use drugs
Prioritizing trusted, caring staff
The Engagement Center spaces offers guests access to:
Nurse stations for medical care
Meeting space for housing advocates, counselors, or recovery coaches
Programming space for art, therapy and wellness services
TV, phone chargers, wifi and books
Computer and phone workstations available for email access, applications, and virtual meetings.
Restrooms and showers
Water, coffee, and light snacks
Participants receive daily nursing care, including medication management, from Boston Health Care for the Homeless Program. They can also receive medical care, connect with a behavioral health provider, and start substance use disorder treatment.
Learn more about the Engagement Center and its design here.
This is a six- to 12-month residential substance use treatment program. Entre Familia provides bilingual and bicultural, gender-specific, substance use disorder treatment to pregnant and postpartum women and their children. The program provides substance use disorders (SUDs) recovery services. Support is offered to pregnant and postpartum women who are 18 and older and Massachusetts residents.
- clinical screenings
- referrals to medical and mental health services
- residential care
- comprehensive case management
- childcare services
- family treatment planning, and
- referrals for specialized services to address developmental and behavioral difficulties and early intervention.
Mobile Sharps Team provides proactive sweeps in high volume areas. They respond to 311 calls for improperly discarded syringes in public areas. There are eleven outdoor kiosks for syringe disposal that are located in hard-hit areas.
Training on safe sharps disposal is given to:
- Boston Public Schools
- the Boston Housing Authority
- the Parks Department, and
- other City departments to improve collection and safety on City property.
Currently, the Community Syringe Redemption Program is being piloted in the Newmarket Square neighborhood to stipend peers who collect syringes. The program provides a low-threshold workforce opportunity for vulnerable residents.
The outpatient treatment program provides recovery services for those who have substance use disorders, including:
- individual therapy
- group therapy, and
- case management.
Staff offer expertise in the treatment needs of those with substance use disorders. They provide care in a diverse, culturally-sensitive, and non-judgmental environment.
Providing Access to Addictions Treatment, Hope and Support (PAATHS) is a one-stop shop. The program provides information for anyone looking for information about, or access to, substance use treatment services. That includes individuals, families, community partners, and other treatment providers. Residents can reach PAATHS by calling 3-1-1 or 1-855-494-4057.
Transitions is a 40-bed, evidence-based, short-term treatment program for adults focusing on:
- relapse prevention
- behavior modification
- interpersonal skill development, and
- re-socialization skills.
Facilitated client discussion groups meet daily. The groups explore life issues related to substance use.
Psychoeducational sessions provide clients information about:
- psychological, and
- sociological consequences of substance use.
We offer one-to-one, goal-oriented sessions. These sessions help clients choose a suitable placement for continuing treatment.
The 30-bed, residential substance use disorders (SUDs) recovery program allows for varied lengths of stay, with the average being four to six months. The program provides services for men who are 18 years of age and older. Services include:
- case management
- substance use counseling
- criminal and legal advocacy
- individualized service plans
- both individual and group counseling
- substance use education and relapse prevention
- HIV/ AIDS education
- tobacco and gambling cessation counseling
- help with family unification, and
- aftercare planning and referrals.
The Youth Prevention Program was created in response to the Boston Youth Substance Use Prevention Strategic Plan. The plan was released in 2018.
The program focuses on supporting:
- Boston stakeholders
- community partners, and
We do this through four key areas:
- Educational material and media messages to youth and their families
- Health education around substance use and social-emotional learning.
- Expanding engagement with all youth populations
- Coordinating prevention efforts between public, private, and nonprofit sectors
What We've Done So Far
Former Mayor Martin J. Walsh created the Mayor’s Office of Recovery Services (ORS) in 2015. It's the first municipal office in the U.S. solely dedicated to addressing substance use and addiction. Walsh was also named Chair of a new national Task Force on Substance Abuse, Prevention, and Recovery Services by the U.S. Conference of Mayors.
The Boston Police Department creates an Opioid Overdose Squad within the Drug Control Unit. This group responds to the scene of an overdose offering information regarding treatment and services.
Boston Health Care for the Homeless Program’s Supportive Place for Observation and Treatment (SPOT) opens. This program prevents overdoses by monitoring individuals under the influence of opioids.
We launched a home visiting program in response to overdoses in residential settings. The program connects individuals and families through in-person, home-based outreach.
Our Street Outreach Team was launched in the Mass. Ave and Melnea Cass neighborhood.
Former Mayor Walsh appointed a Deputy Superintendent role at the Boston Police Department. This role is focused on substance use, mental health, and homelessness.
We partnered with the Suffolk County Sheriff's Department to create a Recovery Re-entry Panel. This Panel within the South Bay Correctional Facility and the Nashua Street Jail in Boston was the first of its kind.
We launched “311 for Recovery Services.” The constituent service line is available 24 hours a day, seven days a week for treatment placements and information about service options.
We partnered with the Blue Cross Blue Shield Foundation of Massachusetts to conduct a citywide substance use prevention strategy.
Boston EMS added a Community Assistance Unit (Squad 80). This group responds to non-transport calls, including overdoses.
Our Engagement Center opened, creating a low-threshold drop-in space. The center gives people a safe place to spend time and connect with care during the day.
The Massachusetts Medical Society Task Force on Opioid Therapy and Physician Communication published a report in support of a supervised injection facility pilot.
Along with EMS and Boston Fire, we launched the Post-Overdose Response Team (PORT). PORT helps people connect with services following a residential overdose.
We announced the completion of the Finland Building mural project. This project included our team as well as:
- Former Mayor Walsh
- the Mayor’s Office of Arts and Culture
- the Boston Public Health Commission, and
- Boston University.
We launched the PAIR Initiative (Personal Advancement for Individuals in Recovery). It's the first program of its kind in the United States. We created PAIR in partnership with:
- Doris Buffett's Letters Foundation, and
- the Gavin Foundation.
Former Mayor Walsh pledged to rebuild the Long Island bridge. The goal is to create a comprehensive, long-term recovery campus on Long Island.
The City of Boston files a lawsuit seeking damages over the opioid crisis against:
- opioid pharmaceutical companies
- distributors, and
- a doctor.
We launched the City’s Youth Substance Use Prevention Strategic Plan. The plan reflects the diversity of Boston’s youth and promotes equity across all neighborhoods.
Governor Charlie Baker establishes the Massachusetts Harm Reduction Commission. Mayor Walsh was granted a seat on this committee.
Former Mayor Walsh and his team visited harm reduction sites in Montreal and Toronto, including safe consumption sites.
Boston Public Health Commission Infectious Disease Bureau grants funded to-go, community-led syringe services for the first time.
Boston becomes one of the first cities in the United States (along with Chicago) to offer comprehensive drug checking through a mass spectrometer through AHOPE
The City of Boston releases the Mass / Cass 2.0 Strategic Plan. The plan builds a more coordinated approach to:
- public health
- public safety, and
- quality-of-life issues in the Mass / Cass neighborhood.
The Boston Police launched its Street Outreach Unit. The unit creates alternatives to arrest for people experiencing:
- mental health
- substance use, or
We created a “Comfort Station” due to COVID-19. The outdoor space provides access to:
- handwashing stations
- harm reduction supplies, and
- nursing care.
We moved harm reduction drop-in services entirely outdoors due to COVID-19. We continued to provide safer use supplies, naloxone, testing, and referrals.
The Boston Fire Department instituted a pilot alternate response program, Delta 21. The program helped combat the opioid crisis in the Melnea Cass Boulevard and Massachusetts Avenue area.
Boston EMS launched the “Leave Behind Naloxone” program to combat the rise in opioid overdoses. Naloxone is now left on scene with participants after an opioid overdose occurs.
Our youth campaign, CopeCode Club, launched to support Boston youth. The goal is to help young people identify healthy ways to cope with stress and stressful situations.
Mayor Michelle Wu assigns Dr. Monica Bharel, Dr. Bisola Ojikutu, and Chief of Housing Sheila Dillon to lead public health strategy for the Mass and Cass effort.
Boston Public Health Commission Executive Director Dr. Bisola Ojikutu issues a temporary order declaring substance use disorder and unsheltered homelessness as public health crises in Boston.
From November 2021 to January 2022, the City works with partners and the state to open six low-threshold sites, totaling 200 beds. These new transitional shelter and housing sites provide critical supportive services. They also help individuals transition to long-term housing and/or treatment.
Community Syringe Redemption Program is launched, providing a cash incentive for enrolled individuals to return syringes.
Office of Recovery Services (ORS) pilots the Nubian Square Engagement Team, a community-led project providing outreach to individuals and liaising with businesses, addressing needs and making referrals.
State-of-the-art Engagement Center replaces the earlier "tent" structure in Newmarket Square as a drop-in space supporting critical services for individuals experiencing homelessness and substance use disorder.
ORS releases the Overnight Low Threshold Practice Guidance to inform the development of spaces for individuals experiencing substance use disorder and homelessness in Boston.
ORS publishes the Harm Reduction Toolkit with an aim to support harm reduction programming and culture across Boston.
ORS Youth Prevention launches a new page on the CopeCode Club website to enhance peer-to-peer conversations and support parents/caregivers in listening to youth.
Youth Prevention trains over 50 providers on substance use prevention, through a partnership with the City’s Youth Homelessness initiative.
First responder initiatives
We co-led the Post-Overdose Response Team (PORT) with the Boston Fire Department to provide:
- overdose prevention and Narcan, and
- access to care to families and individuals following an overdose in a residential setting.
Emergency Medical Services
EMS leads the Community Assistance Team (Squad 80). The team is designed to rapidly respond to individuals on the street.
EMS also recently put in place a program that leaves naloxone behind at the scene of an overdose for bystanders or those that refuse transport.
Boston Police Department
The Boston Police Street Outreach Unit has expanded to create a centralized system for MH/SUD support. The unit is trained in recovery coaching and crisis intervention. Our goal is to enhance community engagement efforts.
Policy and advocacyPolicy
The City of Boston is installing opioid overdose reversal kits in municipal buildings, thanks to a $30,000 donation.
The City of Boston is committed to rebuilding the Long Island bridge and creating a recovery campus.
The intersection is an area of Boston with a long history of serving the City's most vulnerable populations.
Mass. secured a $573 million settlement with McKinsey & Company for "turbocharging" opioid sales and profiting from the...