We are pleased to share with you our Phase 2 Report, 24/7 Continuous Access Drop-In Center year-end final report recently submitted to the New York City Department of Health and Mental Health.

SACHR Launches New Harm Reduction Project

This initiative seeks to provide a 24/7 Drop-In Center with the additional goal of reducing emergency room visits.

We are proud to announce a three phase Continuous Access Drop-In Project with the goal of expanding harm reduction service hours to positively impact person-centered programs and treatment, reduce reliance on emergency services for non-emergency events, and create a framework that coincides with the borough’s robust community and economic development strategy.

The first phase of this program includes a four (4) month Feasibility Study that focuses heavily on authentic community engagement, staggered expansion of program hours, late hour medical outreach and service provision to the Bronx’s most vulnerable communities, and robust data collection and evaluation.

“24/7 Drop-In Centers have the ability to serve our most vulnerable Bronxites,” said Joyce Rivera, founder and CEO of St. Ann’s Corner of Harm Reduction, “In order to make sure these centers serve the community, we must engage and listen to the community while also acknowledging the generations of class inequities that exist in our City. This inequity created the environment that necessitates these centers. This is not just about providing harm reduction services; this is about a project that seeks to begin the conversation about the impact over sixty years of misguided policies had on our under-resourced communities of color.”

SACHR will partner with the Third Avenue Business Improvement District to lead stakeholder engagement and community and economic development analysis beginning in mid-March. Phase 1 of the CADI Project is funded by the New York City Department of Health. SACHR will begin full rounds of stakeholder engagement beginning March 21, 2019.


What is the Continuous Access Drop In Project?

In the winter of 2019 the New York City Department of Health issued a Request for Proposals (RFP) to create 24/7 Drop-In Facilities in Brooklyn and the Bronx. Recognizing that this RFP could continue the inequities of the existing New York City Drop-In model and not realize broader impacts in the areas of community and economic development, emergency room event reduction, and person-centered programs and treatment; St. Ann’s Corner of Harm Reduction proposed an innovative approach that would provide services and protect the most vulnerable in the Bronx, while also integrating the needs of the community surrounding potential sites. Simply put, SACHR proposed that through authentic community engagement a broader understanding of an area’s concerns and needs can be assessed and challenges mitigated prior to proposing a site for a 24/7 Drop-In Center.

The SACHR methodology includes three phases:

Phase 1 – Feasibility Study, which includes:

  • Robust community engagement strategy which includes participants, staff, community anchors, the Community Board, elected officials, faith-based organizations, business organizations, senior groups, parent groups, the LGBT community, and emergency responders;
  • Incremental increase/staggering of hours at the SACHR Center for additional wrap around programming;
  • Late Hour Street medical teams to focus on harm reduction for sex workers;
  • Broadening programs and services to temper community reliance on over-leveraged emergency rooms for non-emergency events;
  • Evaluation of immediate and projected impact on community and economic development.

Phase 2 – Economic Impact and Class Equity Analysis, which includes:

  • Continuation of Phase 1;
  • Selection and development with the consideration and advisement of community stakeholders;
  • Broadened linkages to anchor health institutions to reduce reliance on emergency rooms for non-emergency events;
  • Program strategy that is centered around the person and their quality of life.

Purpose of Phase 1

The purpose of Phase 1 is to listen, engage, and understand the community and learn the community’s limits, boundaries, and challenges to Continuous Access Drop-In Centers while also gaining a preliminary understanding of CADI impacts in the areas of community and economic development, non-emergency emergency room events, and person-centered programs and treatment.


The Phase 1 Feasibility Study for the Bronx Continuous Access Drop-In (CADI) Project is funded by the New York City Department of Health.


Lead: St. Ann’s Corner of Harm Reduction

Supporting: Third Avenue Business Development Improvement District 

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