The WA State Syringe Services Program Health Survey is conducted every other year by the Center for Community-Engaged Drug Education, Epidemiology, and Research (CEDEER) in partnership with Public Health-Seattle and King County, the Washington State Department of Health, and syringe services programs across the state. The surveys asks participants about their substance use, health behaviors, and health care and substance use treatment needs.

Led by Alison Newman, MPH and Caleb Banta-Green, PhD, MSW, MPH, the survey was conducted from September to November 2025 and the report includes data from 1,694 eligible syringe services program participants from 24 programs across the state.

Key points from the report:

• Syringe services programs (SSPs) provide a broad range of supplies and services, including safer drug use supplies as well as naloxone, wound care, and hygiene supplies.
• Methamphetamine remains the most frequently used drug (90%), followed by fentanyl (60%).
• Over half of SSP participants surveyed were unhoused, and a quarter had temporary or unstable housing.
• Most people who used opioids (72%) or stimulants (62%) wanted to reduce or stop their substance use.
• A substantial minority of respondents who used opioids were interested in methadone as a treatment medication (42%), with somewhat lower interest in buprenorphine (26%).
• Utilization of smoking supplies was high at programs that provide them, and interest was high among sites that do not.
• Many using stimulants were interested in medications that might help reduce use (39%) and/or help with their mental health (33%).

Visit the ADAI website to read the full report.