What they reported doing
- #1 primary $0HARM REDUCTION SERVICES - PROVIDING LIFE-SAVING, LOW-THRESHOLD HARM REDUCTION SERVICES TO PEOPLE WHO USE DRUGS. SERVICES INCLUDE SYRINGE EXCHANGE, DROP-IN CENTER, STREET-BASED OUTREACH, HEALTH EDUCATION, CARE COORDINATION, AND HEP C TESTING & NAVIGATION.
What they call their work
What they do
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HIV/AIDS Prevention and Support Services 3 activities
- Hepatitis C Testing and Treatment ProgramProvides free Hepatitis C virus (HCV) testing and treatment to people who use or have used drugs, without requiring abstinence, through the VOCAL + Mount Sinai Cures clinic in Brooklyn and via telemedicine. Offers care coordination, medication storage for unhoused individuals, case management, wound care, and support for treatment adherence and reinfection prevention, including connections to HepCAP for undocumented individuals.
- Positive Leaders UnionOrganizes low-income people living with HIV into a membership union to advocate for their health, rights, and policy changes affecting their lives.
- Referral Services for Health and Social NeedsProvides referrals to external providers for HIV and STI testing and treatment, housing assistance, insurance enrollment, food access, drug treatment, medical and mental health care, and legal services as part of comprehensive harm reduction and care coordination support.
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Opioid Harm Reduction Services 2 activities
- Naloxone (Narcan) Training and DistributionOffers overdose recognition and naloxone (Narcan) administration training that can be completed in 10 minutes, with access available through individual and group request forms. Aims to prevent opioid overdose deaths by equipping individuals and communities with life-saving tools and knowledge.
- Peer-Delivered Syringe Exchange ProgramOperates a low-threshold syringe exchange program that provides sterile injecting and safer use supplies (including syringes, cookers, filters, fentanyl testing strips, and hygiene items) and accepts used syringes for safe disposal through street-based outreach and storefront locations in Brooklyn. Services are designed for people who use drugs, especially those unable to access fixed-site services.
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Substance Use Policy Advocacy & Public Education 2 activities
- Peer Advocate Training (LOUD Program)Trains peer advocates in harm reduction, HIV and Hep C education, overdose prevention, and social justice advocacy to build leadership among people who use drugs. Includes graduation ceremonies for participants who pledge to challenge stigma and serve as agents of community change.
- Users UnionOrganizes low-income people directly affected by the war on drugs into a union focused on advancing drug policy reform and reducing stigma around drug use.
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Facility-Based Service Delivery 1 activity
- Chapter Development and Organizational ExpansionDevelops and supports new chapters across New York State (Buffalo, Syracuse, Rochester, Albany, Hudson Valley, Westchester) and expands nationally through launching VOCAL-KY (Kentucky-wide) and VOCAL-TX (Austin, Texas), including establishing dedicated office spaces and hiring regional staff to grow organizing capacity.
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Criminal Justice Policy Advocacy 1 activity
- Civil Rights UnionOrganizes people impacted by incarceration and criminalization into a union advocating for alternatives to mass incarceration and systemic criminal justice reform.
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Mobile and Fixed Hygiene Services 1 activity
- Drop-In Center for Harm Reduction and Community SupportOperates a drop-in center in Brooklyn offering basic needs services such as showers, laundry, clothing, food, computer access, restrooms, and space for rest and community building. The center also hosts weekly support and educational groups for enrolled syringe exchange participants.
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Supportive and Emergency Housing Services 1 activity
- Homelessness UnionOrganizes currently and formerly homeless individuals into a union dedicated to advocating for quality, accessible housing and systemic solutions to homelessness.
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Healthcare Policy Advocacy 1 activity
- National Advocacy through VOCAL-USAdvances advocacy on national and federal policy issues through VOCAL-US, building on state-level organizing in New York, Kentucky, and Texas to promote care, compassion, and justice at the federal level.
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Policy Advocacy & Research 1 activity
- State and Local Legislative AdvocacyConducts advocacy at city, county, state, and statewide levels through chapter-based organizing, with documented success in achieving passage and enactment of at least one policy priority per union during New York State legislative sessions.
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Who runs it
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| ALYSSA AGUILERA | CO-EXECUTIVE DIRECTOR | 40 | $181K |
| JEREMY SAUNDERS | CO-EXECUTIVE DIRECTOR | 40 | $154K |
| CATE GRAZIANI | CO-DIRECTOR - TX | 40 | $136K |
| PAULETTE SOLTANI | CO-DIRECTOR - TX | 40 | $136K |
| ARASH DIBA MANAGING | DIRECTOR OF HARM REDUCTION SERVICES | 40 | $132K |
| JAWANZA WILLIAMS | MANAGING DIRECTOR OF ORGANIZING | 40 | $130K |
| KIMBERLY SMITH | POLITICAL DIRECTOR | 40 | $119K |
| HIAWATHA COLLINS | VICE CHAIR | 2 | $15K |
- JOVADA SENHOUSE — DIRECTOR THRU APR 2024
- MARILYN REYES — TREASURER
- NATHILYN FLOWERS ADESEGUN — TREASURER THRU APR 2024
- PEDRO BENITEZ — SECRETARY
- REGINALD BROWN — CHAIR
- WAYNE STARKS — DIRECTOR
Who they work with
- Classy Partner — Uses Classy as its donation platform to manage donations and recurring gifts.
- HepCAP Partner — Partners with the VOCAL-NY + Mount Sinai Cures program to cover the cost of HCV treatment visits and labs for undocumented individuals.
- Mount Sinai Partner — Partnered on a Hepatitis C program to lay the groundwork for medical services.
- Mount Sinai Hospital Partner — Collaborates with VOCAL-NY in the Innovative Models Project to find and treat people with Hepatitis C virus (HCV) who use drugs.
- New York State Department of Health Government — Funds the Innovative Models Project, which supports the collaboration between VOCAL-NY and Mount Sinai Hospital for HCV care.
- Paula Santiago Partner — Outreach & Peer Education Manager involved in street outreach services.
- longtime leaders in Western New York Partner — Collaborates with longtime leaders in Western New York to build chapters in Syracuse and Buffalo.
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Direct Service as Organizing Strategymethodology: direct_service_plus_organizingBy integrating direct services like syringe exchange and care coordination with community organizing and direct action, we meet immediate needs while building trust and political power, because access to survival resources creates openings for sustained engagement in structural change efforts.
- Integrated Harm Reduction with Structural Advocacymethodology: peer-led_harm_reduction_with_structural_advocacyBy combining peer-led harm reduction services with training in systemic advocacy, we produce greater engagement and long-term impact among people who use drugs because addressing structural injustice reduces criminalization and builds personal and collective power.
- Member-Led Power Buildingmethodology: member_led_organizingBy centering leadership and governance in the hands of low-income people directly impacted by systemic injustices, we produce more effective advocacy and sustainable change because lived experience drives authentic, accountable strategies that reflect community needs.