SSP Models

Fixed Site 
The program is located in an established, consistent location such as a storefront, office or other similar fixed, accessible space.

Mobile
Services are provided out of a vehicle, van or RV that travels to different sites or neighborhoods according to a regular, established schedule.

Delivery
Services are provided by a delivery to a chosen location. People interested in receiving or returning syringes can contact an exchange to arrange delivery of supplies and/or services. Delivery can be at the participant’s home or another agreed-upon site. Delivery can occur on a regular schedule or by appointment.

Peer Based
SSP is run through peer networks distributing in a community. People who use drugs are at the forefront of expanding syringe access and peer-based programs are able to meet people where they are, particularly when barriers to services exist such as transportation. Also referred to as secondary distribution.

Integrated Exchange
An existing organization such as a local health department, EMS, or a substance use treatment facility adds syringe services to their ongoing provided services.

Combining Models
SSPs can combine models to maximize benefits and use and minimize limitations. A fixed site may also offer delivery or peer-based services. Evaluate and expand models based on need, funding, resources (including staff and/or volunteer experience and expertise), and other environmental or context changes.

To learn more about different SSP models, you can visit CDC’s Syringe Services Programs: A Technical Package of Effective Strategies and Approaches for Planning, Design, and Implementation.