St. Ann’s Corner of Harm Reduction

SACHR Central Office
886 Westchester Avenue, Ground Floor
Bronx, NY 10459
Phone: 718-585-5544
Fax: 718-585-8314

Web site:

SEP Outreach Sites Bronx
– 148th Street/Bergen Avenue
– 139th Street/St. Ann’s Avenue

Contact Information
Joyce Rivera, Founder & Executive Director (718-585-5544 x305;
Bart Majoor, Deputy & Clinical Director (x307;
Sandra Turner, Program Manager Palliative Services (x312;
Lucie Schwartz, Mental Health Services (x308
Ivette Melendez, Program manager Counseling Services (x309;

Who We Are

St. Ann’s Corner of Harm Reduction (SACHR) is a grassroots organization committed to the development and strengthening of effective public health approaches in vulnerable communities.

What We Do

We invest in the life of the community. SACHR provides low-threshold services to families and individuals to optimize their physical, psychological, social and spiritual health utilizing a harm reduction approach.

How We Do It

SACHR meets every participant where s/he is. Our general approach is grounded in the practical reality of our participants’ lives. Whether the challenge this week is securing entitlements, getting an adequate supply of sterile injecting equipment, making an appointment, placing a call, getting HIV tested, or relieving stress, we can help. All staff is bilingual Spanish/English.

Who Is Eligible

Everyone can participate in our services. Mothers. Families. The Elderly. The Young. Particular attention is given to the special needs of drug users, the homeless, people living with HIV/AIDS, LGBT persons, sex workers, and the disabled. To contact us for any service you can call or visit our office, or meet one of our outreach teams in the community.

What Does It Cost

All services at SACHR are free and no health insurance is needed. To make that happen, we write grants and accept donations. Your tax-deductible contributions are always graciously accepted.

Visit our web site for instructions to donate:

Week Schedule Groups & Services @ SACHR

Syringe Exchange (886 Westchester Avenue) 9:00am – 5:00pm
Breakfast & Showers 9:00am – 11:00am
Harm Reduction News Groups 9:00am – 11:00am
Acupuncture/Stress Reduction 10:00am – 3:00pm
Substance User Group 10:00am – 11:00am
Stress Management Group 10:00am – 11:00am
Buprenorphine Group 11:00am – 12:00pm
El Grupo 12:00pm – 12:30pm
Hepatitis C Support Group 3:00 pm- 4:00pm

Syringe Exchange (886 Westchester Avenue) 9:00am – 5:00pm
Syringe Exchange (139th/St. Ann’s Ave) 10:00am – 2:00pm
Breakfast & Showers 9:00am – 11:00am
Harm Reduction News Groups 9:00am – 11:00pm
HIV Testing 10:30am – 2:30pm
HIV, HEP C, STI Testing 10:30am – 2:00pm
Acupuncture/Stress Reduction 10:00am – 3:30pm
Job Search Group 11:00am – 12:00pm
Overdose Prevention Group 12:00pm – 1:00pm
Hot Lunch 1:00pm – 3:00pm
Sunshine Group 3:00pm – 4:00pm

Syringe Exchange (886 Westchester Avenue) 9:00am – 5:00pm
Breakfast & Showers 9:00am – 11:00am
Anger Management Group 10:00am – 11:00pm
Safe Drug Use Group 11:00am – 12:00pm
Acupuncture/Stress Reduction 10:00am – 3:30pm
El Grupo 12:00pm – 12:30pm
Hot Lunch 1:00pm – 3:00pm
Women’s Support Group 3:00pm – 4:00pm

Syringe Exchange (886 Westchester Avenue) 9:00am – 6:30pm
Breakfast & Showers 9:00am – 11:00am
Acupuncture/Stress Reduction 10:00am – 3:30pm
Hepatitis Coordinator available 12:00pm – 5:00pm
Community Advisory Board (CAB) Meeting* 12:00 pm – 1:00pm
Hot Lunch 1:00pm – 3:00pm
Healthy Relationship Group 2:00pm – 3:00pm
Late Night Syringe Exchange 5:00pm – 6:30pm

Syringe Exchange (886 Westchester Avenue) 9:00am – 5:00pm
Syringe Exchange (148th/Bergen Ave) 10:30am – 2:30pm
Syringe Exchange (139th/St. Ann’s Ave) 3:30pm – 6:30pm
Breakfast & Showers 9:00am – 11:00am
Recreational Support Group 10:00am – 11:00pm
Acupuncture/ Stress Reduction 10:00am – 3:30pm
Safer Sex Group 11:00am – 12:00pm
El Grupo 12:00pm – 12:30pm
Hot Lunch 1:00pm – 3:00pm
Men’s Support Group 2:00pm – 3:00pm
Syringe Exchange (139th/St. Ann’s Ave) 2:30pm – 6:30pm

* CAB meeting is held on the Last Thursday of the month
All participants are welcome and encouraged to attend!
Everyday Intake Hours: 9:30am – 11:00

Services at SACHR

All services are provided by bilingual staff in Spanish and English!

Showers and Breakfast
Sometimes a shower and a breakfast is all you need to take that next step. Start here. Shower and Breakfast program hours are Monday through Friday from 9am-11am.

Outreach/Syringe Exchange Program
Our primary goal is to provide community members with the resources and information to protect themselves against the transmission of HIV, Hepatitis C, and other STIs. Our 1:1 outreach is educational. Death and Illness are worse than an addiction. Stay healthy with sound medical practices – that’s what syringe exchange is all about.. We go out to meet you (see side bar) with an array of prevention supplies that also include condoms for safer sex. We also conduct Peer Delivered Syringe Exchange throughout the community. And you can come and visit our offices, Monday thru Friday, and choose from a wider menu of supplies and services.

The Harm Reduction Center
We have a multi-function Common Room where community members are welcome to have breakfast, a cup of coffee, read, share stories, work out, shower, enjoy a hot home made lunch, play some dominos, find better clothes or shoes, or visit our Internet Cafe. You will always meet a staff member in the drop-in space to answer your questions, and show you what other services we provide.

Soup Kitchen
Often our participants arrive hungry or fear they once again won’t be able to get a nutritious meal. Or they might get busy with program services then realize 2-3 hours have gone by. For those participants we offer breakfast, a home-cooked hot lunch, and continuous access to our full day programs. The Soup Kitchen is also open for community members who do not utilize our programs. We welcome you for breakfast (9-11am) or for lunch (1-3pm); program restrictions, however, require you to be on your way when you have finished your meal. Kindly know you’re always welcome at SACHR–whether for a meal or the full day. When you want to stay to participate in our other programs, you may do so after completing a short intake.

Volunteer Group
This is an open group for volunteers who want to help us with all kinds of tasks that are needed to keep our services going, When you’re interested, just ask any staff member.

The Sanctuary
The Sanctuary is a quiet place in our office where participants can enjoy services like acupuncture, acupressure, and relaxation techniques. You can also decide that you just want to sit down in the Sanctuary and have a moment of stillness in the security of our trained staff.

Support Groups
We have Men’s, Women’s, LGBT and Hepatitis support groups that meet weekly. These are your groups; we help with bilingual facilitation. Our HIV/AIDS support group is facilitated by a trained Social Worker. To protect your privacy, speak to her about the schedule of weekly meetings. These groups are meant to support you in the choices for change you are considering/making/re-shaping/refining. A support group can help you feel less alone. Metro cards are provided.

Educational Workshops
Every week you can attend workshops at our offices. They are open to everyone. The workshops provide information on a variety of subjects like HIV/AIDS, Hepatitis, safer sex and drug use, tuberculosis, sexually transmitted infections, asthma, breast cancer, diabetes, mental health, overdose prevention, stress management, buprenorphine and job search. Often, we invite other agencies to present the services they provide to the community which will help you know they are there and if they can help you.

Comprehensive Risk Counseling & Services
We have counselors who can help you set up your plan for change in your life. Wherever you want to go, s/he will help you find your way. While on that journey with you, the counselor will pay attention to your HIV prevention practices to support you staying healthy.

If you have a simple question about a referral to a food pantry, medical, social or legal services, detox or treatment services, GED or college, we can provide you with the right referral.

Mental Health Services
When you have a lot of challenges on a daily basis, stress builds up. Sometimes you might be thinking about or remembering things that happened in the past. Perhaps your shoulders feel too narrow for the weight you are carrying. It can be helpful to talk about what is happening in a private and respectful setting. At SACHR we have a counselor/therapist to whom you can speak. When you talk with the counselor/therapist everything is confidential and s/he is there to listen and support you.

HIV Testing & Counseling
It is important to know whether you are HIV+ for you and your loved ones. When you have shared injecting equipment, or when you have had unprotected sex, you need to check your HIV status. Once a week at the SACHR offices and at each outreach site you can be tested via rapid HIV testing that works on a sample of your saliva. If the test is negative, SACHR can provide you with the resources and information to stay that way. If you are positive, we have all the services you need to organize your life.

AIDS Treatment Adherence Services
If you are someone living with AIDS and you are on medication, ask for our social worker. Individual counseling, support groups, referrals and educational workshops will support you to get the best treatment.

Hepatitis Services
Hep A? Hep B? Hep C? and other Hepatitis??? If you’re confused about Hepatitis – and who isn’t these days? – we will give you the tools you need to protect yourself, your loved ones, and help you help others.
Come and visit with our Hepatitis coordinator on Thursdays and discuss your needs. Once you learn more about Hepatitis you may want to get tested for the antibody and/or vaccinated. We can refer and escort you to the right medical providers for screening, vaccination, or treatment. For those of you who want to learn among others, you can attend our weekly Hepatitis Support Group on Monday afternoons.

For Couples: CONNECT
CONNECT is a 6 session intervention that teaches couples techniques and skills to enhance the quality of their relationship, communication, and shared commitment to safer behaviors. Learn valuable communication and conflict resolution skills, better understand your partner and enhance your intimacy. Achieve your health related goals. HIV & STD testing, counseling and connection to care. CONNECT offers great incentives to graduate from the program.

For Women: DIOSAS
DIOSAS is an individual women’s intervention that promotes the use of self-advocacy in safer sex practices. Through a brief risk assessment, HIV/STI testing and harm reduction education women’s successful risk-reduction practices are identified. Great incentives are distributed to the participants.

Visit our website for more info.