OnPoint NYC offers a range of services that promote the health of drug users and the entire communities in which they are located. At its Manhattan locations in East Harlem and Washington Heights, OnPoint provides drop-in centers where people can eat, shower, and do laundry. They offer free syringes, plus additional supplies and trainings that reduce the spread of disease. They have an HIV and Hepatitis C testing clinic for those who may have been exposed.

Since November 2021, OnPoint has administered the United States’ first two sanctioned overdose prevention centers (OPCs), places where people can use drugs under the supervision of trained responders. They report reversing seven hundred overdoses in their first year of operation.

The organization has a total staff of around 120. In December, a supermajority of workers voted to form a union under the New England Joint Board of UNITE HERE. Their vote marks another first: the first union formed by workers at an overdose prevention center. As more places like OnPoint open across the country, their campaign could not only improve their own working conditions but set a new standard of worker power across the field.