At its core, the Marion County syringe service program provides sterile injection equipment to people who use drugs, which is proven to reduce the spread of infectious disease. Regular engagement of individuals in a syringe service program has also been associated with reduction in overdose risk and injection drug use and facilitates more successful connections with substance use disorder treatment. The program is staffed by peer recovery coaches, all of whom are individuals with the lived experience of substance use. They offer unique support to program participants, and their experience has improved the effectiveness of the program’s responses. Staff members are trained in motivational interviewing and de-escalation techniques, as well as how to connect people to recovery resources, build recovery capital, and reduce barriers to care.