Unharming Ohio started as a harm reduction campaign and is now moving towards becoming its own organization under a RVO fiscal sponsorship/guidance. Our members work on local, state, and national policy issues such as declassifying fentanyl test strips as drug paraphernalia, passing reforms on the Ohio Good Samaritan, and passing the Mainstreaming Addiction Treatment Act (MAT Act). Since 2018 in Portsmouth, OH, we’ve managed a successful program in partnership with the City Health Department. To date we have seen 6,000 reported saved lives. We also have over 1,000 reports of police interaction diversions due to our street teamwork. Our East Liverpool office also has harm reduction hours where they distribute Narcan, wound care kits, Plan B, and more. We are using our harm reduction hours in both locations to build an organizer led user’s union to focus on the rights of PWUD and breaking the stigma.