The Northern Nevada Harm Reduction Alliance is a collaboration between people with lived/living experience, harm reduction, treatment, outreach, and public health practitioners and researchers. NNHRA is a nonprofit organization, and its purpose is to promote and foster respect, acceptance, and dignity for people who use drugs and sex workers by recognizing the inherent worth and value of each individual person, adding to the community essence, shifting the narrative community-wide. 

Executive Board

Left to right: Elyse Monroy-Marsala (President), Ezra Rose (Treasurer), Lisa Lee (Vice President), Madalyn Larson (Secretary)


(Copyright David Calvert/The Nevada Independent, 2023)

Meet the Team

  • Alanah Fanning

    PROJECT MANAGER

    Alanah has lived in Reno for the last 12 years. Originally from Kansas City, Missouri, she’s lived in multiple states throughout her life. Her formative years in Mesa, AZ, during the opioid epidemic were the most defining. The loss of her father profoundly shaped her perspective and motivated her to find her own path to recovery. Having grown up in motels and living at campsites, she knows what it’s like to live in uncertainty. These lived experiences are the foundation of her work, and bring an authentic, empathetic approach to everything she does. She's worked with organizations like RISE to help open the Women and Family Shelter during the pandemic in 2020, where she was proud to advocate for policy changes that are still in place today. Connecting with the community has always come naturally to her. In addition to her work in harm reduction, she is a single mom to two funny smart and amazing girls! She also supports her mother in any way she needs. She also currently works part-time at the Ronald McDonald House, where she helps families in crisis navigate some of their most difficult times. Every role she takes on reflects her passion to help others and make a difference in the lives of those who deserve it most.

  • Coming Soon

    ADMINISTRATIVE SUPPORT

  • Coming Soon

    OUTREACH NAVIGATOR

The NNHRA board members come from a variety of personal and professional backgrounds. What ties us all together is our passion for loving people who use drugs and our dedication to harm reduction strategies as an approach to saving lives, fighting stigma, and empowering people to make decisions about their health and wellness.

Meet the Board

  • Elyse Monroy-Marsala (she/her)

    PRESIDENT

    Elyse was born and raised in Reno. She went to Wooster High School. Since 2012 she has held various public policy jobs. Elyse worked for Congressman Mark Amodei and Governor Brian Sandoval. She also worked on the Overdose Data to Action Grant where she worked to improve the state’s overdose surveillance. Currently, Elyse is a lobbyist. Elyse learned about harm reduction during her time working with the OD2A grant. She feels compelled to work in the Harm Reduction space she because she believed in the inherent value of every person. Elyse is also on the Board of The Community Food Pantry. When she is not working, she loves to spend time with her family and her cats (mostly her cats!).

  • Ezra Rose (they/he), BA, CPRSS, PRSS-S, CHW I

    VICE PRESIDENT

    Ezra has lived experience with co-occurring recovery. Due to this, he became passionate about treatment, which ultimately led them to learn about harm reduction. The idea of keeping people who use drugs (PWUD) alive just makes sense to them. Ezra worked in the treatment field through inpatient, outpatient, case management and Peer Recovery Support Specialist (PRSS) roles. These experiences created a deep sense of love, respect and empathy for those experiencing SUD or co-occurring disorders, as well as the path each individual takes to achieve a unique recovery. Ezra is also passionate about LGBTQIA+ rights because they were raised by two moms and around many queer folks. Ezra will always fight for equity for all individuals.

  • Lisa Lee (she/her) MA, CPRSS, PRSS-S, DrPH Candidate

    TREASURER AKA FERAL GOBLIN CUSTODIAN OF RECORDS

    Hi everyone. I have been in recovery from chaotic heroin use and homelessness since 2002. Harm reduction as a pathway and mental health services (among other things) have been helpful in my recovery journey. I am a former methadone patient and consumer of harm reduction outreach services. I have worked in the healthcare field since 2004 in a variety of positions in a variety of clinical and nonclinical settings and am a certified peer recovery support specialist (CPRSS) and supervisor. At heart, I am an implementer and have enjoyed implementing new programs in a variety of settings including an opioid treatment program, mobile outreach, recovery community organization, the jail, emergency departments, and a county agency. I have also served on a variety of state boards and enjoy serving on three nonprofit boards. I completed my Master of Arts in Anthropology (with a focus on medical anthropology) at the University of Nevada, Reno with a graduate certificate in Gender, Race, and Identity Studies. My graduate research focused on the ways in which harm reduction as a counter discourse helped to frame and maintain the radically inclusive social space of a local syringe services program for people marginalized and excluded elsewhere. I am currently pursuing a DrPH to advance my knowledge and skill set in quantitative data analysis in public health and enhance the ability for people without a voice to engage in participation in public health dialogue. My favorite role is being a loving partner and a mother to my fantastic 18- and 12-year-old children and our Boston Terriers who keep me very busy.

  • Madalyn Larson (she/her), MPH

    SECRETARY

    Madalyn is a Master of Public Health and a proud native Nevadan. She is looking forward to staying in Nevada to pursue a career in harm reduction policy and advocacy work through her position at NNHRA. Madalyn is also a proponent for interweaving the entire family unit into harm reduction practices and ultimately believes we must meet and accept people where they are to cultivate positive change. In her free time, Madalyn loves to explore Nevada, visit hot springs, read books, play basketball, and bake cookies.

  • Bethany Wilkins (she/they)

    EDUCATION & ADVOCACY COMMITTEE CHAIR

    Bethany Wilkins has been in various stages of relationship with substance use for over ten years, is an expert in rural harm reduction, and founded Nevada County’s first Syringe Service Program (SSP). She has over ten years of experience in harm reduction and substance use, as well as five years of experience with street-based outreach and public health consulting. Starting her Masters in Public Health program in 2025, Bethany has dedicated her career to advancing evidence-based strategies to minimize the negative outcomes of substance use, and advance harm reduction frameworks. Her work spans harm reduction policies, innovative treatment models, and community outreach programs, making significant strides in improving outcomes for individuals and rural communities affected by unregulated supply and lack of resources. Bethany has been a key advisor for Nevada County Public Health AOD, Nevada County Mental Health and Substance Use Advisory Board, and Northern Nevada Harm Reduction Alliance in developing effective harm reduction initiatives. Known for her commitment to both awareness and advocacy, Bethany continues to influence policy and practice through her expertise, aiming to create a more compassionate and practical approach to substance use challenges.

  • Anna Fox (she/her)

    OUTREACH COMMITTEE CHAIR

    With a background in human services focusing on youth development & advocacy and discharge planning for seniors transitioning out of an acute care setting, I am new to the world of harm reduction. I draw inspiration to do this work from both lived experience, and the recent loss of a loved one who deserved so much better than what we gave her in terms of support.  I am forever grateful to my mother for being my constant and loving me through my lowest moments. I wouldn’t be here otherwise. To my cousin that did not have someone willing and able to meet her where she was, I’m truly sorry that didn’t see you. I will carry you with me while I do this work, and I will take every opportunity to tell your story to help families overcome their biases and keep their loved ones alive.

  • Kat Atomik

    DRUG USER ADVISORY COMMITTEE CHAIR

  • Nicole Anagapesis

    FUNDRAISING COMMITTEE CHAIR

    Nicole is the founder of a grass roots volunteer organization focused on supplying those experiencing homelessness in her community with lifesaving necessities. Her life long path in activism has lead her to have the privilege to serve her region further with NNHRA. Harm reduction is a subject she is wildly passionate about, and she is interested in bringing it to the forefront of the conversations she intends to have with both her community and local leaders interested in creating a true systemic change for the better.