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Harm reduction and its principles are obviously the basis for all the Hacks. Though harm reduction is not a philosophy per se and draws from sources like psychology, science, feminism, egalitarianism, humanism, and queer and critical theory, harm reduction is about radical pragmatism around high-risk behaviors as well as a deep and compassionate understanding of social location, and the barriers faced by stigmatized people like folks struggling with their substance use, people who do sex work, and unhoused people. Harm reduction shares many traits including:

…being in favor of ANY positive change, as defined by the person making the change.

…“meeting people where they are at,” and letting them tell you where that is.

…not minimizing or exaggerating the dangers of risky behavior.

…being realistic, pragmatic, and evidence-based.

…embracing ambiguity and gray.

…being founded on compassion and respect for individual autonomy and agency.

…assuming positive intent and personal capacity.

…seeing people, and their risky behavior, holistically and contextually.

…being honest about the real and often terrible consequences of drug use as well as its benefits.

…not being punitive, yet holding people accountable for their impact.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

Harm reduction immediately resonated for Edie, who was herself a former drug user and methadone patient. Faced with the devastation of HIV’s impact on drug-using communities, Edie fully embraced harm reduction and trained hundreds of harm reduction workers who have carried her legacy with them. She developed these worker stances in 1996 and they have been shared among many of us in the harm reduction community for generations.
Generally, it’s important to use “person first language” when describing people who are marginalized due to some part of their identity being stigmatized, such as folks struggling with their substance use, people who do sex work, and folks living outside.