Skip to main content

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. 

Though largely unsupported by scientific evidence, the dangers of needle stick injury loom large in the popular imagination. As a result, the emotional response to needle stick injury can be intense even if, statistically, the risks are quite low. For this reason, if no other, it’s essential that harm reduction organizations be prepared for how they might deal with such an eventuality.
Medical gloves should be worn whenever handling exposed or used supplies, especially those that might be used to prepare or use injection drugs such as syringes, cottons, cookers, tourniquets, and ascorbic acid. Gloves should be changed often, especially between activities or participants.