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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. 

The term “trauma-informed” emerges from a growing understanding of the far reaching ways that trauma impacts health and well-being. Trauma is defined here, in keeping with the scientific literature, as a deeply distressing or disturbing experience(s) that overwhelms an individual’s ability to cope, and significantly impacts their mental, emotional, and physical well-being.
Once you have grounded yourself during an escalated situation, next engage in active listening with the person who is agitated. This can seem counterintuitive or difficult when you are dealing with somebody who is, for example, screaming at you, and it may feel like you’re rewarding them for being completely irrational. But it is key to getting them more centered and grounded so they’re less agitated and less likely to become a danger to themselves or others.