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Hacks for System Building & “Proceduralization”

“Proceduralization” is a term coined by harm reductionist Haley Coles to describe the process of creating and, critically, writing down exact protocols for a variety of different tasks and services. These are step-by-step written instructions for how to do everything in the space, from passing out supplies to cleaning the restroom.

The front-end labor on system building is not insignificant, but the time, energy, and effort that this will save is invaluable, especially in any escalated situation where having procedures in accessible, documented places will make everything go much more smoothly.

One tip that long-term harm reduction leaders have for this is to make it a part of weekly meetings and to delegate responsibility for proceduralizing different tasks to the person most familiar with those tasks.

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. 

Mobile harm reduction services come in many forms—each shaped by local needs, available resources, and the creativity of the people providing care. From backpack outreach to vans, bikes, and home delivery, these models offer flexibility, build trust, and reach people who may never visit a fixed site. This section explores the unique strengths and limitations of different mobile approaches
One of the main goals of active listening with an agitated person is reaching affirmation and accord. You are looking to try and find ways to agree with the person who is agitated. Even if you don’t entirely agree with the person, try to find at least a small way in which they may be right, or in which you can be on the same page, or team, with them.