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Compassion Fatigue and Vicarious Trauma

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Harm reduction work is emotionally demanding. This section offers guides and frameworks for recognising, addressing, and mitigating burnout, secondary trauma, and fatigue—so you can sustain yourself and your team in the long run.

Tend Academy and the Tend Academy Resource Library

Compassion Fatigue Awareness Project

Department of Justice Office of Victims of Crime and Vicarious Trauma Toolkit

Books

The Burnout Challenge, Christina Maslach & Michael P Leiter

Help for the Helper, Babette Rothschild

Reducing Secondary Traumatic Stress, Brian C. Miller

Other sets of external resources including toolkits, practical guides, and deep-dive materials on topics like de-escalation, mental health support, participant accountability, overdose response, and more:

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. 

Hacks for Non-Verbal Active Listening

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When someone is agitated or in distress, how we carry ourselves can make a huge difference. Non-verbal cues—like posture, breathing, and personal space—can either calm a situation or escalate it further. The following tips offer guidance on using body language to reduce tension, show respect, and create a safer, more grounded interaction.
Read this Hack

Universal Precautions: Gloves

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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.
Read this Hack