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A Note About Mobile Trauma-Informed Service Delivery

“Trauma-informed care” is somewhat more complex in mobile harm reduction delivery because workers don’t have complete control over the environment in which they’re working. That said, it’s important for harm reduction workers to do many of the same things they would in any other environment regarding other people’s trauma.

Understand that it’s there; understand that it’s not personal; understand that people will be emotionally dysregulated sometimes because of it; understand that particularly in mobile situations in which you’re almost inevitably dealing with people who are unhoused, those people are, as a result of not having housing, automatically more traumatized and stressed out than the rest of the population.

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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. 

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.
Many of the harm reduction leaders that were interviewed for Space Hacks talked about how critical it is to effectively manage services, supplies, and inventory in order to maintain community tranquility. It may not feel intuitive, but OGs report that ineffective management of supplies is the number one potential flashpoint for escalated situations during harm reduction services.