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Harm Reduction Hacks in Focus: Space Hacks

Hacks for Policy Violation Prevention

There are 2 hacks in this section

Preventing Policy Violations Without Losing Compassion

Plan for the behaviour, not just the breach

In harm reduction settings, policy violations can’t be addressed through punishment or moralising—they must be understood in context. Desperation, trauma, and unmet needs often drive behaviour that may look like theft, aggression, or noncompliance. This chapter reframes “misconduct” through a harm reduction lens and offers practical strategies to prevent it without resorting to shame or control. By creating environments rooted in dignity, foresight, and mutual respect, we can reduce harm for everyone—participants, staff, and the broader community.

    When talking about misconduct, which includes violence, threats of violence, theft, vandalism, or otherwise harmful, antisocial or even criminal acts in harm reduction organizations, it’s important to view them from a slightly different lens than is typical.
    It is challenging to describe behavior that may be outside of social norms, unethical, or dangerous without entirely stigmatizing the person doing the behavior. The very language itself is designed to describe these behaviors entirely in moral terms.
    • "What should young people do with their lives today? Many things, obviously. But the most daring thing is to create stable communities in which the terrible disease of loneliness can be cured."

      Kurt Vonnegut Jr.
    • "Opponent’s of syringe service programs and harm reduction in general typically remark that it “sends the wrong message.” The message they are referring to is, “We love you and want you to be safe.”

      Christopher Abert
    • "We have to be ready and able to reach clients where they are, not where we want them to be”

    • "Between an uncontrolled escalation and passivity, there is a demanding road of responsibility that we must follow. "

      Dominique de Villepin
    • "Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone."

      Fred Rogers
    • "We live in a world in which we need to share responsibility. It's easy to say "It's not my child, not my community, not my world, not my problem." Then there are those who see the need and respond. I consider those people my heroes."

      Fred Rogers
    • "The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma."

      Judith Lewis Herman
    • “People who cause harm are often also survivors of harm. If we want to address the roots of violence, we have to honour both truths.”

      Danielle Sered
    • "Letting go gives us freedom, and freedom is the only condition for happiness. If, in our heart, we still cling to anything - anger, anxiety, or possessions - we cannot be free."

      Thich Nhat Hanh
    • “The bottom line is that overdose prevention sites — which exist in more than 100 cities around the world — offer compassion for fellow human beings,”

      Mayor Jim Kenney
    • "One of the problems that arises with the term “people who use drugs” is that it is intentionally pluralistic in its embrace of ALL people who use drugs—from recreationally to deeply problematically. This makes using it to talk about the things that especially impact people who are using drugs problematically very difficult. "

    • “Caring for myself is not self-indulgence, it is self-preservation, and that is an act of political warfare.”

      Audre Lorde
    • "One of the most important things we can do as advocates is to define & make concrete the vague terms used by politicians. What does it mean to “take a public health approach”? What you mean when you say “treatment”? Politicians rarely know. Our job is to make it plain for them."

      Jonathan Giftos
    • We need to play that game where we require politicians to finish every sentence denouncing supervised injection facilities with the phrase, “and that is why I think injecting alone in a McDonald’s bathroom is better.”

      Jonathan Giftos
    • "Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone."

      Fred Rogers
    • “Identify five things that you can see, four things that you can touch, three things that you can hear, two things that you can smell and one thing that you can taste.”

    • “When another person makes you suffer, it is because he suffers deeply within himself, and his suffering is spilling over. He does not need punishment; he needs help. That's the message he is sending.”

      Thich Nhat Hanh
    • "I describe my experiences as a nurse volunteer at the overdose prevention site as “being in the right place at the right time doing the right thing.” And that’s exactly where I want to be as a nurse: working outside the system to make a real difference in people’s lives, showing up in the community when it matters most and challenging rules that directly contribute to the overdose crisis, and exposing government inaction by being part of the solution on the ground. For me, this is what nursing is all about."

      Marilou Gagnon
    • “As always, be transparent with participants about what you have, what you don't have, and/or what's for only special populations.”

    • “Boundaries help me to give all that I can and still come back tomorrow.”

    • "Not all traumas are the result of what happened to you; some are the result of what didn’t happen for you"

      Gabor Maté
    • “In general, it is antithetical to harm reduction best practices to call the police except under the most extreme life-or-death circumstances.”

    • “Many of the harm reduction leaders interviewed talked about the importance of not having too many policies and involving your participants in the development of policies—especially those that impact them directly.”

    • "We don’t need to professionalize the people closest to the crisis. We need to recognise them as professionals already.”

      Jules Netherland
    • "There isn’t a way things should be. There’s just what happens, and what we do."

      Terry Pratchett
    • “One doesn’t have to operate with great malice to do great harm. The absence of empathy and understanding are sufficient.”

      Charles M. Blow
    • "Darkness cannot drive out darkness: only light can do that. Hate cannot drive out hate: only love can do that."

      Martin Luther King Jr.
    • "If you question harm reduction works, I can’t help but wonder if you have ever actually seen what happens in these spaces. We promote health safety and dignity, and it works. It is simple, beautiful and changes peoples lives."

      Haven Wheelock