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Hacks for Recognizing the Physical Signs of Escalation

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Most of us are relatively familiar with the physical signs of escalation, but they include a few you may be less familiar with, including:

  • Pacing
  • Sweating
  • Shaking
  • Clenched fist or jaw.
  • General restlessness.
  • Rapid breathing.
  • Aggressive or defensive postures, including stiff body language, crossed arms, stepping back, or staring people down.

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. 

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.
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Hacks for Reaching Affirmation & Accord

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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.
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