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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. 

Trauma-Informed

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The term “trauma-informed” emerges from a growing understanding of the far reaching ways that trauma impacts health and well-being. Trauma is defined here, in keeping with the scientific literature, as a deeply distressing or disturbing experience(s) that overwhelms an individual’s ability to cope, and significantly impacts their mental, emotional, and physical well-being.
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Edie Springer’s Worker Stances for Clients Who Use Drugs & Harm Reduction Worker: Best Practices

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Harm reduction immediately resonated for Edie, who was herself a former drug user and methadone patient. Faced with the devastation of HIV’s impact on drug-using communities, Edie fully embraced harm reduction and trained hundreds of harm reduction workers who have carried her legacy with them. She developed these worker stances in 1996 and they have been shared among many of us in the harm reduction community for generations.
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