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As with exceptions, supply interruptions can be handled with the same transparency and communication. Be explicit with people about why the interruption is happening and tell them when it might be over. Be sure to remain equivocal if you aren’t sure about things. Authentic ambiguity is preferable to disingenuous certainty.

Most of the people who utilize harm reduction services understand scarcity very well, so they will not be surprised if there are interruptions to getting what they need because your agency or group is struggling. Saying “we’re broke” is something that most of your participants will understand viscerally.

Leaders say one of the worst things you can do in such situations is try and stonewall. Instead, be open, even if you don’t know. In fact, that authenticity will grow your credibility with the folks you serve.

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. 

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.
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.