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Harm reduction and its principles are obviously the basis for all the Hacks. Though harm reduction is not a philosophy per se and draws from sources like psychology, science, feminism, egalitarianism, humanism, and queer and critical theory, harm reduction is about radical pragmatism around high-risk behaviors as well as a deep and compassionate understanding of social location, and the barriers faced by stigmatized people like folks struggling with their substance use, people who do sex work, and unhoused people. Harm reduction shares many traits including:

…being in favor of ANY positive change, as defined by the person making the change.

…“meeting people where they are at,” and letting them tell you where that is.

…not minimizing or exaggerating the dangers of risky behavior.

…being realistic, pragmatic, and evidence-based.

…embracing ambiguity and gray.

…being founded on compassion and respect for individual autonomy and agency.

…assuming positive intent and personal capacity.

…seeing people, and their risky behavior, holistically and contextually.

…being honest about the real and often terrible consequences of drug use as well as its benefits.

…not being punitive, yet holding people accountable for their impact.

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. 

The concept of “consent culture” emerged from the sex positive movement of the 1980s and 90s. It was a response to the concept of “rape culture”, a term that had been coined to describe the experience that many people—especially women, queer and trans people—have of sexual violence and harassment.
Community member agreements are shared agreements regarding behavior expected of everyone who participates in a harm reduction site or service. The primary rule all harm reduction leaders talked about was the need to treat everyone with respect.