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Harm Reduction & Harm Reduction Service Provision

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A wide-ranging collection of resources covering harm reduction advocacy, technical assistance, education, self-organising, safer use, and overdose response. Whether you’re running a syringe service programme or just starting out, there’s something here for you.

Drug User Self-Organizing

National Survivors Union

International Network of People Who Use Drugs

New England Users Union

VANDU

Harm Reduction Advocacy

National Harm Reduction Coalition

Drug Policy Alliance

SAMHSA’s well developed Harm Reduction Framework

Harm Reduction EU

Harm Reduction International

Filter Magazine

Harm Reduction Friendly Recovery Options

Harm Reduction Works

HAMS

SMART Recovery

NAMA – National Alliance for Medication Assisted Recovery

Harm Reduction Technical Assistance

National Black Harm Reduction Network

NASTAD

NACCHO

National OD Prevention Network has an excellent Resource section

Reduce Harm

Harm Reduction Training & Education

Harm Reduction Library

Balanced Imperfection

NHRC has a Learning Lab and Training Center

Black Indigenous Harm Reduction Alliance has a Resource section

NEXT Distro has a great Resource Center

Harm Reduction Vendors

Points of Distribution

Total Access Group

Smokeworks

Safety Works

Remedy Alliance for the People

Overdose Prevention and Response

CDC has information on Opioid Overdose

SAMHSA published an Overdose Toolkit

NHRC’s DOPE Project has a Guide to OD as well as a guide to Overamp

NEXT Distro has an Overamp Guide and a lot of other Resources on OD

The Overdose Prevention Network also has a Resource library

Safer Drug Use

NEXT Distro

Erowid

Bluelight

Injecting Advice

Safer Sex Work

Sex Worker Outreach Project (SWOP) USA

Red Umbrella Project

Tits and Sass

Mo Ho Justice has a resource Library

The Cupcake Girls

Decriminalize Sex Work

SWARM Collective

Urban Justice has a Sex Worker project

NSWP Global Network of Sex Worker Projects

Street Outreach

The National Association of Community Health Workers has a Resource Center

Health Outreach Partners has a National Outreach Guidelines for Underserved Populations

SAMHSA has published Minimum Standards For Conducting Street Outreach with Hard to Reach Populations

The National Alliance to End Homelessness maintains a Resource Center

Street Medicine Institute has a Resource archive

Homeless Hub also has a great Training Series

Syringe Access Service Provision

Oregon Health Authority has an extensive Harm Reduction Library

World Health Organization has an international Guide to Starting and Managing Needle and Syringe Programmes

SF Department of Public Health has published a Syringe Access and Disposal Program Policies and Guidelines

Harm Reduction Hacks

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. 

Creating effective policies in harm reduction work means grounding them in your mission, being thoughtful about their impact, and ensuring they’re both practical and inclusive. The tips below offer a starting point for organisations looking to build policies that reflect their values, meet external requirements, and genuinely support the people they serve and work with.
Though largely unsupported by scientific evidence, the dangers of needle stick injury loom large in the popular imagination. As a result, the emotional response to needle stick injury can be intense even if, statistically, the risks are quite low. For this reason, if no other, it’s essential that harm reduction organizations be prepared for how they might deal with such an eventuality.