Harm
Reduction
Hacks
Harm
Reduction
Hacks
Harm Reduction Hacks is the product of a series of 38 qualitative conversations with harm reduction leaders representing every region of the US that took place in the Fall of 2020 and the Spring of 2021.
For Harm Reduction Hacks, two waves of leaders representing every region of the US participated in one-on-one conversations in the Fall of 2020 and spring of 2021. These leaders represented a wide variety of organizational types and structures providing harm reduction services in the US, including stand-alone non-profits, fiscally sponsored projects, horizontal collectives, and programs embedded in both county health departments and larger community-based organizations (CBOs).
This data was then analyzed for themes, practical tips, and other information. That analysis, and the wisdom of people who have between them nearly 500 years of lived experience, are woven throughout the information, tips, and insights in Harm Reduction Hacks.
The Hacks
Featured Hacks
Fundraising for Harm Reduction
Over the years, harm reductionists have used a variety of strategies to fund their services. Because of the stigma related to drug users and the mythologies that have arisen around drug use, harm reduction was seen as “enabling” problematic behavior at a time when much of the world was still trying to fix problematic drug use by criminalizing it.
Picking an Accounting System
The two primary tools that harm reduction leaders reported using the most to track their transactions (money received and money spent) were the Excel spreadsheet and Intel’s Quickbooks.
More Resources
Let Us Know About A Resource
During our development Harm Reduction Hacks have collected together a large number of resources from around the web you can find these in our resource folder in Google Docs. We are also always looking for more so help us by suggesting any resources we may have missed.
Notes About Language for Harm Reduction Hacks
The language used in Harm Reduction Hacks has been deliberately chosen to de-stigmatize drug use, people who use drugs, sex workers and other marginalized people and to be philosophically consistent with the Principles of Harm Reduction. Because of this the Hacks:
- Uses the terms “syringe service provider” (SSP) and “harm reduction service organization” interchangeably to mean doing work to reduce the harms associated with stigmatized behaviors including drug use, sex, and sex work.
- Uses and defines “social location” as “the social position an individual holds within their society, based upon social characteristics deemed to be important by any given society.” Some of the social characteristics deemed to be important in the US include class, race, gender, sexual orientation, ethnicity, religion, physical ability, age, regional origin, and appearance.
Acknowledgments
More Featured Hacks
Interacting with Participants: Best Practices for Data Collection at SSPs
It’s important for SSPs to ground any research or data collection they do in the insights and best practices for working with marginalized folks. The following are some of the best practices for collecting data from participants in harm reduction programs based on the experiences of harm reduction leaders.
Inventory Control and Management
In traditional for-profit businesses, inventory control helps control costs and track “shrinkage” (theft). These are not concerns for most harm reduction programs so one unexpected finding from the Hacks conversations with harm reduction leaders is how concerned leaders are with inventory control and management.
Tips and Guarantees
- These insights are offered in the spirit of saving emerging leaders the time and energy of re-inventing the wheel.
- Apply harm reduction to your programs! This is not a book of guilty “to-dos”!! It is a menu of options to meet your program where it is at right now and make the incremental changes that will benefit the well-being of your program and, more importantly, your participants over the long term.
- The insights and information here have been thoroughly researched against a variety of disciplines including public health, social work, business, public administration, and non-profit management.
- There is no one-size fits all answer for the subjects discussed.
- Jump in where you need to, this is not meant to be read from start to finish.
- Tailor the insights and suggestions here to your organization and needs.
- Know that this isn’t everything you will need, but it does cover some really important basics.
- Everything here could be another book so use the resources section to learn more!


