All of The Harm Reduction


What is presented here are Harm Reduction Hacks collected from conversations with harm reduction leaders representing every region of the US. 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).

We have organised the hacks into the 14 sections detailed below, each section title links to the introductions for that section, and the bulleted titles allow you to get directly to the hack if you already have an idea of your needs.

Resources for More Information and Hacks

The links in the articles below represent a wide variety of information and resources to help further your organization’s growth. Most of them are also cited throughout the text without. All the sections include explanations of what the links are and have added context for them.


The hacks on this site are shared with you under a Creative Commons Attribution-ShareAlike 4.0 International licence. This allows you (with attribution) to adapt content for your own use, although we do ask you to then also allow others to have equal access to anything you develop. More details of this licence can be found on the Creative Commons website.


We do not claim that this is an exhaustive set of strategies, shortcuts, or tips for running an SSP. What we do suggest is that Harm Reduction Hacks offers down-to-earth, practical information for being a better leader, starting and running an SSP, and providing syringe access services. We feel we can say this with confidence because the Hacks are based on interviews with, and the experiences of, literally generations of people who have been doing harm reduction work.

Please note that nothing in this guide should be construed as legal advice. Please consult an attorney local to your area to ensure your program is in compliance with all local, state and federal regulations that apply to your situation. 

Harm Reduction Hacks site design and implimentation by Nigel Brunsdon

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