Harm Reduction And Shelter Settings
Drug overdose is the leading cause of death among people experiencing homelessness. Harm reduction is an approach that aims to reduce risk of overdose death and other negative repercussions of substance use. The National Harm Reduction Coalition defines harm reduction as “a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use,” but also “a movement for social justice built on a belief in, and respect for, the rights of people who use drugs.” Robust evidence demonstrates that specific harm reduction strategies, such as naloxone distribution to reverse overdoses and syringe distribution to decrease transmission of HIV and hepatitis C, are effective. But a recent executive order falsely claims that harm reduction strategies are ineffective and targets programs that employ harm reduction for defunding.
As health care for the homeless providers, public health practitioners, and shelter providers, we believe in building shelter systems that are welcoming, support the safety of people who use drugs, provide stabilizing and recovery pathways, support their transition into permanent supportive housing, and ultimately help them reach their life goals. Thus, we support incorporating harm reduction practices into shelter settings.