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Harm Reduction Works

Summary

Harm Reduction Works, also known as HRW, is a self-help and mutual aid group grounded in harm reduction philosophy—deliberately designed as an inclusive alternative to abstinence-only recovery models like traditional 12-step programs. 

Website

https://www.hrh413.org/foundationsstart-here-2

Addictions Treated

Alcohol and drugs

Orientation

Secular (Pro-Use)

Overview

Harm Reduction Works  was originally founded in Northampton, Massachusetts in March 2019 by Jess Tilley and Albie Park. It was formally introduced at the Drug Policy Alliance Reform Conference later that year, in November 2019.


HRW is fully scripted and exercise-driven, meaning that each meeting follows a structured but accessible format. It’s intentionally low-barrier, allowing anyone to start or participate, regardless of their harm reduction knowledge. It explicitly does not oppose abstinence. Instead, it embraces harm reduction as a flexible and inclusive framework, recognizing that recovery paths vary.


Harm Reduction Works supports both virtual and in-person meetups through their online platform. The program hosts different types of meetings to meet diverse community needs:


  • Open Meetings: Available to anyone interested in learning about harm reduction.
  • Focused Meetings: Designed for those currently using substances, those with a history of use, or those contemplating use.
  • Specialized Meetings: Tailored for specific groups such as LGBTQ+ individuals, parents/guardians, neurodivergent people, and more.

Core Text

Harm Reduction Works-HRW Host Script by Albert C. Park and Jessica Tilley   

Principles, Strategies, and Tools

Drug Use and Drinking Consequence Categories

  • Health. This refers to both physical and mental health.
  • Legal. Many drugs are illegal. Simple possession or open containers can carry mandatory sentences or fines. The major weapons of The War on Drugs are arrest and incarceration.
  • Social. Relationships with others may change or deteriorate to the point of frequent isolation and loneliness.
  • Financial. Usually there is a financial cost associated with drug use and drinking. Drugs and alcohol cost money. Many employers require drug tests to get or keep a job.


Drug Use and Drinking Goals

  • Amount. How much you use when you use or drink. Sometimes just paying attention to how much is consumed can change behavior in ways that reduce harm.
  • Frequency. How often you use or drink. Some people have to use or drink everyday or they go into withdrawal. Some people only like to use at night or only on weekends. Sometimes frequency changes depending on the type of drugs or alcohol consumed. Sometimes patterns change when a person’s environment is different. Becoming aware of frequency can give people the chance to change a pattern when change makes sense to them and they are ready.
  • Method. How drugs are consumed. Sterile equipment reduces risk of hepatitis and HIV and soft tissue wounds. Going slow can reduce risk of overdose. Having water between drinks helps people stay hydrated.

Find a Meeting

In-person and online:  https://meet.harmreduction.works/

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