Harm reduction
Practical approaches to reducing the risks of substance use, even before someone is ready to stop.
What it is
Harm reduction means reducing the dangers of substance use without requiring abstinence as a precondition for support. It's based on the evidence that people are more likely to stay safe — and eventually more likely to reduce or stop use — when they're not also fighting for access to basic support.
Good to know
Carrying naloxone, never using alone, and knowing what's actually in a substance (where drug-checking services exist) are all harm reduction practices that save lives regardless of whether someone is ready to stop using.
What helps
Naloxone kits, drug-checking where available, and harm-reduction-informed counselling all reduce risk without requiring someone to commit to quitting first. Treatment remains available whenever someone is ready for it — the two aren't in competition.
When to seek help
There's no threshold to meet first — harm reduction support is available to anyone currently using substances, on its own terms.
Services that can help
- Provincial Opioid Dependence Treatment LineSupport and navigation for people using opioids, their families, and providers.
- Take-Home Naloxone ProgramFree take-home naloxone kits (injectable and nasal) to reverse an opioid overdose. Get one with no referral from many pharmacies, public health offices, or by calling 811 to find the nearest location.
- Safe Works Access Program (SWAP) - AIDS Committee of NLFree, non-judgmental harm reduction: clean supplies, needle exchange, naloxone, and drug-checking (fentanyl/benzo) test strips, with a mail-out option for rural NL.
- The Recovery Centre19-bed provincial detox and withdrawal management centre for alcohol and other drug use, ages 16+. Self-referral — call directly, no referral required.
- Humberwood CentreLive-in treatment for alcohol, drug, and gambling addiction. Free, ages 19+. 3–4 week program for middle-to-late stage addiction.
- The Grace Centre18-room live-in treatment centre for alcohol and other substance use, 28-day program, ages 18+.
Related topics
This page is general information, not a diagnosis or medical advice. If you're in crisis, go to Get Help Now instead of reading further.