The NYC Department of Homeless Services (DHS) Harm Reduction in Shelters initiative works with shelters, that have experienced the highest number of overdose and substance use incidents, to provide capacity building support for staff and direct services to clients.
The Harm Reduction in NYC Shelters initiative prioritizes the dignity and well-being of shelter residents, meeting individuals where they are with compassion and respect. By embracing harm reduction principles, the initiative promotes a nonjudgmental, trauma-informed, and person-centered approach. This respect for residents’ autonomy and lived experiences fosters a sense of empowerment and inclusion.
Staff trainings foster a shift in understanding substance use from a personal failing to a chronic health condition that can be treated with medical care. This shift in attitudes, beliefs and approaches to working with shelter residents who have substance use disorders has facilitated greater connection to harm reduction and treatment services.
As a result of the Harm Reduction in Shelters initiative, naloxone was administered in 94% of suspected overdoses in NYC DHS shelters in 2022.
Capacity building services offered to shelter providers are rooted in open communication, constructive feedback, and education. Recent substance use related incidents, including suspected overdoses, are approached with care as vital learning opportunities with both shelter residents and staff members. Residents are provided risk reduction and safety planning counseling to foster safer practices, while staff members are engaged in discussion about how to create a safer environment within the shelter.
By bridging gaps between staff, residents, and external service providers, the initiative creates a network of support that directly addresses one of the most pressing challenges facing shelter residents. These efforts have saved lives, reduced stigma, and enhanced the overall quality of care within DHS shelters.