Us Helping Us, People Into Living, Inc., a Black-led, LGBTQ+-affirming health organization in Washington, DC, developed a harm reduction and capacity-building model rooted in health equity to address the opioid crisis. While naloxone distribution remains vital, we go beyond it by centering legal literacy, reducing stigma, and community empowerment.

Integrating harm reduction conversations into primary care visits can help to provide education, resources, and support for behavioral change for the patient, their family, and their community. Patients are already considering their safety related to substance use and pain control but may not know all the facts or strategies to keep themselves and their loved ones safe. Asking patients without judgment about how they control pain and use substances can open communication between patients and healthcare providers.

Radical Rapport is a dynamic, trauma-informed training/presentation designed to help harm reduction providers and health professionals build deeper trust with Black, Brown, Indigenous and LGBTQ+ communities. Through reflection, skill-building, and cultural humility, Dr. Vivid guides participants toward creating safer spaces rooted in affirmation, not assumption. This training centers identity, orientation, expression, plant medicine, and spiritual healing as vital to holistic harm reduction.