Synchronicity

Holy Cross Health in Fort Lauderdale, Florida, is advancing health equity through a comprehensive, community-based approach to HIV prevention and care, STI and Hepatitis C screening, and LGBTQ+ health. Broward County remains one of the nation’s HIV epicenters, with 579 new diagnoses in 2022, far exceeding the national average. Despite this, 96.2 percent of people living with HIV in the county know their status, and 80.8 percent are linked to care within one month. Holy Cross Health’s initiatives, such as community outreach, HIV self-testing, and culturally competent education, are designed to meet the needs of LGBTQ+ individuals who are disproportionately affected by these conditions. The program is led by community advocates and LGBTQ+ healthcare professionals who step beyond traditional clinical roles to engage directly with the community. This session will explore the program’s design, implementation, and measurable impact, offering a replicable model for other health systems.

This session explores the emerging evidence supporting yoga and other healing modalities as a complementary harm reduction tool, particularly in underserved or high-risk populations. Drawing on interdisciplinary research, community-based programs, and trauma-informed frameworks, it underscores alternative healing modalities potential to serve not as a replacement for clinical treatment but as an accessible, empowering adjunct that supports individual agency, healing, and long-term well-being.

Queen City Harm Reduction (QCHR) is the only organization expressly centered around harm reduction principles and syringe access in Mecklenburg County, North Carolina, where the city of Charlotte is based, and seeks to minimize the harms associated with substance use and other intersecting conditions such as sex work, justice involvement, and homelessness. QCHR proactively educates peers and the community on drug user health promoting prevention of infectious disease, overdose, and compassionate care.

The Empowerment Circle is a peer-led recovery support group serving individuals impacted by substance use, trauma, HIV, and systemic health disparities across the broader community—including LGBTQ+ populations, returning citizens, older adults, and people with lived experience of homelessness. What makes this model unique is its inclusive approach: while centering recovery, it intentionally brings together diverse participants in a shared healing space.

Cool Kids Carry Narcan is a rural overdose prevention initiative led by Berkshire Harm Reduction, a program of Berkshire Health Systems in western Massachusetts. Designed to address geographic and racial inequities in naloxone access, the project currently installs and maintains 124 public NaloxBoxes while pairing distribution with community training and stigma-reduction campaigns.

In April 2024, San Diego County launched its Harm Reduction Services Program (HRSP), the region’s first government-run syringe service initiative. Designed to address the intersecting crises of overdose, HIV, and hepatitis C among people who use drugs, HRSP operates through a mobile delivery model, providing low-barrier, stigma-free services in underserved communities identified through a comprehensive Community Readiness Assessment.

This conversation centers harm reduction not as a checklist, but as a justice-rooted framework, a commitment to dignity, autonomy, and survival in a world that often withholds those things. We’ll explore how harm is exacerbated by systems of criminalization, medical neglect, stigma, and control, especially for people who use drugs, sell sex, live with chronic illness, or navigate poverty, racism, and ableism. We’ll interrogate how harm reduction gets watered down, co-opted, or professionalized into meaninglessness, and what it means to reclaim it as a radical, liberatory practice.

Contingency Management (CM) is a behavioral intervention option for stimulant use that involves immediate, tangible rewards to individuals to reinforce positive self-identified behavior change. In 2023, in response to rising rates of stimulant overdose deaths, California became the first state in the U.S. to offer CM as a benefit through public insurance. Having already embraced CM over two decades prior through the Positive Reinforcement Opportunity Project (PROP)—originally designed for men who have sex with men to reduce sexually transmitted infections through reducing methamphetamine use—San Francisco was well positioned to expand this model, and over the last two years expanded CM to more than a dozen programs throughout the city benefitting diverse populations.

This presentation will explore the process and findings of this landscape analysis, sharing some key case study videos and highlighting the various creative ways that programs have integrated MAT treatment into existing models even if they do not have a prescribing provider onsite. Participants will become familiarized with the meaning and significance of low barriers services in an MAT setting, and will discuss various ways that MAT programs have been successful in preventing overdose and improving the overall health and wellness of their clients through provision of MAT.

This presentation addresses the intersection of issues in health equity and justice, versus health advocacy and policy, to identify and contradict the significant misdirection and fatal errors of science in recent opioid prescribing guidelines of the US CDC and Veterans Administration with a critical review of published clinical and demographic data on safety and effectiveness of prescription opioid analgesic pain relievers.

Hillcrest Children and Family Center, a community-based behavioral health organization in Washington, DC, implemented the Certified Community Behavioral Health Clinic (CCBHC) model to expand access and reduce disparities among underserved populations. Serving largely Black and LGBTQ+ communities, Hillcrest’s CCBHC initiative provides an integrated platform for behavioral health, primary care, and prevention services. This framework has strengthened culturally responsive care and enabled the agency to leverage programs, including Ryan White–funded HIV prevention and treatment, to advance health equity and justice.

Using Oregon’s All-Payer All-Claims dataset (2016–2023), this analysis examines GAC utilization among transgender and gender-diverse adolescents, identifying disparities by insurance type, age, and sex assigned at birth—even within one of the nation’s most affirming policy environments. Quantitative findings are contextualized with lived experience: the journey of raising a ten-year-old transgender son, illustrating, through narrative and video excerpts, how timely, evidence-based, and affirming care fosters gender euphoria, confidence, safety, and family cohesion.