When people talk about the opioid crisis in British Columbia, the conversation often turns to harm reduction. At its core, harm reduction is a public health approach that accepts a simple reality: some people will continue to use drugs, and the most urgent priority is keeping them alive and safe.
Instead of focusing only on abstinence, harm reduction meets people where they are. It’s about safety, health, and dignity. For someone who uses drugs, that might mean clean supplies, a safe space, or judgment-free support from health workers.
What harm reduction looks like in BC
BC has become a national leader in adopting harm reduction strategies as part of its response to the overdose crisis. A few examples include:
- Supervised consumption sites – places where people can use substances under medical supervision, reducing overdose deaths and creating an entry point for recovery services.
- Needle exchange programs – by providing sterile syringes, these programs prevent the spread of HIV and hepatitis C.
- Naloxone distribution – free kits are available across the province, giving people the ability to reverse an opioid overdose within minutes.
- Drug checking services – these allow users to test substances for contaminants like fentanyl, a major cause of overdose deaths.
Why it matters
Harm reduction isn’t about encouraging drug use. It’s about survival and public health. These strategies save lives, lower the risk of disease, and help keep people connected to the support systems that can eventually lead to recovery.
Research shows that people who use harm reduction services are more likely to seek treatment when they’re ready. In other words, it’s not a barrier to recovery — it’s often the first step toward it.
How you can help
- Learn more and share accurate information about harm reduction with others.
- Volunteer or support local organizations working on the front lines of the crisis.
- Carry a naloxone kit and know how to use it.
Harm reduction is ultimately about giving people a chance to survive long enough to make different choices. It’s not perfect, but without it, far more lives would be lost.
If you’re looking for support, we can help connect you with counselors and community resources. Reach out through our Contact page.

