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Harm Reduction and Crisis Response

Manual: General · Subject: Psychedelic Science

Learn practical safety principles for reducing harm and responding to difficult experiences.

Harm Reduction Principles

What Harm Reduction Means

Harm reduction aims to lower the chance of injury or trauma by emphasizing informed choices, safer settings, support, and rapid response to problems. It does not mean a drug is risk-free.

Core Harm Reduction Practices

  1. 1

    Avoid mixing substances, especially when effects are uncertain.

  2. 2

    Use trusted supervision and a calm environment.

  3. 3

    Be aware of mental health history and current stressors.

  4. 4

    Plan for hydration, rest, and aftercare.

  5. 5

    Know when to seek urgent medical help.

⚠️

When to Seek Help

Urgent help is important if someone becomes confused, severely agitated, medically unstable, suicidal, or unable to keep themselves safe.

Supportive vs Unsafe Conditions

Supportive conditions

  • Trained supervision
  • Stable environment
  • Clear expectations

Unsafe conditions

  • Unknown substances
  • Crowded or chaotic setting
  • Polysubstance use

Which is a harm reduction principle?

What should be done if someone is medically unstable during a psychedelic crisis?

Helpful Concepts

De-escalation
Calming the situation through reassurance and reduced stimulation.
Aftercare
Support after a difficult or intense experience.
Polysubstance use
Using more than one drug, which can increase unpredictability.
Trip sitter
A sober support person present to help maintain safety.