Harm Reduction for Substance Use

Last updated: September 28th, 2026 at 8:59am

Harm reduction services help people stay safer when using unregulated substances. Harm reduction is part of a wider approach that also includes prevention, treatment, and recovery.

Stay safer when using unregulated substances

Drug checking

Get your drugs tested, confidentially and for free. 
Find a drug checking service near you.

Overdose information

Learn how to recognize and respond to an overdose.

Naloxone kits and harm reduction supplies

Get free Take Home Naloxone Kits and harm reduction supplies.

Toxic drug alerts

Get alerts about increases in toxic drug poisonings in your community.

  • Text JOIN to 253787 to subscribe.
  • Text OD to 253787 to anonymously submit information about unregulated drug poisonings.

If you use alone

LifeguardConnect

A mobile app that helps people stay safer when using substances. It includes a “use alone” timer, drug alerts, and quick access to emergency and support services if help is needed.

National Overdose Response Service

A free, confidential phone line you can call when using substances alone. An operator stays with you on the call and can contact emergency services if you become unresponsive.

Call 1-888-688-NORS (6677)

Overdose Prevention Sites

Supervised locations where people can use substances with trained staff nearby. Staff can respond quickly in the event of an overdose and provide harm reduction supplies and support.

Find an overdose prevention site near you.


Get support with substance use

Access Central

Call to talk with a health care team about your drug or alcohol use. You don’t need to know what service you need before you call.

Call 1-888-885-8824

Alcohol and Drug Information and Referral Service

If you want to understand your options, this line can help. They can explain services and help you find supports that fit your situation.

Call 1-800-663-1441

Vancouver Island Crisis Line

If things feel overwhelming or you just need someone to talk to, support is available any time. You don’t have to be in crisis to reach out.

Call 1-888-494-3888 or text 250-800-3806

Kuu-us Indigenous Crisis Line

A 24/7 support line for Indigenous people. You can talk with someone who understands and can offer support in a safe and respectful way.

Call 1-800-588-8717

First Nations Health Authority

Information and resources to support safer substance use and wellness, grounded in cultural safety and community strengths.

More mental health and substance use support

A place to explore more supports, including treatment options and community services across Island Health.

Caring conversation cards

Caring Conversations is a card deck that uses thoughtful questions to explore harm reduction, stigma, cultural safety and trauma-informed care, encouraging open and meaningful conversations.

General Information on Harm Reduction for Substance Use

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