Harm Reduction Training Institute

The San Francisco Department of Public Health (SFDPH) Harm Reduction Training Institute (HRTI) supports SFDPH and SFDPH-funded staff, providers, and programs that work with people who use drugs and their communities.

 The goals of SFDPH HRTI are to:

  1. Build agency and program capacity
  2. Improve consumer engagement in service design and delivery
  3. Enhance the citywide system of care prevention and education to meet the needs of people who use drugs and alcohol in San Francisco

SFDPH-funded programs are required to integrate harm reduction principles into their service design and delivery, and all their staff are required to complete annual HRTI trainings. SFDPH Community Health Equity & Promotion Branch (CHEP) and Behavioral Health Services (BHS) collaborate with the National Harm Reduction Coalition (NHRC) and other community partners to provide monthly training to SFDPH and SFDPH-funded agency staff. HRTI training topics focus on how to work effectively with people who use drugs to support them in achieving their goals and implementing harm reduction principles to reduce stigma. Continuing Education Units (CEUs) are available from the Center for Learning and Innovation (CLI).

Please contact us at HRTI@sfdph.org.

SFDPH Policies

Harm Reduction Policy (Updated for 23-24)

All agencies/programs funded by DPH shall:

  1. Address in their program design and objectives how they will provide harm reduction treatment options.
  2. Develop harm reduction guidelines. This is according to the Resolution of the Health Commission in September of 2000.  Click here to see the resolution.  
  3. Describe where the agency/program will post the following schedule to ensure that they are available and accessible to all clients (updated schedule can be found here, please scroll down to Syringe Access & Disposal Schedule):
    • Up-to-date information about the location and schedule of syringe access and disposal services
    • Up-to-date referral information about naloxone access and the schedule of overdose prevention and naloxone distribution services
  4. Include an onsite overdose response policy that describes the steps the agency/program will take in the event that an individual overdoses on property managed by the agency/program or in the presence of agency/program staff.
  5. Ensure that all staff receive training in overdose prevention strategies.
  6. Ensure that all staff participate in at least one annual harm reduction training, provided or sponsored by the Harm Reduction Training Institute (HRTI) (the trainings are either in-person, virtual, self-paced, or recorded) as documented in program records.
  7. Provide low-threshold naloxone distribution to clients/participants. This includes establishing a process to train staff, track distribution and number of overdose reversals, and report overdose reversals to DPH point person.

For technical assistance from the National Harm Reduction Coalition (NHRC), please contact training@harmreduction.org

For more information on San Francisco’s Harm Reduction Policy or the SFDPH Harm Reduction Training Institute trainings, please contact HRTI@sfdph.org


Program Courses

2 hours
03.20.24 9:30 am - 11:30 am - Meaningful Involvement (Online Training)
Meaningful involvement of people who use drugs can increase support for harm reduction policy and...
2 hours
03.14.24 11 am - 1 pm - De-escalation and Conflict Management of...
The goal of this training is to provide general guidelines for the prevention and management of...
2 hours
02.06.2024 3-5 pm TA Training: Self-Care and Resilience
Harm reduction and direct services workers in caring professions are exposed daily to structural...
2 hours
02.21.24 Cultural Humility and Harm Reduction (Online Training)
This online training seeks to create space for reflection and conversation with participants...
2 hours
02.08.24 Boundaries and Disclosure (Online Training)
This workshop explores boundary setting and disclosure between people who use drugs and providers...
2 hours
01.18.24 Harm Reduction, Stigma and Pregnant People Who Use Drugs...
Pregnant and parenting people who use substances are one of the most stigmatized and demonized...
2 hours
01.17.24 Dismantling Drug-Related Stigma (Online Training)
This two-hour online training will introduce the concepts of social inequalities faced by people...
2 hours
01.11.24 Drugs 101 (Online Training)
This training provides a brief overview of drug related stigma and then takes a deeper dive into...
2 hours
01.10.24 Harm Reduction Case Management (Online Training)
This training outlines an integrated approach to conducting case management  for people who use...
2 hours
12.21.23 Introduction to Motivational Interviewing: The Spirit of...
In this training, participants will learn about the foundations of Motivational Interviewing...
4 hours
12.14.23 Advanced Motivational Interviewing: Deepening our...
In this four-hour in-person training, participants will build their Motivational Interviewing...