Harm Reduction for Health and Community Workers


​FNHA Four Directions Team

Four Directions is an interdisciplinary team that supports wise practices in mental health, substance use, and harm reduction. The team's work focuses primarily on creating and improving programs, resources and services for First Nations communities and health care professionals who work with First Nations people across BC. See the team's brochure here. Contact the team by emailing 4directions@fnha.ca

FNHA Harm Reduction Hub

The Harm Reduction Hub provides community workers and healthcare providers with easy access to harm reduction education and supplies, including bulk supply of nasal naloxone. 

The Hub also helps build connections with FNHA's regional teams and other harm reduction supports to help expand harm reduction options in First Nation communities. You can access the Harm Reduction Hub by emailing harmreduction@fnha.ca. Learn more about the Harm Reduction Hub in this two-page infosheet here (PDF). 

Addiction Medicine Clinician Support Line  

The 24/7 Addiction Medicine Clinician Support Line is a service provided by the BC Centre on Substance Use and is staffed by addiction medicine specialists from across British Columbia (BC). When you call, the specialists can answer your questions about the treatment and care of people who use substances. 

This service is available to all frontline staff who are caring for individuals with existing or past substance use disorders. Call 778-945-7619 24 hours per day, seven days per week. Learn more about the Support line in this one-page infosheet he​re (PDF).

All Paths Lead to Wellness

All Paths Lead to Wellness Conversation-Starter – A detailed image that reflects the wide spectrum of programs and services that are available for people who use substances (Two-page FNHA info sheet).

Supporting Opioid Use Disorder and Opioid Agonist Therapy 

Supporting Opioid Use Disorder and Opioid Agonist Therapy - A 32-page resource to support nurses who work in First Nations communities providing trauma-informed and culturally safe care to clients who are prescribed Opioid Agonist Therapy (OAT).

Opioid Use Disorder Care (One-page infosheet for health workers) 

Raven's Eye Sage Sites

Raven's Eye Sage Sites Service Delivery Framework – A 23-page guide for establishing and running an on-demand overdose prevention site for First Nations (PDF)

FNHA Nurse Prescribing  

In 2020, Registered Nurses (RNs) and Registered Psychiatric Nurses (RPNs) in British Columbia (BC) received the authority to prescribe certain forms of opioid agonist therapy (OAT) to provide increased access to prescribers and to expand culturally safe care. 

The FNHA Four Directions team can support the education pathway and training of nurses working in rural, remote and urban First Nations communities who are interested in becoming nurse prescribers.

FNHA Nurse Prescribing: A Community Conversation (YouTube video, Runtime: 83 minutes)

Take-Home Naloxone

Take Home Naloxone is a provincial program run through the BC Centre for Disease Control that aims to expand access to naloxone, the opioid overdose reversal drug that prevents overdose death. 

Naloxone is available in BC without a prescription. Not-for-profit organizations can order Take Home Naloxone kits and provide them to people at risk of an opioid overdose, and people likely to witness and respond to an opioid overdose.

Register your community as a Take Home Naloxone site by contacting the Hub harmreduction@fnha.ca​

Naloxone: Injectable vs. Nasal