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St. Francis House Harm Reduction Specialist in Boston, Massachusetts

Harm Reduction Specialist

Boston, MA ( • Recovery Support Center

Job Type



Salary Range: $48,450 - $53,295 per year (paid as $23.29 - $25.62 per hour)

Schedule: Monday – Friday; 7:30 A.M. – 3:30 P.M.

Job Summary:

The Harm Reduction Specialist conducts outreach to individuals who are actively using substances. The HRS works as part of a 2-person outreach team to engage individuals on the street who may or may not use SFH services. The goal of the HRS is to engage and build rapport with individuals who are actively using. In doing so, the HRS provides tools, supplies, resources, support, and referrals as needed to reduce the risk of death due to overdose and mitigate the negative impact of overall drug use. The HRS completely embraces a non-judgmental, non-coercive, harm reduction model where drug use is not stigmatized and safe drug use is supported.

Essential Duties:

  • Utilizing a peer approach, conducts outreach within St. Francis House and downtown Boston area to people who are actively using substances and/or at high risk of opiate overdose.

  • Establishes rapport and reduces harm by providing or connecting individuals with critical, life-saving resources.

  • Works collaboratively and maintains connections with community partners from Boston Healthcare for the Homeless (BHCHP) and a multidisciplinary team from St. Francis House that includes behavioral health clinicians, recovery center peer support staff, case managers, guest engagement and safety staff members.

  • Provides education to staff and guests about ways to increase safety during use including ways to avoid overdose, infection, and victimization.

  • Provides information and materials associated with safer injection strategies, including but not limited to pipes, syringes, “works,” condoms

  • Maintains professional objectivity and boundaries, recognizing personal and professional limitations that may arise in the work

  • Keeps accurate and timely records of client interactions, entering information into client database.

  • Actively engages in opportunities to network with other harm reduction professionals and first responders through local connections, meetings, online engagement, advisory committees and professional development committees.

  • Remains current and informed regarding issues of substance use, overdose prevention, substance use treatment programs

  • Responds to substance use emergencies within the building, including overdoses and behavioral interventions

  • Attends and actively participates in weekly supervision, meetings, and trainings as appropriate, including overdose prevention/response.

  • Performs other duties as assigned.

  • Adheres to agency code of conduct.


  • High school degree or equivalency required.

  • Minimum of 1 year in related outreach and engagement role required, 2+ years preferred.

  • Minimum of 1 year working with people actively using substances required, 2+ years preferred.

  • Experience and understanding of the appropriate strategies for risk reduction (use of Narcan, syringe cleaning, proper condom use, etc.).

  • Experience in supporting women with gender specific support around issues related to past/ongoing trauma, victimization, sex work, etc.

  • Lived experience with recovery and a minimum of 3 years in recovery required.

  • Lived experience with homelessness a plus.

SFH is an Equal Employment Opportunity Employer is committed to a diverse and inclusive workforce where all staff can reach their fullest potential. We welcome – everyone who have lived experience of homelessness and/or recovery, and those who have faced historic barriers to competitive employment, in particular Black, Indigenous, and People of Color (BIPOC), and those who are multi-lingual or multi-cultural and members of the LGBTQ+ community.

Salary Description

$23.29 - $25.62 per hour