This research project explores harm reduction strategies in the context of HIV and fentanyl use, focusing on their effectiveness in reducing transmission and mitigating the negative consequences of recreational drug use and sexual activity without requiring abstinence. The study is grounded in my internship experience at Unified-Vivent Health in Ypsilanti, Michigan, a non-profit HIV clinic and case management organization renowned for its innovative public health strategies. Unified-Vivent Health provides comprehensive services that cater to the whole person, regardless of HIV status, while promoting respect and acceptance without stigma.

While in the field, I observed and participated in various harm reduction programs designed to address the dual crises of HIV transmission and illicit drug use. These programs included needle exchange services, access to PrEP (pre-exposure prophylaxis) for HIV prevention, and substance use counseling. The clinic's approach underscores the importance of reducing harm through practical and non-judgmental interventions, which not only decrease the incidence of HIV and AIDS but also support individuals in managing their substance use more safely.