The decline in drug-related fatalities in New Jersey over the past three years reflects progress in harm reduction, yet racial disparities remain stark. Black and Hispanic communities continue to face disproportionate rates of drug-related deaths—51.4 and 38.9 per 100,000, respectively—compared to white residents. These disparities demand harm-reduction strategies that center the needs of marginalized populations while addressing systemic inequities.

This study critically examines harm-reduction efforts specifically targeting Black populations with substance use disorder through mobile outreach in underserved communities. The initiative focuses on distributing naloxone, syringes, safer smoking kits, and safer sex kits, paired with education to reduce stigma and promote safer practices. A pre-survey will measure baseline access, usage, and knowledge of these resources, with a follow-up survey conducted after six months to evaluate changes and the program’s effectiveness. Data collection will conclude by June 2025, ensuring comprehensive results are included in the draft submission.

Grounded in liberatory harm reduction, this approach recenters those most vulnerable and impacted, directly addressing systemic inequities in access to care. By focusing on culturally responsive, community-driven interventions, this work underscores the transformative potential of harm-reduction strategies to save lives while advocating for equity and systemic change. The findings aim to inform policies that prioritize justice, liberation, and the well-being of historically excluded populations.