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YOU MATTER.

We care about you and how you're doing.

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This website is created by people who use drugs (PWUD) for people who use drugs.

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We are committed to creating a community where people who are pregnant (or parenting) and using substances are supported and validated and loved.

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We know that navigating the health care, child welfare, and criminal systems can be traumatizing and exhausting. But we want you to know that

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YOU ARE NOT ALONE.

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There is a community of parents and providers who can help.

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If you are feeling overwhelmed, that's ok. But don't give up. Ask for help.​​

RESOURCES for WHEN YOU'RE STRUGGLING

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If you're using, you don't have to use alone.

SafeSpot is a virtual spotting hotline for people who use drugs. 

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YOU DESERVE COMPASSION + SUPPORT.
It’s all too easy to be extremely tough on ourselves; we need – at points – to get better at self-compassion. Here is an exercise from the School of Life on how to lessen the voices of self-flagellation
and learn to appreciate the role of self-care in a good and fruitful life. 
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Why Harm Reduction? It's a Way Forward.
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Hear what motivates our community from our colleagues at National Harm Reduction Coalition
National Harm Reduction Coalition - Harm Reduction Truth
Original Music by Azuah Melara
See the toolkit we created with our colleagues at National Harm Reduction Coalition
Pregnancy and Substance Use:
A Harm Reduction Toolkit 
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resources
Resources for When You're Struggling

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We have used these resources and know that they can help.

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National Maternal Mental Health Hotline

mchb.hrsa.gov/programs-impact/national-maternal-mental-health-hotline

Pregnant or just had a baby?

The National Maternal Mental Health Hotline is here to help.

The Hotline is free, confidential, and available 24/7 in English and Spanish.

1-833-TLC-MAMA

call or text 1-833-852-6262

in the U.S.

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Postpartum Support International HelpLine

1-800-944-4773

postpartum.net/get-help
#1 En Español or #2 English

Text “Help” to 800-944-4773 (EN)
Text en Español: 971-203-7773

The HelpLine will provide you with support and resources.  You will be asked to leave a confidential message and a trained and caring volunteer will return your call or text.

​The PSI HelpLine does not handle emergencies.
HelpLine hours are 8am-11pm EST
Services are in English and Spanish
People in crisis can call their local emergency number or the

Suicide & Crisis Lifeline at 988.

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National Suicide Prevention Lifeline Call 988

988lifeline.org

FAQ: Does this services use police intervention for callers, texters,

and chatters to the 988 Lifeline?

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 Crisis Text Line www.crisistextline.org  Text 741741. Crisis Text Line is free,

24/7 support for those in crisis. You can text from anywhere in the US

to text with a trained Crisis Counselor.

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SAMHSA (Substance Abuse and Mental Health Services Administration)

National Helpline
1-800-662-HELP (4357)

Treatment referral and information, 24/7.

www.samhsa.gov

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SafeSpot: preventing overdose deaths on the phone

1-800-972-0590

safe-spot.me

​Safe Spot is a 24/7 virtual spotting service that helps keep you safe while using drugs alone. This free and confidential phone line is staffed by operators who have lived experience with overdose and will stay on the line with you while you use to make sure you are safe and, if necessary, get help for you. All the information you provide to a SafeSpot operator is kept confidential and is not stored in a database.

helplinema.org/safespot-preventing-overdose-deaths-on-the-phone

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safe spot
Suicide Prevention starts with a conversation we're not having on our mental health due to Stigma.
The first step to breaking that silence is dispelling stigmas of fear, judgement, and shame about our internal experiences.
We achieve that by proclaiming It's Ok Not To Be Ok!
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Academy of Perinatal Harm Reduction

2850 SW Cedar Hills BLVD #2061

Beaverton, OR 97005

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Email Us:

Thanks for talking to us! Gracias!

When you share your contact information with us we use it to send you quarterly newletters, free resources, and information on timely advocacy issues. We do not share or sell your information.

DISCLAIMER:

The information on this site and in our presentations is offered as public health education.

It does not replace getting individualized care with licensed medical professionals.


The purpose of Harm Reduction is not to encourage or condone the use of substances.


Our purpose is to educate patients and providers so they can make informed decisions.

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© 2025 by Academy of Perinatal Harm Reduction. Created with Wix.com

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