This research examines harm reduction practices and their limitations within systems of prohibition. While designed to support people without judgment, institutional rules and boundaries restrict access. Case studies reveal how these constraints can increase risks, including overdose, highlighting a gap between harm reduction philosophy and real-world implementation.

Digital health expanded during COVID-19, but many services exclude people seeking support for alcohol and drug use. This research uses inclusive design, interviews, and workshops with people with lived experience to identify barriers, reduce stigma, improve usability, and guide industry toward creating accessible, equitable digital care for all.