HRDT | Cornerstone Birthwork Training

This is not a harm reduction 101.

This is a deep, skills based, justice-rooted training for anyone who supports people through pregnancy, birth, postpartum, and parenting while navigating substance use, stigma, and surveillance. This course is designed to equip you with knowledge, tools, language, and skills to show up with cultural competence, meaningful support, and advocacy for people who use drugs and people navigating criminalization, surveillance, stigma, and systems harm.

Led by Nickie Tilsner, RN, a lifelong advocate with lived experience and over two decades in the harm reduction movement, this course centers the true heart and foundation of harm reduction: radical love, dignity, relationship, safety, autonomy, and collective liberation.

This course is go at your own pace and closed captioned in both English and Spanish. Get access to the full course immediately when you sign up.

What's included in the course fee:

A full harm reduction doula training designed for all levels of knowledge and experience. This pre-recorded course includes approximately 7 hours of pre-recorded lecture plus practice questions, scenarios, worksheets, handouts, and extensive resources so you leave with tools you can use immediately.

Prefer learning in community? This is the self-paced version of the harm reduction doula training that we also offer once per year as a live virtual cohort, which includes group discussion, practice exercises, and interactive learning for many styles. Choose the format that fits you: in a room with others, or on your own time, your way.

(Live cohort signup can be found on our main course page. The next live cohort course dates are April 19 - May 31, 2026 Sundays from 10am - 12:30pm PST)

Course Curriculum

Harm Reduction Foundations and Practice

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Core Concepts of Harm Reduction and Trauma-Informed Care (68:01)

Integrating Clinical Knowledge with Compassionate Care

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Clinical Understanding and Practical Application

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Navigating Systems

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Building Networks of Solidarity, Care, and Sustainability

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Choose a Pricing Option:

We use the Green Bottle Sliding Scale model to price our courses equitably, ensuring access while honoring the value of our work. With gratitude to Alexis J. Cunningfolk for developing this model, we embrace a pricing approach rooted in trust, accountability, and economic justice, recognizing the multiple realities of access and privilege that shape educational opportunities.

$748.80

Bottle one level ticket

For every bottle one ticket sold, we provide a full scholarship to someone in need.

Bottle one description:

I am comfortable and able to meet all of my basic* needs.

I may have some debt, but it doesn't prohibit attainment of basic needs.

I own my own home OR I rent a higher end property.

I own a car.

I am employed or do not need to work to meet my needs.

I have access to financial savings.

I have an expendable** income.

I can afford holidays or take time off.

**able to buy coffee out, dine out, go to the cinema/theater/concerts, buy new clothes, books, and similar items each month.

*food, housing, bills, transport.

$495

Bottle two level ticket

Bottle two description:

I am able to meet my basic* needs.

I may have some debt, but it doesn't prohibit attainment of basic needs.

I own my own home OR rent a property.

I own a car.

I am employed or self employed.

I have access to some financial savings.

I have some expendable** income.

I can take an annual holiday without financial burden.

**able to buy coffee out, dine out, go to the cinema/theater/concerts, buy new clothes, books, and similar items each month.

*food, housing, bills, transport.

$396

Bottle three level ticket

Bottle three description:

I may stress about meeting basic* needs, but still regularly achieve them.

I have some debt.

I am employed or self employed, but I work part time.

I have limited financial savings.

I have limited expendable** income.

I have to actively save in order to take a holiday.

I own a car, but struggle to cover tax and insurance.

**able to buy coffee out, dine out, go to the cinema/theater/concerts, buy new clothes, books, and similar items each month.

*food, housing, bills, transport.

$252

Bottle four level ticket

Bottle four description:

I frequently stress about meeting basic* needs and don’t always achieve them.

I have debt and it sometimes prohibits me from meeting basic needs.

I rent lower end properties or have unstable housing.

I don’t have a car or struggle to afford fuel.

I am unemployed or qualify for government assistance.

I have no financial savings.

I have no or very limited expendable** income.

I cannot afford a holiday or take time off without financial burden.

**able to buy coffee out, dine out, go to the cinema/theater/concerts, buy new clothes, books, and similar items each month.

*food, housing, bills, transport.

Nickie Tilsner is an RN and harm reductionist with lived experience, and she’s been in the movement for over two decades as a service provider, educator, and organizer. She builds training and tools that help birthworkers support pregnant and parenting people who use substances with skill, dignity, and radical love. Integrating harm reduction into maternal care is one way we end stigma, reduce systemic harm, and protect families. Join Nickie and become a harm reduction doula!

Want to join the live virtual cohort of this course, which is only available once per year? Sign up here:

Harm Reduction Doula Training Live Virtual Cohort

Live virtual Harm Reduction Doula Training: This course takes place live on Zoom for 7 weeks from April 19 - May 31, 2026 Sundays from 10am - 12:30pm PST, and is only available once per year.

Nickie Tilsner

$1,282.50