Harm Reduction Doula Training Live Virtual Cohort

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 takes place live on Zoom, Sundays from 10am - 12:30pm April 19 - May 31, 2026.

What's included in the course fee:

A full harm reduction doula training designed for all levels of knowledge and experience. This live virtual course includes 7 weekly live classes to learn these crucial skills in community. You'll get access to our full course plus group discussion, practice exercises, and interactive learning, as well as practice questions, worksheets, handouts, and extensive resources so you leave with tools you can use immediately.

Prefer learning in at your own pace? This is the live virtual version of the harm reduction doula training that is only offered once per year, we also offer a pre-recorded version that includes 7 hours of recorded lectures, practice questions, worksheets, handouts, and extensive resources. Choose the format that fits you: in a room with others, or on your own time, your way.

(Pre recorded course signup can be found on our main course page. Get access immediately when you sign up)

Course Curriculum

Week One: Harm Reduction Foundations and Practice

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Core Concepts of Harm Reduction and Trauma-Informed Care

Weeks Two and Three: Integrating Clinical Knowledge with Compassionate Care

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Weeks Four and Five: Clinical Understanding and Practical Application

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Week Six: Navigating Systems

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Week Seven: 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.

$1,282.50

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.

$855

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.

$564.30

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.

$387

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 pre-recorded version of this course and get access immediately? Sign up here:

Harm Reduction Doula Training Pre-Recorded

Pre-recorded Harm Reduction Doula Training, sign up and get immediate access to the course, go at your own pace.

Nickie Tilsner

$748.80