

Welcome to Stress First Aid
Many types of workers (e.g. Harm Reduction, Community Health and Peer Support Workers) are on the frontlines of the overdose crisis, providing essential services to persons who use drugs. Their vital roles expose them to high levels of stress.
Stress First Aid is a support program designed to help workers in harm reduction be their best.

WHAT IS STRESS FIRST AID (SFA)?
SFA is a self-care and peer support framework adapted by the researchers behind TxCOPE and leaders in the harm reduction community. It is designed to help individuals and teams working in high-stress environments manage stress reactions and promote recovery. We will offer this 6 month research study starting in Central Texas in December 2025, with plans to expand across TX, LA, AR, OK, NM and tribal areas. ​
Research Components
The study is a randomized controlled trial (RCT), organizations will be randomly assigned to two groups: either a treatment or control group. If randomly assigned to the control group, your organization will be offered the opportunity to be trained in SFA/HRW at the conclusion of the study.

1
2-Hour Training facilitated by Research Staff and a Community Partner
Team Support Champions will deliver a 2-hour overview of Stress First Aid and train participants to apply the intervention in their work.
2
30-Minute Monthly Learning Collaboratives
Participants receive ongoing support provided by Team
Support Champions.
3
3 Surveys
Participants will complete a brief baseline questionnaire. two follow-up questionnaires at 2 and 6 months after the training.
4
Implementation Evaluation
To evaluate the implementation of SFA/HRW, we invite participants of the RCT, non-participants of the RCT, and ATTC staff to participate in:
-
2-hour focus groups and/or
-
15–20-minute interviews

Compensation
Participants will be compensated $25 for the time spent on each questionnaire, for a total of $75.
Participants in the focus groups and/or interviews will be compensated $25 for their time.