Rachel McFadden, BSN, RN, CEN, is a nurse in Hospital of the University of Pennsylvania’s Emergency Department and at Prevention Point Philadelphia’s wound care clinic. The foundation of her clinical philosophy and practice is harm reduction – a social justice movement as well as a practical approach to reducing the negative consequences of substance use. As a Bloomberg Fellow at the Johns Hopkins School of Public Health, her work centers on reducing stigma, and strengthening Penn’s capacity to respond to the substance use crisis through the integration of harm reduction, while bridging Penn’s medical services to community-based and public health efforts.