The purpose of this jurisdictional scan is to ensure that OTC is using best practices in the area of harm reduction. This scan involved the following: a literature review of existing research on harm reduction, a review of available grey literature such as policies, procedures, and programs for shelters in Canada, a review of Canadian legislation relating to substances and sex work, interviews with 11 people who have specifically worked in a harm reduction model, and coding and synthesis of this information to create the action steps proposed below. Five recommendations are made based on what was found in this research.