Meet Thomas: Harm Reduction Navigator

OnPoint NYC’s Drop-In Centers buzz with activity – each day, community members visit seeking a safe space to rest, relax, and find community and support. These no-barrier spaces allow our staff to welcome participants as they are, help them meet basic needs, and provide them with a space to get additional care at their own pace. 

For the past year and a half, Thomas Ortiz has worked at OnPoint NYC, first as a Harm Reduction Specialist in our East Harlem Drop-In Center, then promoted to a Harm Reduction Navigator in our Supportive Services Department. We spoke with him to learn more about his role, what his work looks like, and what motivates him each day.

A Day In the Life

For Thomas, his work starts with creating a non-judgemental space where participants feel accepted.  

“A typical day is creating a welcoming atmosphere for folks who are coming in because we’re dealing with a marginalized community that has been stigmatized,” he says. “Their sense of who they are have been marred and affected because of it. I try to humanize them and treat them no different than anybody else, how I would want to be treated.”

From there, he works to connect them with the services and resources they need – from providing food and supplies, resolving conflict, and connecting them with case management staff to provide housing, mental health, and other assistance. Sometimes, people just need someone to talk to, and Thomas is there to listen. 

By engaging participants in conversation – checking in on their lives, discussing current events, and sharing personal experiences – he builds a rapport.

These little things help build relationships, he shares, “so they can come to me in confidence when they have a pressing matter. I always look for opportunities to build that kind of trust.”

Other times, Thomas proactively identifies support for participants. 

“I’m […] eyes on the ground,” he says. “I might be the first person to see a medical issue. If I see an open wound that looks infected, I encourage them to get alcohol pads and gauze. I also remind them that we have doctors here…Building relationships leads to other things, because we have a variety of services available.”

The Impact of the Drop-In Center

Each day, Thomas sees the effect his work has on the surrounding community. For participants that wish to make positive changes in their lives, like beginning recovery programs, OnPoint NYC staff are available to facilitate.

“They don’t have to navigate finding these places on their own because we have people here assisting them. When you don’t have these resources, there’s a gap, and it’s hard for them to meet with social workers or do the homework of finding out where rehabilitation centers are, as some might be fully packed.

“It’s a one-stop shop with a variety of resources under one umbrella,” he says. We can hit the rolodex, and if one door is closed, another one opens, which expedites matters for them.” 

For many, this support can be life-changing, and a catalyst for positive life changes.

Thomas sees participants that “get on a track of recovery and are using a lot less or not at all. When they finally get their first apartment, it’s a cause for celebration.” 

The Drop-In Center also works to be a good partner to the city and surrounding community, and its flexible mindset and community approach allows it to uniquely fill gaps in coverage. 

For example – the center’s practice of reversing overdoses is “an opportunity to give help where sometimes ambulances aren’t always readily accessible,” Thomas says. By eliminating the need for EMS support in these situations, OnPoint NYC’s staff not only save lives, but reduces the financial burden of taxpayers and stress on the city’s hospital system. 

Additionally, the center serves as a low-barrier safe space for those who are experiencing homelessness – and often steps up to better serve acute neighborhood needs. Recently, when the city was experiencing dangerously cold winter temperatures, OnPoint NYC partnered with NYC’s Code Blue operations to provide 24/7 operations, including emergency overnight sleeping accommodations for community members. This prevented exposure related harm, overdoses, hospitalizations, arrests, and more. 

Thomas’ Connection to the Work

Thomas feels a deep connection to this work through his lived experience and connection to the community.  As a teenager in the 1980s, he was a participant in early harm reduction programs – which he credits with his continued health. “As a result of needle exchange, I didn’t have any ongoing medical issues,” he says.

Working at OnPoint NYC, he’s able to pay it forward. 

“I love the impact I have on the people here. I really feel like I have a sense of purpose. This is a community I’ve been a part of since childhood. I went to school on 117th Street. I’m very familiar with East Harlem, and I grew up in the Bronx. I have a particular love for the people that are in East Harlem, and it’s a way of giving back, as I took away from the community for so long.”

To learn more and see Thomas in action, watch the video below:

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