“We’re here, and we're non-judgmental, we’re here to save lives”: stressors and fulfillment among overdose response hotline operators in Canada

This study reveals that work with overdose prevention hotlines is both rewarding and sustainable, with operators experiencing low burnout, low secondary traumatic stress, and high compassion satisfaction. The flexibility, strong team support, and inclusive approach of NORS make remote harm reduction a viable model for aiding marginalized individuals effectively in the overdose crisis.