In this article we discuss the findings from a grounded theory study in which we explored how women residing
in Vancouver’s Downtown Eastside (DTES) minimized some of the physical, psychological, and interpersonal harms
associated with crack cocaine use, and identify the social, economic, and political factors that influence safer use. Data
were collected over a 3-month period and involved group interviews with 27 women at an agency run by drug users
in the DTES. A preliminary theory of safer crack use is discussed, consisting of the central phenomenon of caring for
self and others. In addition, four thematic processes are described: (a) establishing a safe physical space, (b) building
trusting relationships, (c) learning about safer crack use, and (d) accessing safer equipment. Implications of the findings
are discussed in relation to supporting women’s efforts and improving health outcomes.Applied Science, Faculty ofNursing, School ofReviewedFacultyGraduat