PHS works with Indigenous harm reduction leaders in a movement called Culture Saves Lives to address the needs for cultural and spiritual care, reconnecting or helping people to connect for the first time to traditional, spiritual and cultural practices. This combines culture and harm reduction with core programming that includes healing circles, smudging, drumming, singing, traditional dances, feasts, sweat lodge ceremonies, drum-making workshops, honouring ceremonies and memorials for Indigenous people. It includes access to Elders and traditional medicines, peer support and links to housing, nutrition and healthcare.