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SafePulse Level 1 / Foundation

Harm Reduction in Performance Enhancing Substances

Build a foundation in ethical, non-judgemental harm reduction. Understand the context of image and performance enhancing drug use, recognise risks, and learn how to offer informed, respectful support.

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Structure
10 modules + introduction
Study time
6h 40m–9h 5m
Learning
Self-paced online study
Completion
Certificate of completion

What you'll learn.

  • Apply the four ethical principles of autonomy, beneficence, non-maleficence and justice.
  • Understand how body image, social media and sporting culture shape decisions about IPED use.
  • Recognise substance categories and distinguish medical, recreational and sporting contexts.
  • Recognise warning signs, understand boundaries and signpost to appropriate professional support.
  • Have non-judgemental conversations that support informed decisions and reduce stigma.

Who this course is for

  • People seeking clear information about performance enhancing substances.
  • People supporting someone who uses image and performance enhancing drugs (IPEDs).
  • Fitness, wellbeing and healthcare practitioners building a foundation in harm reduction.

Your starting point

Start here to build your foundation in SafePulse harm reduction.

The learning journey

Inside the course.

Start with the introduction, then work through ten modules. Timings are estimates from the course materials; allow extra time for reflection and revisiting topics.

INTROWelcome to SafePulse

20–30 minutes

An introduction to the course, the meaning of harm reduction and a learning environment grounded in respect.

01An ethical framework for safer enhancement practices

40–50 minutes

Explore the four principles of biomedical ethics and use them to consider real-world decisions.

02Context and drivers: body image, masculinity, media and fitspiration

45–60 minutes

Understand the social and cultural pressures that influence body image and enhancement choices.

03Performance enhancing substances and why people use them

40–60 minutes

Build literacy in terminology, substance categories, medical origins and the reasons people use them.

04Tested and non-tested sport cultures

30–40 minutes

Consider how sporting rules, testing and enforcement shape the meaning of cheating in different settings.

05TRT, clinical tensions and the grey or underground pathway

35–45 minutes

Explore testosterone replacement therapy in context, barriers to care and the distinction between treatment and enhancement.

06The normalisation of IPED use beyond elite sport

30–40 minutes

Examine how enhancement has moved into wider fitness and everyday life, and what this means for support.

07Rethinking harm reduction in the context of IPEDs

40–50 minutes

Reflect on existing approaches, the effects of stigma and the case for accessible, person-centred education.

08Practical harm reduction without enabling

50–70 minutes

Learn about professional boundaries, recognising red flags, safety-netting and ethical conversations.

09Communication, stigma, documentation and referral pathways

30–40 minutes

Develop respectful communication, appropriate documentation and an understanding of when to refer.

10Final integration and course completion

40–60 minutes

Bring the learning together through reflection, case-based assessment and a practical ethics reference.

Assessment and completion

Module knowledge checks and reflective exercises lead to a final assessment of 12 multiple-choice and 3 case-based questions. The pass mark is 80%, with up to 3 attempts.

Successful completion is recognised with a SafePulse certificate of completion.

Education with clear boundaries

This course provides education, not individual medical advice or permission to practise beyond your professional role. It does not provide dosing, cycle or sourcing advice, and does not promote or encourage substance use.

Take the next step

Let's talk about your learning.

Contact SafePulse for more information about Level 1, course access and suitability for you or your organisation.

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Also explore / Level 2

Intermediate Harm Reduction Practice