Hetero-normativity and homo-negativity can impede LGBTQI individuals from accessing harm reduction services. These concepts assume heterosexuality as the norm and view non-heterosexual attraction negatively. This creates an environment with heterosexual privilege but also homophobia and homo-negativity. Negative language and lack of policies create an unsafe environment for both LGBTQI clients and staff. Service providers must acknowledge and address these issues, educate themselves and others, and create a more inclusive environment through visible support and clear anti-discrimination policies to improve accessibility and quality of services for all.