Harm Reduction Housing for Older People with Experiences of Homelessness (HR HOPEH) is a project aimed at enhancing access to integrated primary care with addiction and mental health supports for older adults with histories of unstable housing. This 3-year pilot was funded by Health Canada's Substance Use and Addictions Program in 2019, and is situated in Alberta. The HR HOPEH project embraces a holistic approach, recognizing that harm reduction is multifaceted and includes everything from managed alcohol supports and sterile supply distribution to recreation programming and dietary considerations. It has involved collaboratively co-designing, co-implementing, and co-evaluating a suite of programming in partnership with residents and staff at a Permanent Supportive Housing site for older adults. The learnings from this pilot will be shared broadly with targeted local and Provincial stakeholders, with the aim of promoting the development of similar programming Province-wide.