Appendix Table 1.

Standard Interview Guide

Interview Questions
Section I: Program Descriptive Information
1. Briefly describe the type of practice and the services provided
2. Briefly describe the history of the program’s integrated services
3. Briefly describe the interactions between patients and staff members
4. Briefly describe the organization of the care team
Section II: Harm Reduction Approaches and Services
What do you consider to be critical elements of harm-reduction-informed care?
5. What does a harm reduction-oriented model of treatment look like in your practice?
6. How would you describe your organization’s philosophy toward patient care?
7. Could you provide me with an example of applying these philosophies to delivering care to patients?
8. How do you assess whether you are being true to these concepts?
9. What mechanisms does the practice have in place to build a culture of harm reduction?
10. Describe the decision-making process that takes place in your clinic around patient care.
11. Describe how you enact and integrate the following harm reduction concepts in your clinic: Humanism: Providers have respect for patients and the decisions they make, providing care without moral judgments. Pragmatism: Providers have realistic expectations and support a range of options for reducing harm. Individualism: Support is tailored to individual patients’ needs. Autonomy: Patients and providers negotiate the best plan of care. Incrementalism: Any positive change acknowledged and reinforced. Accountability: Patients are responsible for (and experience) the consequences of their behavior but are given additional chances to improve.
Section III: Facilitators and Barriers
12. What factors help facilitate the provision of harm-reduction oriented care in your practice?
13. What factors prevent the provision of harm-reduction oriented care in your practice?
14. What advice do you have for providers that want to adopt a harm-reduction-oriented approach to care integration?