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. Author manuscript; available in PMC: 2014 Oct 1.
Published in final edited form as: J Rural Health. 2013 Mar 25;29(4):420–431. doi: 10.1111/jrh.12021

Table 1.

SUD Treatment Provider Interview Guide

    1. Grand Tour Question for state-level administrators: “Tell me about how HIV prevention is handled by substance abuse treatment programs in Arkansas.”

      (Make sure that injection risks, and sex risks as well as other types of prevention programs or sessions are addressed)

    2. Grand Tour Question for program managers/front-line staff: “Tell me about how HIV prevention is handled by your program(s).

      (Make sure that injection risks, and sex risks as well as other types of prevention programs or sessions are addressed)

      1. If HIV prevention is not addressed, ask

        • What are the main reasons you think it is not?

        • What do you see as the barriers to this?

      2. If HIV prevention is addressed, ask what kinds of HIV prevention services are provided?

        1. Who delivers HIV prevention services?

          • staff members (medical staff, counselors, clerical, admission/discharge staff members)?

          • Or is it provided by outside agencies/persons (such as ADH)?

        2. At what point during the treatment process is HIV prevention addressed?

        3. What content is included in the prevention program?

        4. How is prevention delivered? (one-on-one, groups, pamphlets, videos)

        5. Do the services differ by type of SUD program (e.g., residential, outpatient, detoxification)?

  2. What about testing for HIV?

    1. If not provided, what are the main reasons why not?

    2. If provided, what is the process? (also check by type of SUD program)

      1. Who is tested? At what point in treatment is testing done? What kind of test is done (standard or rapid)? How often is testing done? Who conducts the tests (internal/external)? Who pays for tests?How are initial positive tests confirmed? Who gives the client test results? How are referrals handled?

      2. How many are tested? How many are positive?

      3. How is mandatory reporting handled?

      4. How is confidentiality managed?

      5. How is the test documented in patient chart?

  3. What do you see as barriers to routine rapid testing for HIV in SUD treatment programs overall? In your program (or types of programs your organization offers)?

  4. What would make it easier to incorporate HIV testing in SUD treatment programs?

  5. What are your thoughts about opt-in versus opt-out testing?

  6. Are there counseling staff in your program (or other program administrators) that you would recommend I talk to about these issues? It is really important that I talk to people who have lots of divergent opinions.

Thank you