Table 1 Answers to the Question "What are the 3 greatest barriers to harm reduction?"

Resource and referral limitations

17

Time

14

Patient not ready or interested

13

Knowledge/training of providers

11

Other medical or mental health diagnosis

8

Housing

7

Lack of addiction counselors, social work, or multidisciplinary approach

6

Lack of peer or family support

5

Patient follow through

5

Comfort of providers

3

Transportation

3

Patient social situation

3

Language/cultural barriers

2

Problems with screening for substance use

2

Stigma

2

Time delay for resources/referral

2

Difficulty building rapport

1

Low health literacy

1

Chronic pain management alternatives

1