Harm Reduction Physician Series: Dr. Megan Hill

April 28, 2023

Based in the Okanagan, Dr. Megan Hill is a family physician (FP) with a subspecialty in addictions medicine.  Dr. Hill first encountered harm reduction in med school. “I wrote a paper on Insite (Vancouver’s supervised consumption site) and was immediately drawn to the evidence and logic behind this approach,” she says. “It’s a profoundly logical approach to helping people get better by engaging them and giving them medications that help them feel better as opposed to being punitive. Harm reduction doesn’t shy away from investigation and scientific inquiry; it prioritizes scientific evidence and goes well with medical treatment and other forms of evidence-based treatment from the world of science.”

Dr. Hill is the co-lead for injection Opioid Agonist Treatment (i-OAT) and she is the physician lead for Kelowna and Vernon opioid agonist treatment (OAT) clinics. She reports that having multiple options and making an individualized care plan is pivotal. The more options a client has, the more likely it may fit the client’s biochemistry and personal ideology. She says that harm reduction is about maximizing options, developing collaborative patient goals, individualizing care plans and providing a low-barrier, trauma-informed service. Dr. Hill says that harm reduction comes naturally for FPs and, philosophically, it’s deeply entwined with family medicine. FPs work with their patients to optimize their health by taking into account many variables, such as their lifestyles, income and where they live. They try to help their patients balance factors to get as positive of health outcomes as possible.

Harm reduction is a term used to describe programs, policies and practices that aim to reduce negative consequences of behaviours typically considered “high risk” such as substance use and some sexual activities. The Harm Reduction – People Who Use Substances Policy was recently implemented for all Interior Health services and contracted services. IH resources about the policy and additional resources can be found in the Harm Reduction Toolkit on Interior Health’s intranet, InsideNet (login required).

Learn more about harm reduction and substance use

Other stories in this series

If you are a physician or nurse practitioner who would like to be featured in our harm reduction series, contact us via email.

Stories@IH

Read our latest stories

3 Minute Read
Community & Culture

Jessica Calder works as a medical office assistant and helps vulnerable people as a Peer Support Volunteer. She enjoys combatting stigma and helping others.

3 Minute Read
Health & Wellness

Interior Health’s (IH) free community-based day program offers clients skills, tools and social connections to sustain a healthy and balanced lifestyle.

4 Minute Read
Community & Culture

Inspired by her community, and what quality of life can be, Marie began her career in health care to broaden her understanding of what well-being truly means.

4 Minute Read
Health & Wellness

A new set of tools, resources and training for emergency department staff that supports those at risk of suicide is expected to save lives.

5 Minute Read
Community & Culture, Health & Wellness

Summer BBQs are fun but keep in mind - warmer temperatures can turn your feast into a fast-track to food poisoning if you’re not careful. Learn how to avoid it!

6 Minute Read
Community & Culture

Recruitment Assistants team lead Courtney Ruddiman has a background in business management and joined Interior Health in 2020 as an administrative assistant.

STAY CONNECTED

Receive news and alert posts, and Stories@IH blog posts, right to your inbox!

mail