Presenters
- Landrey Fagan, MD, Family Medicine Physician with Obstetrics, Salud Family Medical Center, Boulder, CO
- Yajaira Johnson-Esparza, PhD, Director of Medication Assisted Treatment, Salud Family Health Centers, Commerce City, CO
- Carlos Estrella, LPC, Behavioral Health Provider, Salud Family Health Centers, Commerce City, CO
- Pradeep Dhar, MD, VP of Medical Services, Salud Family Health Centers, Commerce City, CO
- Jonathan Muther, PhD, VP of Medical – Behavioral Health Integration, Salud Family Health Centers, Commerce City, CO
- Sonia Quinones-Torres, LCSW, Behavioral Health Provider, Salud Clinic, Commerce City, CO
Summary
Integrated primary care is in a unique position to address the opioid epidemic while also managing the needs of patients with chronic pain. This presentation will describe the team-based approach an FQHC has taken to more effectively manage chronic pain and opioid use disorder, and to increase provider competency of appropriate use of opioids and use of non-opioid alternatives. Challenges and successes related to implementation of this program will be discussed, as well as qualitative data and preliminary findings. We will discuss unique contributions of each member of the interdisciplinary team, while emphasizing the synergistic effect of this collaboration. This will include discussion on identifying the unique skill set that each discipline brings to the team, with the goal of developing an effective team that not only addresses chronic pain and opioid use disorder, but underlying factors as well.
Workshop Downloads
Objectives
- List important elements in the implementation of a team-based approach to chronic pain and opioid use disorder.
- Identify unique skill set of each member in an interdisciplinary team, and how these skills complement each other.
- Identify strategies to transition patients from an approach to chronic pain centered on opioids to one that addresses underlying mental illness and other medical concerns.
References
- Duncan, Smith, Maguire, & Stader (2019). Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient satisfaction. American Journal of Emergency Medicine, 37(1), 38-44.
- CDC (2018). Prevalence of chronic pain and high-impact chronic pain among adults - United States, 2016. MMWR Morb Mortal Wkly Rep, 67, 1001-1006
- Gereau, Sluka, Maixner, Savagae, Price, Murinson, Sullivan, & Fillingim (2014). A pain research agenda for the 21st century. The Journal of Pain, 15(12), 1203-1214.
- Bilevicius, Sommer, Asmundson, El-Gabalawy (2018). Posttraumatic stress disorder and chronic pain are associated with opioid use disorder: Results from a 2012-2013 American nationally representative survey
- Speed, Parekh, Coe, & Antoine (2018). Comorbid chronic pain and opioid use disorder: Literature review and potential treatment innovations. International Review of Psychiatry, 30(5), 136-146.
