J10 – It Takes a Village: Keys to Pain Management Success in a Diverse Hawaiian Community

Summary

This presentation will describe an innovative pain management program in Hawaii where there are vast health inequities, tremendous cultural diversity, and a significant number of people experiencing poverty and/or homelessness, all within a population of less than14,000 individuals. There are many unique features of this program that will be highlighted in the presentation and connected to the 3 pillars of social determination theory – competence, autonomy and relatedness. One of the unique features of the Ho’okuola Hale Pain Management Program are community partnerships. Another notable feature is the novel composition of the integrated care team that includes not only medical providers, physical therapists and behavioral health providers, but also acupuncturists, cultural educators and Hawaiian traditional practitioners who collaborate to develop and deliver comprehensive, patient-centered care plans. After an introduction to the program and a review of the evidence supporting the effectiveness of the program, the presentation will describe several benefits of incorporating cultural practitioners in integrated care plans. Key measures of success, as well as key program components that support successful outcomes, will be discussed. Finally, the presenters will also discuss why community partnerships are an essential component of program success… indeed, it takes a village!