The integrative pain management program: Expanding options for chronic pain treatment

Thursday, June 2, 2016: 10:00 AM-11:30 AM
Broadway IV (Hilton Portland)
Chronic pain is highly prevalent, costly, and challenging to treat in vulnerable populations. Multimodal treatment through the combined use of medications, procedures, physical and behavioral modalities, and integrative options, is the standard of care. Non-medication modalities are particularly difficult for vulnerable populations to access, in part because of perceived lack of efficacy and cost. As a result, there has been an over reliance on medications, especially opioids, leading to an opioid overdose epidemic in the US. As well, patient and staff dissatisfaction related to lack of treatment options and challenges around opioid misuse are common. The Integrative Pain Management Program (IPMP) was developed to expand non-medication treatment options in the San Francisco Department of Public Health. The setting for the Program will be primary care, as that is where most patients with chronic pain are managed. The IPMP will include behavioral health interventions (cognitive behavioral therapy), rehabilitation services (physical activity/movement groups), integrative modalities (acupuncture, massage, mindfulness), and patient education, including medication education. Most services will be offered in a group setting, and active self-care will be promoted. A pilot is being launched at Tom Waddell Urban Health Clinic in order to assess feasibility and acceptability of the IPMP to patients and staff. Outcomes include: 1) patient function and quality of life; 2) staff experience; and 3) effect on opioid doses. During the workshop, we will discuss the evidence base for non-medication treatments; the process used to gather and incorporate input from patients, staff, and local experts to develop the IPMP pilot; pilot services; and preliminary evaluation results of the pilot. We will then have a group discussion to elicit other promising and innovative practices and strategies to expand and incorporate non-medication treatments for chronic pain into practice, and the unique challenges to doing so in vulnerable populations.
Barbara Wismer, MD, MPH (Physician, Tom Waddell Urban Health Clinic, San Francisco Department of Public Health)
Kristina Leonoudakis-Watts (Program Coordinator, Tom Waddell Urban Health Clinic, San Francisco Department of Public Health)
See more of: Workshop