Chronic Pain Treatment Resources

CHAMPS has organized this compilation of resources to support Region VIII CHCs in treating and supporting their patients with chronic pain.

Please click or scroll down for:
Evidence-Based Clinical Guidelines
Articles and Reports
Courses, Webcasts, and Online Education Opportunities for Providers
Provider Tools
Patient Resources
Helpful Links

EVIDENCE-BASED CLINICAL GUIDELINES

(listed in alphabetical order)

American Academy of Pain Medicine (AAPM)
Use of Opioids for the Treatment of Chronic Pain
2013

American Society of Anesthesiologists and American Society of Regional Anesthesia and Pain Medicine
Practice Guidelines for Chronic Pain Management
2010

Institute for Clinical Systems Improvement (ICSI)
Assessment and Management of Chronic Pain
2013

ARTICLES AND REPORTS

(listed in order by date)

National Institutes of Health (NIH) and U.S. Department of Health and Human Services (HHS)
National Pain Strategy
The Interagency Pain Research Coordinating Committee, March 2016

Agency for Healthcare Research and Quality (AHRQ)
Noninvasive Treatments for Low Back Pain
Effective Health Care Program, February 2016

Centers for Medicaid and CHIP Services (CMCS)
Best Practices for Addressing Prescription Opioid Overdoses, Misuse and Addiction
Informational Bulletin, January 2016

Pain & Policy Studies Group, University of Wisconsin School of Medicine and Public Health
Achieving Balance in State Pain Policy: A Progress Report Card (CY 2013)
Achieving Balance in Federal and State Pain Policy: A Guide to Evaluation (CY 2013)
July 2014

N. Volkow, et al.
Medication-Assisted Therapies – Tackling the Opioid Overdose Epidemic
The New England Journal of Medicine, May 29, 2014, Vol. 370: 2063-2066

Centers for Disease Control and Prevention (CDC)
Prescription Painkiller Overdoses
Policy Impact, March 2010

S. Boschert
Little Evidence Guides Noncancer Use of Opiods
Family Practice News, February 1, 2010, Vol. 40, No. 2

Expert Panel Convened by the Mayday Fund
A Call to Revolutionize Chronic Pain Care in America: An Opportunity in Health Care Reform
November 4, 2009

W. Wilke, MD
New Developments in the Diagnosis of Fibromyalgia Syndrome: Say Goodbye to Tender Points?
Cleveland Clinic Journal of Medicine, June 2009, Vol. 76, No. 6

L. Garufi Clark, MD and C. Upshur, EdD
Family Medicine Physicians’ Views of How to Improve Chronic Pain Management
JABFM, September-October 2007, Vol. 20, No. 5

C. Upshur, EdD, R. Luckman, MD MPH, and J. Savageau, MPH
Primary Care Provider Concerns about Management of Chronic Pain in Community Clinic Populations
Journal of General Internal Medicine, June 2006, 21(6): 652-655

COURSES, WEBCASTS, AND ONLINE EDUCATION OPPORTUNITIES FOR PROVIDERS

Montana Family Medicine Residency
Chronic Illness/Pain
Chronic Pain Management in Primary Care
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010

National Summit on Opioid Safety
Slideshare
Slide presentations from the National Summit on Opioid Safety
2012

PainEDU.org
REMS: Overview & Clinical Implications of Proposed FDA REMS for Opioids
CHAMPS/NWRPCA Annual Conference session presentation slides (CME not available)
2010
Improving Pain Treatment Through Education
CEU programs, articles, tools, publications and other resources

Rasmussen College School of Nursing
Pain Management in Nursing Webinar
Free 68-minute webinar that provides information on neurophysiology of pain pathways, pharmacological and non-pharmacological interventions, pathophysiology of pain, and nursing contributions to pain management
2011

TelePain, University of Washington Division of Pain Medicine
TelePain
Offers free consultation for clinicians with panel of pain specialists through weekly calls which include didactic presentations, case presentations, and interactive consultations

CHAMPS Archived Distance Learning Events (Webcasts):

Richard L. Brown, MD, MPH
Volume 6 – Opioids for Chronic Pain: Striking a Balance
Download Handouts and Evaluation Form
Purchase on CD-ROM
Borrow on CD-ROM
April 11, 2006

Kris Robinson, PhD, FNPbc, RN
Volume 23 – Multimodal Approach to the Treatment of Chronic Pain
Download Handouts and Evaluation Form
Purchase on CD-ROM
Borrow on CD-ROM
February 17, 2010

PROVIDER TOOLS

(listed in alphabetical order)

American College of Physicians Internist
Opioid Conversion Tips and Dosing and Conversion Chart
Tips for adjusting and changing opioids, and a dosing and conversion chart
2008

Bedside Pain Manager
Bedside Pain Manager
A quick-reference guide with eight pages of pain control guidelines, conversion tables and symptom control information for clinicians available online for $10-$14

COPE-REMS, University of Washington School of Medicine
COPE-REMS (Collaborative Opioid Prescribing Education-Risk Evaluation Mitigation Strategy) 
COPE-REMS offers a collection of clinical resources and recommended reading for clinicians

COPE-REMS University of Washington School of Medicine
COPE-REMS Special Topics Resources
These tools include Prescribing Guidelines, instruction specific to Post Traumatic Stress Disorder, and Pregnancy

C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Long Form)
Patient assessment form
1991

C.S. Cleeland, PhD, Pain Research Group
The Brief Pain Inventory (Short Form)
Patient assessment form
1991

Inflexxion, Inc.
Screener and Opioid Assessment for Patients with Pain – Revised (SOAPP-R)
Free questionnaire, with scoring instructions, to help clinicians better predict a patient’s likelihood for misusing or abusing opioids, documenting decisions, and justifying referrals to specialty pain clinics
2008

L. Webster, MD and Emerging Solutions in Pain
The Opioid Risk Tool (ORT)
A form to score the substance abuse risk of a patient being considered for treatment with opioids
2005

Oregon Health & Science University, Area Health Education Center (AHEC)
Getting the Best Result from Opioid Pain Medication: A Partnership Agreement
An agreement for the health care provider and patient with chronic pain to agree to and sign

P. Arnstein, PhD
Assessment of Nociceptive versus Neuropathic Pain in Older Adults
Recommends and provides two tools (LANSS and DN4) for distinguishing nociceptive from neuropathic pain
2009

PainEDU.org
Improving Pain Treatment Through Education
Free educational resources for clinicians including best practices, articles, publications, online roundtables, patient screening tools, and opioid risk management (no cost, registration is required)

Pain & Policy Studies Group, University of Wisconsin-Madison
United States Resources
Resources relating to federal and state policies governing pain management and the appropriate use of opioid analgesics including methods to reduce medication diversion and non-medical use

Surgeon General of the United States
Turn the Tide Rx
Resources for providers that include toolkits, assessment tools and treatment options to address chronic pain and opioid use treatment options.

PATIENT RESOURCES

CHAMPS Patient Education Handouts
Includes one general patient handout describing the need for practicing relaxation and creating the Relaxation Response to help curb chronic pain, and four ensuing handouts that present four different approaches to practicing the Relaxation Response
Chronic Pain and the Relaxation Response Patient Handout
Deep Breathing Method Patient Handout
Tense and Relax (Progressive Muscle Relaxation) Patient Handout
Guided Imagery Patient Handout
Mindful Meditation Patient Handout

American Chronic Pain Association
Live Better with Pain Log (daily pain log)
A patient friendly form for patients to record daily pain, stress, activity, sleep, mood, and more that includes rating scales with pictures
2005
Resource Finder
Browse an extensive library of pain management tools and resources, and narrow results by searching on key words

CVS Caremark and American Geriatrics Society (AGS) Foundation for Health in Aging
Daily Pain Diary (one-week log)
A form for patients to record the quality of their daily pain, triggers, treatments used and side affects for each day of the week
2006

PainAction
Patient Self Management
Provides pain management resources that can be customized for back pain, migraine pain, cancer pain, and neuropathic pain

Surgeon General of the United States
Turn the Tide Rx
Resources for patients that include information on opioid risks and safe opioid storage and disposal methods as well as a national help line.

HELPFUL LINKS

American Chronic Pain Association
www.theacpa.org

American Academy of Pain Medicine
www.painmed.org

American Headache Society
www.americanheadachesociety.org

American Society for Pain Management Nursing
www.aspmn.org

American Society for Regional Anesthesia and Pain Medicine
www.asra.com

Journal of the International Association for the Study of Pain
www.painjournalonline.com/

National Institute of Neurological Disorders and Stroke
www.ninds.nih.gov/disorders/chronic_pain/chronic_pain.htm#Publications