Treating Comorbid Opioid Use Disorder in Chronic Pain (eBook)

Annette M. Matthews, MD Associate Professor Department of Psychiatry & Department of Medical Informatics and Clinical Epidemiology Oregon Health & Science University Portland, OR, USA; Staff Psychiatrist Portland VA Medical Center Portland, OR, USA  Jonathan C. Fellers, MD Substance Abuse Clerkship Director, PGY-3 Psychiatry Residents Department of Psychiatry Oregon Health & Science University Portland, OR, USA; Mental Illness Research Education Clinical, Centers of Excellence Portland VA Medical Center Portland, OR, USA

Introduction (Annette m. Matthews, MD, and Johnathan Fellers, MD; OHSU)Part I. Diagnosis and Treatment•Epidemiology of Pain and Opiate Addiction (Maria A. Sullivan, M.D., Ph.D; NYSPI)1.Theories of Pain and Addiction: Type of Pain, Pathways to Opiate Addiction (Johnathan Fellers, MD; OHSU)2.Types of Problematic Opiate Use and How to Detect Them (Annette M. Matthews, MD; OHSU) 3.Pharmacology of Pain Treatment: Opiates and Other Allopathic Treatments (Thomas Carr, MD; PVAMC)4.Alternative Treatments (Laura Baum, PhD; UVA)5.Evaluation the Bio-Psycho-Social Milieu of Pain (Ben Morasco, PhD, Steve Dobscha, MD; OHSU)6.Clinical Measurement of Pain, Opiate Addiction and Functional Status (Veronica Rodriguez, PhD; PVAMC) 7.Methadone and Buprenorphine: The place of Opiate Replacement Therapies (Andrew J. Saxon, MD; UW) 8.Procedures, Devices, Ablations, Surgeries (Andrew Engel, MD; OHSU)9.Special Issues in the Treatment of Women (Anushka Shenoy, Stacy Gramann, MD; OHSU). 10.Special Issues in the Treatment of Older Patients (Meridith Lee, DO; UVA, and Suzanne Holroyd MD; West Virginia) 11.Recovery: What does it look like?  (Marv Seppala, MD, Laura Ferguson, MD; Hazelden Springbrook) Part II. Ethical, Legal, Regulatory, and Policy Issues1.History of Opiate Prescribing and Opiate Related Drug Laws (Edward Michiana, JD, MD; Harvard) 2.Developing Facility Responses: Opiate Treatment Improvement Committee (Thomas Carr, MD; PVAMC) 3.Diversion and Abuse: pain contracts, urine drug screens, pill counts, visit frequency (Micheal H. Gendel, MD; Private Practice, Colorado) 4.Prescription monitoring programs (Johnathan Fellers, MD; OHSU) 5.Documentation of Treatment, Treatment Plan, and Informed Consent  (Donna Chen, MPH, MD; UVA) 6.Emotional vs. Science Driven Treatment: The case of chronic low back pain (Rodger Chou, MD; OHSU) 7.Federal involvement in pain management policy: SAMHSA, CDC, DEA, ONDC, NIDA, US FDA (H. Westley Clark, MD, JD, MPH; CSAT) Part III. Best Practices and Practice Models1.Multidisciplinary Pain Clinics (Travis Lovejoy, PhD; PVAMC) 2.The Role of the Emergency Room in Chronic Pain Treatment (Knox H. Todd, MD, MPH; UofT MD Anderson) 3.Assessing and Treating Co-Occurring Mental Illness (Richard Rosenthal, MD; Columbia)4.Assessing and Treating Other Co-Occurring Substance Abuse (Jyothsna Wudali, MD; Susan Whitley, MD; SUNY Downstate) Appendix I. Resources