For Providers - Team-Based Pain Care
Providing excellent whole person pain care requires a team approach. While the components of the treatment team will vary based on the setting, certain elements of integrated care form the basis for an effective team approach: communication, mutual respect, proactive preparation, and common therapeutic goals. The Biopsychosocial model and the VA Stepped Care Model for Pain Care provide a framework for effective integrated team-based pain care.
Learn about the Biopsychosocial Model of Pain Care
Psychological or social factors influence pain. Such influences are known as the biopsychosocial model of pain. This model is used to interpret pain, the severity of pain is determined not only by physical problems, but also by personal factors and aspects of the environment.
VA PACT Pain Champions
The VA PACT Pain Champions Initiative is a program designed to improve pain care options in primary care. The VA Stepped Care Model for pain care recognizes that many positive approaches to pain can be utilized in the primary care setting to improve medication safety and offer many safe and effective options for pain related to self-care, pain education, cognitive behavioral approaches to pain, physical therapy and movement options as well as whole health approaches that incorporate a biospsychosocial approach to pain that also includes complementary integrative approaches such as mindfulness, yoga and auricular acupuncture.
Since its inception in 2008 as the primary care pain task force the group has now evolved into the pact pain champions that includes a representative from every facility as well as a representative from every VISN. Each group meets monthly and there is also a monthly community of practice call to share ideas and innovations. Some innovations that have come from this program include primary care based pain teams, involvement in the VA SCOUTT program that improves access to Medication Assisted Treatment for Opioid Use Disorder in primary care and other non SUD settings, primary care based pain schools, the PACT Pain roadmap that outlines approaches to pain in primary care, and improved access to opioid overdose education and naloxone to name. Patient Aligned Care Team (PACT) Site.
Stepped Care Model for Pain Management (SCM-PM)
VHA Directive 2009-053, Pain Management - Veterans Affairs - VHA employs a Stepped Care Model for Pain Management (SCM-PM). The SCM-PM provides a roadmap to providing the appropriate level and intensity of pain management to patients with pain. The SCM-PM is key to providing the right care for the right patient in the right setting.
|Abbreviations: CARF=Commission on Accreditation of Rehabilitation Facilities
PACT Roadmap for Managing Pain