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VHA Pain Management

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For Providers - Stay Current

For Providers - Stay Current !


Pain Care evidence and national and state policies, guidelines, and laws are evolving rapidly. The section will help VA healthcare providers stay up to date with current evidence, policies, guidelines, and laws.

VA/ DoD Guidelines:

Title Link
Management of Opioid Therapy (OT) for Chronic Pain   https://www.healthquality.va.gov/guidelines/pain/cot/  
Diagnosis and Treatment of Low Back Pain (LBP)  https://www.healthquality.va.gov/guidelines/pain/lbp/index.asp  
The Non-Surgical Management of Hip and Knee Osteoarthritis (OA)  https://www.healthquality.va.gov/guidelines/mr/cmi/index.asp 
Management of Substance Use Disorder (SUD)  https://www.healthquality.va.gov/guidelines/MH/sud/ 
Management of Obesity and Overweight https://www.healthquality.va.gov/guidelines/CD/obesity/ 
Assessment and Management of Patients at Risk for Suicide https://www.healthquality.va.gov/guidelines/MH/srb/
Management of Major Depressive Disorder  https://www.healthquality.va.gov/guidelines/MH/mdd/
Management of Posttraumatic Stress Disorder and Acute Stress Reaction https://www.healthquality.va.gov/guidelines/MH/ptsd/
Management of Concussion-mild Traumatic Brain Injury https://www.healthquality.va.gov/guidelines/Rehab/mtbi/
Rehabilitation of Lower Limb Amputation https://www.healthquality.va.gov/guidelines/Rehab/amp/
The Management of Upper Extremity Amputation Rehabilitation https://www.healthquality.va.gov/guidelines/rehab/uear/index.asp

VHA Policies and Directives:

Title                                                Link
VHA Directive 1306: Querying State Prescription Drug Monitoring

Querying Prescription Drug Monitoring (PDF)

VHA Notice 2019-15: Conduct of Data-Based Case Reviews of Patients W/Opioid-Related Risk Factors Conduct of Data-Based Case Reviews of Patients with Opioid-Related Risk Factors  (PDF)
VA National Stratification Tool for Opioid Risk Mitigation (STORM) - (for VA Providers) STORM Implementation site - (for VA Providers)
VA - Stratification Tool for Opioid Risk Mitigation (STORM) FAQs - (for VA Providers) STORM FAQs site - (for VA Providers)
VHA Directive 1137: Provision of Complementary and Integrative Health (CIH) Provision of Complementary and Integrative Health (CIH) (PDF)
VHA Directive 1315: Access to VHA Clinical Programs for Participating in State-Approved Marijuana Programs https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5711 (PDF)
VA Answers Governor Christie's Call on Opioid, Launches S.T.O.P. P.A.I.N Advices and Guidelines https://www.va.gov/opa/pressrel/pressrelease.cfm?id=2934 
  VA Notice 2019-18 – Buprenorphine Prescribing For Opioid Use Disorder https://www.va.gov/VHAPublications/ViewPublication.asp?pub_ID=8526 (PDF)

Cognitive Behavioral Therapy (CBT) for Chronic Pain:

Title Link                                               
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Therapist Manual Cognitive Behavioral Therapy (CBT) for Chronic Pain - Therapist Manual (PDF)
Treatment Works for Vets - Cognitive Behavioral Therapy for Chronic Pain (CBT-CP) website https://www.treatmentworksforvets.org/proven-treatment-for-chronic-pain/ 
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Clinician Fact Sheet Cognitive Behavioral Therapy (CBT) for Chronic Pain - Clinician Fact Sheet (PDF)
Cognitive Behavioral Therapy (CBT) for Chronic Pain - Patient Brochure Cognitive Behavioral Therapy (CBT) for Chronic Pain - Patient Brochure (PDF) 

VA CBT for Chronic Pain Video Vignettes:

Title Video Link                                               
CBT- CP: Treatment Models https://bcove.video/2xXSSfn*
CBT-CP: SMART Goals https://bcove.video/2P6DJ1I *
CBT-CP: Kinesiophobia and Walking https://bcove.video/2P73Q8O *
CBT-CP: Time-Based Pacing https://bcove.video/2xV8lgf *
CBT-CP: Relaxation Techniques https://bcove.video/2DS2eyz *
CBT:CP:  Pleasant Activities https://bcove.video/2PczfXm *
CBT-CP:  Cognitive Coping https://bcove.video/2y1Zj1d *
CBT-CP: Discharge Planning https://bcove.video/2xP7T39 *

Resources from other Federal Partners:

Title                                                      Link
 new AHRQ Resources  
    - Opioid Treatments for Chronic Pain https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/opioids-chronic-pain.pdf *
    - Nonopioid Pharmacologic Treatments for Chronic Pain https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonopioid-chronic-pain.pdf *
    - Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update https://effectivehealthcare.ahrq.gov/sites/default/files/pdf/noninvasive-nonpharm-pain-update.pdf *
Rural Community Toolbox Compilation of federal resources to address substance use disorder(SUD) and the opioid crisis. https://www.ruralcommunitytoolbox.org/*
Joint Pain Education Program (JPEP) JPEP collaboration between Department of Veterans Affairs (VA) & Department of Defense (DoD) to develop a standardized pain management curriculum - http://www.dvcipm.org/clinical-resources/joint-pain-education-project-jpep/ *
CDC Resources  
- Rx Awareness https://www.cdc.gov/rxawareness/index.html*
- Opioid Overdose https://www.cdc.gov/drugoverdose/*
SAMHSA Resources  
- Opioid Overdose Prevention Toolkit https://store.samhsa.gov/product/SMA18-4742*
- Medications for Opioid Use Disorder (TIP 63) https://store.samhsa.gov/product/TIP-63-Medications-for-Opioid-Use-Disorder-Full-Document-Including-Executive-Summary-and-Parts-1-5-/SMA18-5063FULLDOC*
Opioids: The Crisis Next Door https://www.crisisnextdoor.gov/*
Pathways to Safer Opioid Use Training https://health.gov/hcq/training-pathways.asp*
VA-Chronic Pain Rehabilitation Program (CPRP) Chronic Pain Rehabilitation Program (CPRP) is an award-winning, comprehensive, inpatient pain treatment program established in 1988 to help Veterans with chronic pain cope with their conditions. National referrals welcome. For more information on the CPRP and referrals please visit: http://www.tampa.va.gov/services/Chronic_Pain_Rehabilitation_Program.asp

VA Pain Center-Center for Integrative Care (CIPC)
Center for Integrative Pain Care (CIPC) provides the highest quality, innovative, multidisciplinary and evidence based advanced pain care to Veterans in chronic pain. Developing individualized pain treatment plans. Please visit:
https://www.va.gov/portland-health-care/programs/pain-center-center-for-integrative-care/ 
NIH: Pain Case Presentations - Discussions through CoEPEs

https://www.painconsortium.nih.gov/Funding_Research/CoEPEs *

Comprehensive List of Federal Partners Links  - Opioids

https://www.va.gov/PAINMANAGEMENT/Opioid_Safety/Other_Resources.asp 

HHS Resources  
   - HELP AND RESOURCES - NATIONAL OPIOIDS CRISIS

https://www.hhs.gov/opioids/

   - Pain Management Best Practices

https://www.hhs.gov/sites/default/files/pmtf-final-report-2019-05-23.pdf

VHA Publication Website 

This website contains information regarding VHA-wide policies, procedures, requirements and other information of general applicability.

Providers Pain Management - Resource Topics

Stay Current site Whole Person Pain Care site Team-Based Pain Care Site  Specific Population site 

Literature Alerts for VA Staff

The VA Library Network will provide VA staff an index of recent articles related to opioids and many other areas of interest right to your work mailbox. If you are interested in subscribing to this alert click here.

Disclaimer: *Links will take you outside of the Department of Veterans Affairs Website. VA does not endorse and is not responsible for the content of the linked websites.