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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 (2017)  https://www.healthquality.va.gov/guidelines/pain/cot/  
Diagnosis and Treatment of Low Back Pain (LBP) (2017 https://www.healthquality.va.gov/guidelines/pain/lbp/index.asp  
The Non-Surgical Management of Hip and Knee Osteoarthritis (OA) (2014) https://www.healthquality.va.gov/guidelines/mr/cmi/index.asp 
Management of Substance Use Disorder (SUD) (2015) 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 2018-08: 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 Veterans Participating in State-Approved Marijuana Programs

Access to VHA Clinical Programs for Veterans Participating in State-Approved Marijuana Programs - (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 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
Administration/White House - Confronting Opioid Crisis https://www.opioids.gov/*
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*
NIH: Pain Case Presentations - Discussions through CoEPEs

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

VHA Publication Website

This web site 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.