Chronic Pain

Treatment Guidelines

  • SAMHSA Webinar: Building Organizational Infrastructure to Treat Chronic Pain and Prevent Abuse of Prescription Medications (2014) Health centers share information and resources to help primary care providers and other health centers achieve the balance between appropriate pain management and preventing abuse of prescription medications.
  • Managing Chronic Pain in Patients Who Are Homeless: Results from a Survey of Homeless Health Care Clinicians (2012) | This document examines the current practices, available resources, attitudes, and perceived needs of clinicians in providing chronic pain management for homeless patients in health care for the homeless settings.
  • Clinical Drug Testing in Primary Care (2012)—SAMHSA | A new resource, Clinical Drug Testing in Primary Care, is now available to help clinicians decide when and how to introduce drug testing in their primary care practices. The publication does not address drug testing for law enforcement or legal purposes, nor does it include testing for the use of anabolic steroids or performance-enhancing substances. Rather, the publication describes some of the ways that drug testing can contribute to the assessment, diagnosis, and treatment of patients seen in primary care, the management of the treatment of chronic pain, and the identification and treatment of substance use disorders.
  • Adapting Your Practice: Recommendations for the Care of Homeless Adults with Chronic Non-Malignant Pain (2011)—HCH Clinicians’ Network | The recommendations in this document specify what experienced clinicians know works best for patients experiencing homelessness, with the realistic understanding that limited resources, fragmented health care delivery systems, and loss to follow-up often compromise adherence to optimal clinical practices. These recommendations provide helpful guidance to health care professionals serving adults with chronic non-malignant pain who are homeless or at risk of homelessness, and that they will contribute to improvements in both quality of care and quality of life for these patients.
  • Managing Chronic Pain in Adults with or in Recovery from Substance Use Disorders (2011) Treat Improvement Protocol—Substance Abuse and Mental Health Services Administration | Chronic non-cancer pain (CNCP) is common in the general population as well as in people who have a substance use disorder (SUD). Chronic pain is not harmless; it has physiological, social, and psychological dimensions that can seriously harm health, functioning, and well-being. As a multidimensional condition with both objective and subjective aspects, CNCP is difficult to assess and treat. Although CNCP can be managed, it usually cannot be completely eliminated. When patients with CNCP have comorbid SUD or are recovering from SUD, a complex condition becomes even more difficult to manage.
  • Pain Management Survey of Health Care for the Homeless Clinicians: Summary of Results (2011) | In a direct response to clinical priorities expressed by the HCH Clinician’s Network, the Network Steering Committee decided to survey HCH clinicians across the country regarding chronic pain management practices, knowledge, attitudes, and resources. The link above is a report of the survey results.
  • Health Care Guideline: Assessment and Management of Chronic Pain (2011)—Institute for Clinical Systems Improvement | The guideline will address the management of chronic pain for physiologically mature adolescents (between 16 and 18 years) and adults. It can be applied to pediatric populations where noted. It is not intended for the treatment of migraine headaches, cancer pain, advanced cancer pain, or in the context of palliative care or end-of-life management.
  • Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-cancer Pain (2010)—National Opioid Use Guideline Group | To assist physicians with decisions to initiate appropriate trials of opioid therapy for patients with chronic non-cancer pain, to monitor long-term opioid therapy, and to detect and respond appropriately to situations of opioid misuse including addiction.

Chronic Pain Programs