Pain Management, Opioid Safety, and PDMP (PMOP)

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 Opi oid 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)
VA - Stratification Tool for Opioid Risk Mitigation (STORM) FAQs - (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:

VA CBT for Chronic Pain Video Vignettes:

Resources from other Federal Partners:

Title	Link
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
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

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.

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