TREATING COMORBID OPIOID USE DISORDER IN CHRONIC PAIN

1. Theories of Pain and Addiction: Type of Pain, Pathways to Opiate Addiction
2. The Epidemiology of Pain and Opioid Abuse
3. Alternative Treatments
4. Evaluating the Biopsychosocial Milieu of Chronic Pain
5. Clinical Measurement of Pain, Opioid Addiction, and Functional Status
6. Methadone and Buprenorphine: The Place of Opiate Replacement Therapies
7. Interventional and Surgical Approaches to the Cervical and Lumbar Spine for Chronic Noncancer Pain
8. Special Issues in the Treatment of Women
9. Managing Chronic Pain in Older Adults
10. What Is Recovery?
11. Commonly Used Interventions Intended to Limit Diversion and Abuse in Patients Receiving Opioid Therapy for Chronic Pain: Clinical Utility and Empirical Support
12. Prescription Monitoring Programs
13. Federal Involvement in Pain Management Policy
14. Multidisciplinary Pain Clinics
15. The Role of the Emergency Department in Chronic Pain Treatment
16. Assessing and Treating Co-occurring Mental Illness
17. Assessing and Treating Co-occurring Substance Abuse

This in-depth text addresses how to approach and treat the chronic pain patient struggling with problematic opioid use. It discusses the approach for patients who may be at high risk of problematic use, such as those with a history of mental illness or substance use disorder. The first part covers diagnosis and treatment, focusing on common best practices that practitioners can adapt to any practice. Two of the chapters detail alternative and replacement therapies for opioid. Two more cover special issues in the treatment of women and older patients. The second part reviews the ethical, legal, regulatory, and policy issues surrounding the treatment of patients with comorbid pain and addiction. The book includes strategies for documentation that mitigate the risk of legal issues or ethical boundary crossings. The last part of the book addresses treating comorbid pain and opioid use disorder in different medical settings and the treatment of co-occurring mental illnesses and substance abuse.
Treating Comorbid Opioid Use Disorder in Chronic Pain is of great value to psychiatrists, pain physicians, primary care providers, social workers, drug rehabilitation centers, and other behavioral health professionals.

Features
• Reviews ethical, legal, regulatory, and policy issues that can affect approaches to chronic pain
• Presents successful models of chronic pain treatment as well as best practices
• Includes strategies for documenting patient care to mitigate risk of legal issues
• Offers alternative treatments and replacement therapies for opioid use Addresses special issues for women and elderly

Authors
• Annette M. Matthews, MD Associate Professor Department of Psychiatry & Department of Medical Informatics and Clinical Epidemiology Oregon Health & Science University Portland, OR, USA; Staff Psychiatrist Portland VA Medical Center Portland, OR, USA
• Jonathan C. Fellers, MD Substance Abuse Clerkship Director, PGY-3 Psychiatry Residents Department of Psychiatry Oregon Health & Science University Portland, OR, USA; Mental Illness Research Education Clinical, Centers of Excellence Portland VA Medical Center Portland, OR, USA