Central California Alliance For Health

 

Pain Management Resources

Prescription opioid use and misuse has reached epidemic proportions in our country and in our local communities. Central California Alliance for Health is committed to working with our community partners to support our providers and members with the goal to successfully manage chronic non-cancer pain (CNCP). As part of these efforts, we are pleased to develop and maintain Tthis page ias a resource to provide both clinicians and members evidence-based tools, resources and best practices for safe and effective care. Please note that this page will be updated on a regular basis.


Please click the links below to access informative clinical resources.


Alliance Resources

•  Case Management

•  Behavioral Health

•  Member Online Health and Wellness Calendar

•  Project ECHO (Coming Soon)


PCP MAT Program

•  Program Details

•  Program Training for Providers (PDF)


Pharmacy

•  Formulary


Member Benefits

•  Allied Health Benefits Matrix (Coming Soon)

•  Acupuncture

•  Chiropractic Care

•  Physical Therapy


Chronic Pain Management Resources

Community Coalitions

•  Alameda County Safety Net Working Group on Opioid Prescribing

•  NoRxAbuse

•  Safe Med LA

•  RxSafe Marin

•  Prescribe Safe Monterey County

•  Prescribe Safe Santa Cruz/HiP


Medication Assisted Treatment (MAT) Resources

•  Buprenorphine Dosing Algorithms


MAT Peer Support and Consultation

•  Clinician Consultation Center (UCSF)

•  Providers’ Clinical Support System Mentoring Program (PCSS)

•  List of local mentors with contact information (Coming Soon)


Training and CMEs/CEs

Local

•  Local CMEs/CEs/events (Coming Soon)


Online

•  American Academy of Addiction Psychiatry Buprenorphine
   Waiver Training

•  American Society of Addiction Medicine (includes Waiver
   Qualifying Training)

•  Pathways to Safer Opioid Use

•  Providers' Clinical Support System for Opioid Therapies

•  Providers' Clinical Support System for Medication Assisted
   Treatment (includes Waiver training for providers, NPs and PAs)

•  Health Improvement Partnership CME Video Series

•  SCOPE of Pain


Behavioral Health and Psychiatric Support

•  Beacon

•  Encompass

•  Janus

•  Monterey County Behavioral Health

•  Santa Cruz County Behavioral Health

•  Merced County Behavioral Health

•  Member Online Health and Wellness Calendar

•  Motivational Interviewing Network of Trainers (MINT)

•  Difficult Conversations (OPG)

•  SAMHSA-HRSA Center for Integrated Health Solutions

•  Substance Abuse and Mental Health Services Administration
   (SAMHSA)


Patient Education and Handouts

•  CDC Guideline Resources: Patient and Partner Tools

•  Opioid Addiction Treatment: A Guide for Patients, Families and
   Friends (ASAM)

•  Feeling Better Brochure (SafeRx) (PDF)

•  Recovery is Possible


Safe Medication Disposal

•  Safe Medication Disposal Santa Cruz

•  Safe Medication Disposal Monterey (PDF)


Naloxone

•  Prescribe to Prevent (information for providers, pharmacists and
   patient education)

•  Opioid Safety and How to Use Naloxone (SFDPH)(PDF)


Additional Resources

State, National and Federal Organizations

•  California Department of Public Health Prescription Drug Overdose
   Prevention Initiative

•  California Health Care Foundation, California Improvement
   Network, Opioid Safety

•  California Opioid Surveillance Dashboard

•  American Society of Addiction Medicine

•  Providers’ Clinical Support System for Medication Assisted
   Treatment (PCSS-MAT)

•  Providers’ Clinical Support System for Opioid Therapies (PCSS-O)

•  National Center for Complementary and Integrative Heath
   (NCCIH)

•  National Institute on Drug Abuse (NIDA)

•  SAMHSA-HRSA Center for Integrated Health Solutions

•  Substance Abuse and Mental Health Services Administration
   (SAMHSA)

•  Turn the Tide Rx


Complementary and Alternative Medicine

•  Complementary Health Approaches for Chronic Pain

•  Pain Care on a New Track: Complementary Therapies in the
   Safety Net (CHCF)(PDF)

•  Free or Low Cost Community Resources (Coming Soon)

•  Member Online Health and Wellness Calendar

•  Mindfulness and Guided Meditation

•  Evidence Based Evaluation of Complementary Health Approaches
   for Pain Management in the U.S. (PDF)


Clinical Guidelines

•  CDC Guideline Checklist (PDF)

•  CDC Guideline for Prescribing Opioids for Chronic Pain, 2016

•  CDC Guideline Resources

•  Medical Board of California, Guidelines for Prescribing Controlled
   Substances for Pain (PDF)

•  Complementary Health Approaches for Chronic Pain

•  Guidelines for Prescribing Controlled Substances for Pain
   (Medical Board of CA)(PDF)

•  Interagency Guideline on Opioid Dosing for Chronic Non-Cancer
   Pain (includes opioid tapering guideline)(PDF)

•  Noninvasive Treatments for Acute, Subacute, and Chronic Low
   Back Pain: A Clinical Practice Guideline (ACP)(PDF)

•  VA/DoD Clinical Practice Guideline for Opioid Therapy for Chronic
   Pain 2017 (includes provider summary and pocket card)


Medication Assisted Treatment

•  Medication Assisted Treatment for Opioid Addiction in Opioid
   Treatment Programs (SAMHSA)(PDF)

•  ASAM National Practice Guideline for the Use of Medications in
   the Treatment of Addiction Involving Opioid Use (PDF)

•  VA/DoD Practice Guideline for the Management of Substance Use
   Disorders (includes provider summary and pocket card)

•  Clinical Guidelines for the Use of Buprenorphine in the Treatment
   of Opioid Addiction (SAMHSA)(PDF)


Tools and Toolkits

•  CDC Clinician Tools (complete toolkit)

•  Clinical Tools for Pain Management (comprehensive list of useful,
   downloadable, PDF tools and forms)(OPG)

•  Nonopioid Treatments for Chronic Pain (CDC)(PDF)

•  Tapering Toolkit Provider Resource (MPS/PHC)(PDF)

•  Buprenorphine Dosing Algorithms

•  American Osteopathic Academy of Addiction Medicine (AOAAM)
   Buprenorphine Clinical Tools (includes multiple, useful tools
   and forms)

•  Safe Pain Prescribing in Emergency Departments and Urgent
   Centers (SafeMedLA) Care

•  Emergency Department Medication Assisted Treatment of Opioid
   Addiction (PDF)

•  Opioid Tapering Flow Sheet (OPG)

•  Primary Care Guidelines Flowchart (SC SafeRx)(PDF)

•  Opioid Overdose Toolkit: Information for Prescribers
   (SAMHSA)(PDF)

•  Opioid Overdose Prevention Toolkit for Community Members,
   First Responders, Prescribers, Patients and Families
   (SAMHSA)(PDF)


Pocket Guides and Apps

•  ASAM National Practice Guideline Pocket Guide and Mobile App

•  CDC Mobile App (PDF)

•  Medication Assisted Treatment of Opioid Use Disorder Pocket
   Guide(SAMHSA)(PDF)

•  Online MME Calculator

•  MATx Mobile App

•  Calculating Total Daily Dose of Opioids for Safer Dosage
   (CDC)(PDF)

•  Opioid Calculator (PPM)

•  Turn The Tide Rx Pocket Guide for Opioid Prescribing (PDF)


Evidence Based and Best Practices

•  Managing Chronic Pain in Adults With or In Recovery from
   Substance Use Disorders (SAMHSA)(PDF)

•  Tapering Long-term Opioid Therapy in Chronic Noncancer Pain:
   Evidence and Recommendations for Everyday Practice (PDF)

•  Difficult Conversations (OPG)

•  Naloxone for Opioid Safety (SFDPH)(PDF)

•  Opioid Failure

•  DSM-5 Opioid Use Disorder Diagnostic Criteria (PDF)

•  Recommendations for the Care of Homeless Adults with Chronic
   Non-Malignant Pain (PDF)

•  SAMHSA-HRSA Center for Integrated Health Solutions Treatment
   for Chronic Pain: Our Approach


Medication Assisted Treatment

•  Medication Assisted Treatment for Opioid Addiction in Opioid
   Treatment Programs (ASAM)(PDF)

•  Recovery Within Reach: Medication Assisted Treatment of Opioid
   Addiction Comes to Primary Care (CHCF)(PDF)

•  MAT in Specific Populations (PCSS)

•  Procedures for Medication Assisted Treatment of Alcohol or Opioid
   Dependence in Primary Care (RAND)(PDF)


Pharmacy Resources

•  Alliance Pharmacy Department

•  CURES 2.0 Patient Safety Alerts

•  Online MME Calculator

•  Opioid Calculator (PPM)

•  Buprenorphine Dosing Algorithms

•  Prescribe to Prevent


Member Benefits

•  Allied Health Benefits Matrix (Coming Soon)

•  Behavioral Health at the Alliance

•  Case Management at the Alliance (PDF)

•  Member Online Health and Wellness Calendar


Medication Assisted Treatment

•  Medication Assisted Treatment for Opioid Addiction (SAMHSA)

•  Provider List (PDF)(Coming Soon)


Naloxone

•  Prescribe to Prevent (information for providers, pharmacists and
   patient education)

•  Opioid Safety and How to Use Naloxone (SFDPH)(PDF)


Resources in the Community

•  Beacon

•  Encompass

•  Free or Low Cost Community Resources (Coming Soon)

•  Janus

•  Monterey County Behavioral Health

•  Santa Cruz County Behavioral Health

•  Merced County Behavioral Health

•  SAM's Guide to Monterey County Family Resources

•  Member Online Health and Wellness Calendar


Additional Information and Support

•  Feeling Better (SafeRx)(PDF)

•  Learning About Pain (SafeRx)(PDF)

•  Mindfulness and Guided Meditation

•  Pregnancy and Opioid Pain Medications (CDC)(PDF)

•  El Embarazo Y Los Medicamentos Opioides (CDC)(PDF)

•  Prescriptions Opioids: What You Need to Know (CDC)(PDF)

•  Opioid Safety and How to Use Naloxone (SFDPH)(PDF)

•  Recovery is Possible (Video)


Safe Medication Disposal

•  Safe Medication Disposal Santa Cruz

•  Safe Medication Disposal Monterey (PDF)

Helpful Websites

•  American Academy of Pain Medicine

•  CDC Guideline Information for Patients

•  Greater Good in Action: The Science of a Meaningful Life
   (UCBerkeley)

•  Mindful.org

•  Pain - National Center for Complementary and Integrative Health

•  SAMHSA

•  Turn The Tide Rx


MAT Advisory Group

The SafeRx Santa Cruz and Prescribe Safe Monterey medication assisted treatment (MAT) Advisory Group is a peer support and resource group of physicians, advanced practice clinicians, and behavioral health providers focused on improving opioid use disorder recovery capacity and quality.

The Advisory Group convenes periodic in-person gatherings in addition to other forms of support: local mentors willing to guide providers that already have or are interested in obtaining a buprenorphine waiver; a Google Group for case discussions, questions, and answers; as well as a Google Drive folder with training and prescribing resources.

We invite all providers interested in acting as mentors or mentees from all three Alliance service areas, including Merced County, to join the MAT Advisory Group.

If you are interested in joining the MAT Advisory Group, please contact admin@hipscc.org.

 

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