Multidisciplinary treatment of benign chronic pain syndrome in substance abusing patients

Abstract

This article presents a model for combined treatment of benign chronic pain and substance abuse. The combined treatment program illustrated draws resources from a comprehensive pain treatment center and an addictions program, which affiliated to better serve these challenging patients. Three illustrative cases are presented. Potentially divisive conceptual issues, such as lack of understanding of the biopsychosocial model of benign chronic pain, and the debate over the role of long-term opioid medication in the treatment of addiction and chronic pain disorders, are discussed.

Further validation of the chronic pain coping inventory

“…37,48 Certain coping responses, such as task persistence, have been associated with better physical and psychological functioning among individuals with chronic pain, whereas other coping responses, such as pain-contingent resting and guarding, have been correlated with impaired function. 12,15,25,31,51 Cross-sectional and longitudinal studies have demonstrated that coping responses are associated with both short-and long-term adjustment to chronic pain.…”

Drug Therapy for Chronic Pain

“…74 Even with substanceabusing patients it is possible to develop a meaningful working relationship. 75 Opioid use can result in personality changes. 76 Staff meetings can include some of the following to avoid problems with bellicose patients.…”