Managing Co-occurring Opioid Use Disorder and Chronic Pain

Primary Presenter(s)

• 

  Declan Barry, PhD

  Associate Professor, Department of Psychiatry and child Study Center
  Yale School of Medicine

  Disclosure: Nothing to disclose

The presenter will review rates of chronic pain in patients entering opioid agonist treatment, and will describe the clinical characteristics of patients with opioid use disorder (OUD) and chronic pain, and the challenges reported by their providers. The presenter will discuss the development and testing of an integrated treatment for chronic pain and OUD involving opioid agonist treatment and cognitive-behavioral therapy (CBT). The presenter will then review findings from studies on training addiction counselors to assess and address chronic pain using a brief psychosocial intervention and dismantling key elements of CBT so that they can be provided in drop-in groups.

Learning Objectives:

• Explain the clinical needs of patients with co-existing chronic pain and opioid use disorder
• Describe challenges reported by clinicians in treating patients with chronic pain and opioid use disorder
• List the components of a promising integrated treatment approach for chronic pain and opioid use disorder