Patients with Pre-Existing Substance Use Disorders – Provider Resources
Managing pain among patients living with pre-existing substance use disorders (SUDs) or those recovering from SUDs is a sophisticated process and requires working with patients to create individualized treatment plans. The resources below provide information on conducting assessments and screening, recommended therapeutic approaches, and referrals for further treatment and information.
Pain Management of Patients with SUD
- Access this detailed 128-page Treatment Improvement Protocol (TIP) (TIP 54) for best-practice guidelines on the prevention and treatment of substance use disorders. Topics include: patient assessment, chronic pain management, managing addiction risk in patients treated with opioids, and patient education and treatment agreements.
- Quick Guide for Clinicians: For a quick reference, access this 48-page guide for clinicians based on TIP 54 (full document link above).
- Visit this site to access information on screening pain patients for substance use disorders and action to take if you receive a positive screen.
- This article provides a foundation for expanding chronic pain guidelines in the area of treating patients with a substance use disorder. This summary serves as a how-to-guide for primary care physicians on risk assessment, patient stratification, and recommended therapeutic approaches.
- This article discusses the clinical presentation of pain and its synergies with substance use disorders, evaluation and treatment of pain that co-occurs with substance use disorders, and provides guidelines for use of opioids to treat pain in patients with addiction.
- Scroll down about half way to find a section titled “Patients with Substance Use Disorder” to learn more about prescribing recommendations.