• Joseph W Frank, BohnertAmy S BASBUniversity of Michigan Medical School, Ann Arbor, MI, USA.Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA., Friedh... more elm Sandbrink, Marsden McGuire, and Karen Drexler. less
• VA Eastern Colorado Health Care System, Aurora, CO, USA. joseph.frank@va.gov.
• J Gen Intern Med. 2020 Dec 1; 35 (Suppl 3): 983-987.

AbstractEvidence-based treatment of opioid use disorder, the prevention of opioid overdose and other opioid-related harms, and safe and effective pain management are priorities for the Veterans Health Administration (VHA). The VHA Office of Health Services Research and Development hosted a State-of-the-Art Conference on "Effective Management of Pain and Addiction: Strategies to Improve Opioid Safety" on September 10-11, 2019. This conference convened a multidisciplinary group to discuss and achieve consensus on a research agenda and on implementation and policy recommendations to improve opioid safety for Veterans. Participants were organized into three workgroups: (1) managing opioid use disorder; (2) Long-term opioid therapy and opioid tapering; (3) managing co-occurring pain and substance use disorder. Here we summarize the implementation and policy recommendations of each workgroup and highlight important cross-cutting issues related to telehealth, care coordination, and stepped care model implementation.

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