Implementation and Policy Recommendations from the VHA State-of-the-Art Conference on Strategies to Improve Opioid Safety

Evidence-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...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2020-12, Vol.35 (Suppl 3), p.983-987
Main Authors: Frank, Joseph W., Bohnert, Amy S. B., Sandbrink, Friedhelm, McGuire, Marsden, Drexler, Karen
Format: Article
Language:English
Subjects:
Addictions
Analgesics, Opioid - adverse effects
Cross cutting
Drug abuse
Drug addiction
Drug overdose
Humans
Internal Medicine
Medicine
Medicine & Public Health
Narcotics
Opioid-Related Disorders - epidemiology
Opioid-Related Disorders - prevention & control
Opioids
Overdose
Pain
Pain Management
Perspective
Policy
R&D
Research & development
Safety
Substance use
Tapering
Veterans
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Summary:Evidence-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.
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-020-06295-y