Primary care clinics can continue to care for their patients with chronic pain on long-term opioid therapy while maintaining good public health practices during the COVID-19 outbreak. The following resources support clinics in this important work.

Overarching resources

COVID-19 and Chronic Pain Management: A resource to help clinics think through how to continue care using largely virtual visits during the COVID-19 outbreak.

Prescribing opioids

DOJ Diversion Control COVID-19 page: A Department of Justice webpage with policy information on prescribing during COVID-19 outbreak.

How to Prescribe Controlled Substances Flowchart: A Department of Justice flowchart on how to prescribe controlled substances during the COVID-19 outbreak.

Patient assessments

Almost all recommended assessments for patients with chronic pain can be conducted virtually, and are a critical component of high quality virtual care.

Recommended Assessment Table: Recommended assessments for patients with chronic pain on long-term opioid therapy.

Remote urine drug testing FAQ and workflow: A resource to think through how to conduct urine drug testing remotely.

Billing for virtual visits

CMS Coverage of Telehealth: CMS announcement of expanded coverage for telehealth visits.

Non-opioid treatments compatible with social distancing

Chronic Pain Self-Management Resources: A list of suggested resources for providers, care coordinators, and patients to use for chronic pain self-management.

PTSD Coach: PTSD Coach assists individuals with chronic pain who experienced trauma to learn about, track, and manage symptoms.

Breathe2Relax: This stress management app trains on the “belly breathing” technique. It provides breathing exercises to learn and practice the breathing technique.

Headspace: Meditation app. The Basics course of this app is free and teaches the fundamental techniques of meditation and mindfulness.

Stop Breathe Think: This app supports you with checking in with your emotions, and then recommends short, guided meditations, yoga, and acupressure videos.

The Three Minute Breathing Space: This 3-minute practice is great to use in the middle of the day, with stressful situations as they arise. Available as a handout, app, and recording.

Stress reduction and general wellness

Stress and Coping Resources: CDC webpage on stress and coping resources during the COVID-19 outbreak.