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.
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.
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.
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.
The Six Building Blocks was developed by the University of Washington Department of Family Medicine and Kaiser Permanente Washington Health Research Institute. This project was funded by Agency for Healthcare Research & Quality (#R18HS023750, #HHSP233201500013I), Washington State Department of Health (CDC #5 NU17CE002734), National Institute on Drug Abuse (#UG1DAO13714), and the Washington State’s Olympic Communities of Health. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of AHRQ, WA DOH, NIDA, or WA DOH.