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    • Plenary Lecture: The Biology of Infant and Childhood Pain: It All Begins Here
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    • Plenary Lecture: Spinal Mechanisms of Spinal Cord Injury-Induced Neuropathic Pain: Implications for Novel Therapeutic Targets
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    • Neurobiological Mechanisms Supporting Integrative and Mind-Body Therapies for Pain
    • Bottom-up vs. Top-down: The Search for Effective Mechanisms in Psychosocial Treatments for Chronic Pain
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    • Psychology Treatments for Chronic Pain: Who Benefits & Why?
    • Descending Modulation of Pain and the Endocannabinoid System: Sites, Mechanisms, and Therapeutic Potential
    • Muscle Pain Mechanisms: It's Time to Dive Deep
    • Mechanism-Based Approach to Clinical Trial Design in Chemotherapy-Induced Peripheral Neuropathy
    • At the Intersection of Affect Regulation, Reward/Value Process, and Placebo: Altered Human Psychological, Neurobiological, and Opioidergic Systems in Chronic Pain
    • Putting the Spotlight on Social: An Innovative Multidisciplinary, Multi-Species Approach for Examining the Influence of Social Context in Pain
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      • 2015 CCOE Recipients
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      • American Pain Society’s Annual Scientific Meeting Convenes in New Orleans, May 8-11
      • Adolescent Chronic Pain Costs $19.5 Billion a Year in the United States
      • New Method Helps Doctors Check Pain Drug Compliance
      • New Study Assesses Benefits of Cognitive Pain Relief Methods
      • Pain Intensity Can Predict Head and Neck Cancer Survival
      • Study Estimates Persistent Pain Incidence at 19% of U.S. Adults
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      • Low-Dose Vaporized Cannabis Improves Neuropathic Pain
      • American Pain Society Releases Pain Research Agenda for the 21st Century
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      • American Pain Society and Journal of Family Practice To Co-sponsor Pain Care Conference for Primary Care Physicians
      • American Pain Society Announces $150,000 Pain Research Grant Program
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      • American Pain Society Publishes New Clinical Practice Guideline on Methadone Safety
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      • Cannabinoid Shown Effective as Adjuvant Analgesic for Cancer Pain
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      • Genetic Alteration Predicts Pain Recovery After Sexual Assault
      • Health Care Reforms Will Change How Pain Is Assessed and Treated
      • High-dose Opioid Treatment Associated with Mental Health and Medical Comorbidities
      • Inadequate Pain Research Funding Hampers Effort to Find Safer and More Effective Treatments
      • Injury Fears Can Predict Impairment in Low Back Pain Patients
      • Internalized Stigma Linked with Poor Self Esteem and Pain Self-Efficacy
      • Motives Assessed for Opioid Misuse Among Adolescents
      • Negative Physician Attitudes About Opioid Pain Meds Linked with Lower Prescribing
      • New SmartPhone Apps Help Doctors Manage Pain Patients
      • No Relief Yet for Brutal Oral Cancer Pain, but Cannabinoids May Offer Some Hope
      • One-fourth of Breast Cancer Surgery Patients Have Persistent Pain
      • Pain Research Funding Inadequate in the Face of Soaring Incidence and Treatment Costs
      • Pain Research Yielding Encouraging Discoveries, But Funding Cuts Threaten Future Advances
      • Positive Activities Administered Online Help in Pain Management
      • Primary Care Doctors Prefer NSAIDS for Chronic Pain Treatment
      • REMS Statement
      • Risk Factor Management Helps Prevent Migraine Attacks
      • Sedatives and Alcohol Increase Risk for Pain Medication Adverse Events
      • Study Shows Pain Drug Craving Occurs With or Without Risk for Misuse
      • Severe Pain in Sexual Assault Survivors Often Not Treated
      • Severity of Acute Low Back Pain Predicts Development of Chronic Pain
      • Spinal Manipulative Therapy Lessens Central Pain Sensitization
      • Study Assesses Differences in Physician and Patient Pain Assessments
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      • Study Assesses Pain and Quality of Life in Ugandan HIV Patients
      • Study Assesses Role of Caregiver Anxiety on Children’s Pain
      • Study Examines Treatment Responses in TMD Patients
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      • Study Evaluates Frequency of Pediatric Pain Assessments
      • Study Links Pre-operative Breast Cancer Pain to Inflammatory Mechanisms
      • Study Shows Pain Coping Success with Acceptance and Commitment Therapy
      • Study shows Physiological Markers for Neonate Pain
      • Study Shows Predictors of Functional Change in Older Women with Recurrent Pain
      • The American Pain Society Presents Full-Day Program at PAINWeek 2012
      • Training the Brain Could Help Reduce Pain
      • University of Florida Psychologist Roger Fillingim, PhD, Becomes President of the American Pain Society
      • University of Washington Anesthesiologist Gregory W. Terman, MD PhD Becomes President of the American Pain Society
      • Yoga Shown Effective for Treating Chronic Neck Pain
      • Study Shows Links of Childhood Pain to Adult Chronic Pain and Fibromyalgia
      • Newsroom Press Releases
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        • Post-surgical Pain Management Can Influence Progression to Chronic Pain
        • American Pain Society Presents 2017 Achievement Awards
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      • APS Scientific Meeting in Palm Springs
      • Nerve Involvement Explains Why Some Cancers are Very Painful
      • American Pain Society Presents 2014 Achievement Awards
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      • Strong Evidence Still Lacking on Medical Marijuana for Pain
      • Fibromyalgia Has Central Nervous System Origins
      • Yoga and Chronic Pain Have Opposite Effects on Brain Gray Matter
      • Newsroom 2015 Releases
      • Patient-Centered Outcomes Studies Needed in Pain Management
      • Improving Sleep Quality Has Pain Control Benefits
      • Use of Multiple Pharmacies Can Predict Opioid Overdosing
      • Inhaled Cannabis Shown Effective for Diabetic Neuropathy Pain
      • NIH Study Shows Prevalence of Chronic or Severe Pain in U.S. Adults
      • Physical Therapy for Carpal Tunnel Syndrome Pain Often As Effective as Surgery
      • Mental Disorders Increase Risk for Eventual Chronic Pain in Adolescents
      • Study Assesses Long-term Impact of Post-surgical Pain in Children
      • Newsroom 2016 News Releases
        • American Pain Society Publishes Clinical Practice Guideline for Post-surgical Pain Management
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      • American Pain Society Annual Scientific Meeting, Austin, May 11-14
      • Message CDC Guidelines
      • APS and Pfizer Grant Fund
      • Better Self Management Improves Outcomes for Chronic Pain Care
      • Politics of Pain Epitomizes U.S. Liberal-Conservative Divide
      • Psychological Flexibility Might Be the Key to Better Cognitive-Behavioral Interventions
      • APS Presents 2016 Achievement Awards
      • APS Honors Clinical Centers of Excellence in Pain Management Award Recipients
      • Evidence Shows Benefits of Psychological Care in Pain Management
      • American Pain Society Awarded Research Grant from Mayday Fund
      • American Pain Society Offers Guidance on Medical Marijuana for Pain
      • Study Shows Pain Often Improves in Older Veterans
      • Study showsDistress Intolerance Associated with Opioid Misuse
      • Brain Stimulation Technique Shown Effective in Phantom Limb Pain
      • Early Childhood Pain Can Predict Chronic Pain in Adolescence
      • American Pain Society Urges Congress to Oppose Steep Budget Cuts for National Institutes of Health
      • Newsroom 2017 News Releases
      • Holistic, Patient Centered Care Gaining Acceptance for Pain Management
      • Wearable Devices Communicate Vital Brain Activity Information
      • Practical Clinical Trials Can Help Find Alternatives to Opioids
      • Better Self-Management Improving VA Outcomes for Chronic Pain Care
      • Study Links Sleep Patterns with Pain Persistence After Pediatric Surgery
      • Study Shows Cognitive Behavioral Therapy Improves Functioning for People with Chronic Pain
      • American Pain Society's 2018 Annual Meeting Features New, Single-theme Format
      • Pain Severity Leading Predictor of Prolonged Opioid Use After Surgery
      • American Pain Society Supports Passage of Marijuana Effective Studies Act
      • American Pain Society Selects Future Leaders in Pain Research Grant Recipients
      • Study Shows High Rate of Chronic Pain in Homeless Older Adults
      • Study Explores Patient-Doctor Communication About Opioid Tapering
      • American Pain Society Scientific Summit Explores Pain Mechanisms
      • American Pain Society’s 2018 Annual Meeting Explores Pain Mechanisms
      • Sleep Improves Pain and Post Traumatic Stress Disorder Symptoms in Youth
      • Effective Pain Assessments Achieved by Targeting Multiple Pain Mechanisms
      • Post-surgery Pain Resolution Mechanisms Can Explain Healing Variability
      • Babies Feel Pain Even if They're Not Crying
      • Literacy Deficiencies Restrict Access to Cognitive-Behavioral Pain Therapy
      • American Pain Society Endorses NIH Initiative to Curb Opioid Addiction
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2015 CCOE Award Recipients

Community-Based Program

Cleveland Clinic Children's Pediatric Pain Rehabilitation Program
Cleveland, OH

CCOE Cleveland Clinic Photo web

The Cleveland Clinic Children’s Pediatric Pain Rehabilitation Program offers pain care services for children and adolescents with chronic pain and related functional impairment. Our core service is a 3-week interdisciplinary pain rehabilitation program providing inpatient and day hospital care for a variety of chronic pain conditions. The primary goals of this program are to help children manage their pain effectively and to restore daily activity.During their first two weeks, patients engage in a broad range of therapy, behavioral health, and physiatry services as inpatients. In the third week, patients obtain these services as day hospital patients.

All patients receive classroom services, and a school re-entry meeting is scheduled prior to discharge. In addition to the inpatient/day hospital program, we offer a multidisciplinary pain assessment clinic; individual and group PT, OT, psychological, and physiatry services; coordinated outpatient therapies; and a day treatment program. Our program maintains a patient registry, and annual outcomes reveal improved functioning, pain reduction, and less health care-utilization. Satisfaction data are reviewed regularly and guide quality improvement initiatives. The Pediatric Pain Rehabilitation Program offers training to fellows and residents in a variety of medical subspecialties and students in physical, occupational, and recreation therapies. A 2-year postdoctoral fellowship in pediatric pain psychology is offered.

Our research efforts, which have been externally-funded, have resulted in multiple publications as well as presentations and posters at national and regional meetings. Program staff have participated in Cleveland Clinic pain-related programming, provided training to multispecialty caregivers, given grand rounds and continuing education presentations at local and regional hospitals, and participate actively in professional pain societies. Our program is the only CARF-accredited interdisciplinary pain rehabilitation program dedicated to children and adolescents. We give particular attention to our program’s culture and core values, including acting as a unit, communication, planfulness, problem-solving, learning/growth, and fun.

Cleveland VA Medical Center Pain Medicine Service
Cleveland, OH

CCOE Cleveland VA web

The journey of implementing a biopsychosocial and evidence-based model of care was faced with challenges as we transformed the culture and philosophy of care not only within the Pain Management Center, but throughout the medical center.

The program started as a low-opioids reliance model since its inception in 2004. Through the years, the whole medical center, which cares for over 100,000 veterans, embraced that philosophy. Clinical and behavioral services are offered in a multi-disciplinary fashion by physicians, psychologists, and other allied health care professionals who promote physical rehabilitation and self-management as the mission of our center. Interventional procedures, pharmacologic modalities, psychological interventions, and complementary/alternative medicine are used to facilitate rehabilitation and healthy lifestyles.

Our program follows a 3-level stepped-care model. At Level-I: Patients are managed by primary care providers (PCPs) with pain management training. Through advanced video-teleconferencing, our SCAN-ECHO (Specialty Care Access Network-Extension for Community Health Care Outcomes) team leads weekly training sessions (case-discussion and didactics) with PCP champions. Time is protected for these champions to attend these weekly 90 minute sessions for at least a year. At Level-II, patients are referred to our outpatient clinics where they can be seen by specialists in pain medicine, pain psychology, and other allied professionals. Level-III is the Intensive Outpatient Program (IOP) where more complex patients are referred. In the IOP, patients are enrolled in a 12-week, 1-day/week rehabilitation program that features psychological interventions, aquatic therapy, group exercise, occupational therapy, and dietary and vocational rehabilitation.

Innovation in health care delivery has been at the core of our mission. The Tele-medicine clinics see around 2000 patients yearly, allowing them to receive pain care in facilities close to their homes. Since 2011, our Center has received over $8 million in monetary grant support to fund its innovative initiatives such as SCAN ECHO and Tele-Medicine.
-solving, learning/growth, and fun.

Valley Anesthesiology Consultants/Phoenix Children’s Hospital Pain Medicine Program
Phoenix, AZ

CCOE Phoenix Childrens web

The Valley Anesthesiology Consultants (VAC)/Phoenix Children’s Hospital (PCH) Pain Medicine Program is the only comprehensive, multidisciplinary acute and chronic pain medicine program for children in the Southwest. VAC physicians started the program in 2003, and over the years a unique relationship developed between VAC and PCH, which has resulted in a program that minimizes and distributes costs and maximizes services provided. By emulating our innovative organizational model, community hospitals with limited resources can offer better multidisciplinary and multimodal care to the many children who lack access to large academic pain programs, contributing to the fulfillment of the APS stated vision of "a world where pain prevention and relief are available to all people." Despite being a private practice based program we have enjoyed success beyond just the clinical realm. We are one of the exclusive participating sites in the Pediatric Pain Research Consortium (PRN-Pain) of ACTTION. We have multiple ongoing research projects, including multicenter studies, regularly present our work at national meetings, have recent publications in peer-reviewed journals, and have created innovative, collaborative programs such as our Opioid Prescribing Program designed to help promote responsible opioid prescribing and reduce prescription drug abuse. We have regular student and physician rotators from PCH, the University of Arizona, Arizona State University, and the Mayo Clinic, and conduct monthly resident lectures. Some of the CCOE reviewer comments include the following: "The practice offers an impressive number of services in a coordinated fashion. This is especially impressive given they are a private practice." "Especially for a private practice, this program clearly invests in multidisciplinary and multimodal care as a priority, including a well-balanced staffing model that supports their organizational model that emphasizes these important principles." "Truly outstanding application; perhaps the strongest I've ever scored."


University-Based Programs

Brigham and Women's Hospital, Pain Management Center
Boston, MA

CCOE Brigham and Womens Hospital web

The Pain Management Center at Brigham and Women’s Hospital is dedicated to improving access for patients who suffer from pain by providing interdisciplinary care with innovative new programs. The Center has initiated new programs in pelvic pain therapy, addiction disorders, oncology-palliative care, and established a state-of-the-art Spine Center. Other noteworthy recent initiatives include an enhanced role for our certified pain management nurses with development of system-wide care coordination of complex patients with pharmacists and primary care practices.

The Center continues to engage in local, national, and international efforts to promote access to quality pain management services. Our staff have taken leadership roles in national pain societies and have participated in policy decision making at the state and national level. Recently, we have fostered an affiliation with Kuwait to study the epidemiology of pain. We have developed new methods of patient assessment using an electronic PainCAS program and a smartphone pain application. This has allowed us to collect customized outcome measures and implement improved systems for communicating with and monitoring our patients.

Staff of the Pain Management Center are committed to improving knowledge of pain medicine in the community. We actively collaborate with other practices in our health system, have been leaders in developing an educational pain medicine review DVD for primary care providers, and have taught courses on pain research, education, and policy. In addition, our Center trains 10 fellows and 30 residents each year and recently received the Fellowship Excellence Award for the best training program in pain medicine in the country. We also continue to be active in research by producing more than 20 manuscripts per year and obtaining substantial grant support. Our Center’s staff has collaborated with other academic programs in several multicenter trials evaluating outcomes of pain treatment and gaining a better understanding of pain mechanisms.

UC Davis, Center for Pain Medicine
Sacramento, CA

CCOE UC Davis

The UC Davis Center for Pain Medicine is dedicated to comprehensive and collaborative patient care, excellence in education, innovative research, patient advocacy, and improving public policy. The Center has a long track record of integrating these broad elements for the greatest benefit of our patients, of our training clinicians, and of the greater global community.

The Center provides seamless evidence-based medical, surgical, psychiatric, psychological, social and alternative care directly within the many facets of its comprehensive programs. Its broad-based approach to treating the community’s most difficult cases of acute, cancer-related, and chronic pain in adults and children is due largely to the inter-professional team whose members are intentionally diverse in their training and perspectives. The Center was one of the earliest to incorporate clinicians from all disciplines and professions.

Engaging in education is a pillar of the program, which includes education for all clinicians across all health professions. Clinicians within the Center are renowned educators and investigators who impact the training of the next-generation of pain care providers across all health professions including pain medicine physicians, primary care, and other specialty clinicians, nurses, nurse-practitioners, physician assistants, psychologists, social workers, as well as patients.
Innovative research is ongoing and spans behavioral, emotional, and physical aspects of pain, analgesic therapies, education, and public policy. This includes work on prescription drug abuse prevention, simulated inter-professional pain education, tele-mentoring for creating rural primary care pain management centers of excellence, safety of interventional pain procedures, the impact of art on coping with chronic pain, and mental health assessment as a core outcome measure in pain care. Recognizing that clinicians from all health professions are inadequately educated about pain, the Center has advanced pain core-competencies in hopes of improving pain education and care within all health professions

The CCOE in Pain Management Awards Program is supported by TEVA Pharmaceuticals.

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