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    • Plenary Lecture: The Biology of Infant and Childhood Pain: It All Begins Here
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    • 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
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      • 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
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      • 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
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      • Study Shows Pain Drug Craving Occurs With or Without Risk for Misuse
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      • Severity of Acute Low Back Pain Predicts Development of Chronic Pain
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      • Study Assesses Role of Caregiver Anxiety on Children’s Pain
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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
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        • American Pain Society Presents 2017 Achievement Awards
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        • American Pain Society Scientific Meeting, April 3-6, Milwaukee
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      • 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
      • Study Assesses Impact of Opioid Risk Reduction Initiatives
      • American Pain Society Annual Scientific Meeting, Austin, May 11-14
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      • 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
      • William Maixner, DDS, PhD Elected American Pain Society President
      • American Pain Society Endorses Compromise Marijuana Studies Act
      • Improved Access to Alternative Care Is Best Option to Curb Opioid Misuse
      • Newsroom 2018 News Releases
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      • American Pain Society Selects Tonya Palermo, PhD Treasurer and Three New Directors
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2011 CCOE Award Recipients

Brigham and Women’s Pain Management Center
Boston, MA

ccoe brigham and women's pain management centerNational and international referrals—including referrals from other tertiary care center pain programs—speak to the caliber of care received by patients at the Brigham and Women’s Hospital (BWH) Pain Management Center. The Center, which serves 19,000 patients annually, was a 2007 APS Clinical Centers of Excellence (CCOE) Award recipient. As a second-time winner, the Center is recognized for sustained excellence and program enhancements that reflect state-of–the-art interdisciplinary pain care. Noteworthy initiatives include expanded psychological, social work, and pharmacy services and introduction of palliative care and pelvic pain programs.

The Center’s mission is to investigate the mechanisms and behavior associated with chronic pain through basic science, translational, and clinical research. The Center’s multidisciplinary, multicultural staff treat complex issues surrounding patients’ pain and actively engages in local, regional, national, and international efforts to improve the quality of pain care. The Center collaborates with Dana-Farber Cancer Institute, the BWH Spine Center, the International Mesothelioma Program, Spaulding Rehabilitation Hospital, and the Veteran’s Administration.

BWH Pain Management Center staff is committed to advancing scientific knowledge, as evidenced by an increasing number of scientific publications (average of 15 per year) and expansion of the research team between 2008 and 2010. The center conducts opioids and angiogenesis research and offers a continuing medical education program to manage risk for patients receiving long-term opioid therapy. In addition to continuous annual training for eight pain fellows in the highly regarded ACGME-accredited pain fellowship program, the Center teaches up to 35 residents, 15 pharmacists, and five nurse practitioner students.

Comprehensive Pain Center of Sarasota
Sarasota, FL

ccoe comprehensive pain center of sarasotaIn a state where an average eight deaths occur every day due to prescription drug abuse, the interdisciplinary approach taken by the Comprehensive Pain Center of Sarasota (CPCS) in Sarasota, FL demonstrates a growing public benefit, with evaluation and treatment services unparalleled in Southwest Florida’s constantly growing healthcare market.

Our program embraces a patient-centered, evidence-based, and outcomes-focused approach to Pain Medicine. Dr. Myrdalis Diaz-Ramirez, our Medical Director, believes that a more holistic approach with a broader toolbox will yield better outcomes at a lower total financial and emotional cost to patients and their families. Our success has been achieved as a free-standing, unaffiliated program, further demonstrating an integrative approach is sustainable in the private setting. We believe that in a healthcare system that is moving from a fee-based to an efficiency-based compensation model, integrative programs are a key element to success.

At the Comprehensive Pain Center, we follow a multidimensional approach with a biophychosocial emphasis on understanding and managing pain. Offering modalities ranging from conservative to invasive with the right balance of interventional procedures, medication management, pain psychology, physical therapy, acupuncture, biofeedback, and a healthy aging program, both patients and their families have the best chance at healing. Care providers and support personnel meet weekly at multidisciplinary patient care conferences to discuss the patient plan of care. The Center’s spa-like atmosphere and culturally conscious bilingual staff contribute to a relaxing and nurturing environment.

The Center is very focused on the community with our town mayor recently issuing a proclamation at our multidisciplinary educational conference. The APS Centers of Excellence Award inspires us to further expand our community educational outreach programs, advance the evidence-based patient care model, and continue to grow our business as a model of how pain management should be practiced, particularly in the challenging private, for-profit sector.

Jane B. Pettit Pain and Palliative Care Center
Children’s Hospital of Wisconsin, Milwaukee

ccoe children's hospital of wisconsin milwaukeeThe Jane B. Pettit Pain and Palliative Care Center serves as a champion for pediatric pain treatment at regional, national, and international levels thanks to the services provided by its dedicated team and widely cited studies on acute and chronic pain treatment that appear in peer-reviewed journals.

The program, which serves nearly 4,000 patients each year (including 75 home-care recipients), follows a multidisciplinary, family-centered care model that integrates medical and mental health services. The staff works collaboratively with families, schools, and other healthcare providers to deliver comprehensive care. The multidisciplinary chronic pain team spends 90¬–120 minutes with each child and family during the initial appointment, and families leave with a written, comprehensive treatment plan.

The program addresses acute, chronic, and palliative pain conditions; collaboration and transition between inpatient, outpatient, and palliative services ensures patients receive the best and safest care. The Acute Pain Service led a Six Sigma quality improvement initiative that resulted in improved evidence-based patient-controlled analgesia safety. Collaboration with the Center’s Sickle Cell clinic has improved cost-effectiveness and emergency department recidivism.

Four Pain Service team members serve on The Comfort Zone™ Committee, a hospital-wide pain committee that has brought pain management to the forefront across the health system and serves as a model for pain centers around the world.

Along with multiple specialty clinics, the Pain Service has developed a clinical outcomes registry; the group’s prospective collection of baseline and follow-up data will promote clinical-effectiveness research and improve patient care quality. Ongoing chronic pain research projects examine school functioning, obesity, mindfulness-based stress reduction, acupuncture, and yoga to facilitate recovery. Acute pain research projects include an examination of barriers to pain management and Parent-Nurse Controlled Analgesia in infants and in children with developmental delay.

Rehabilitation Institute of Washington
Seattle, WA

ccoe rehabilitation institute of washingtonBefore its move to an easily accessible freestanding facility in 2005, the Rehabilitation Institute of Washington was struggling financially in an academic medical center environment. The move launched unprecedented success—the program has since nearly tripled in size—and opened the door to new levels of credibility. The Institute now serves 650 patients per year and serves as a resource for local healthcare organizations and independent providers on strategies to prevent and manage acute and chronic pain.

The Institute offers an interdisciplinary cognitive behavioral pain rehabilitation program focused on injured workers with chronic pain and disability. The Institute’s emphasis is on comprehensive education and active therapies to improve strength, endurance, flexibility, posture and body mechanics, exercise technique, psychological adjustment, functional abilities and return to work. In addition to physical and occupational therapy, the program includes group and individual cognitive behavioral therapy, medical education and management, nutrition counseling, vocational rehabilitation counseling, and specialty programs for complex regional pain syndrome (CRPS), combining comprehensive rehabilitation with regional anesthesia, and drug detoxification services.

Patients with limited English proficiency are provided interpreters, and onsite housing is available for those who are unable to commute to daily treatment. Overuse of passive modalities, interventional treatments, and medications is avoided; education is a key component of treatment.

Institute team members have had prominent national leadership roles in education and clinical outcomes research on low-back pain and disability. The Institute helped redesign pain rehabilitation guidelines for Washington State, and collaborated with the state to develop treatment protocols for CRPS, opioid guidelines and detoxification protocols for opioid dependent patients. Institute staff members train local providers in effective management of industrial injuries and teach a continuing education course on managing industrial injuries.

University of New Mexico Project ECHO Pain Clinic
University of New Mexico
Albuquerqu, NM

ccoe university of new mexico project echo pain clinicVulnerable rural or urban underserved populations are unable to access multidisciplinary pain management services. The University of New Mexico Health Sciences Center (UNMHSC) addresses this gap in care by a unique partnership by serving the underserved: UNMHSC multidisciplinary Pain Team treats complex pain patients; Project ECHO offers primary care and other clinicians a weekly didactic pain curriculum and opportunity to present difficult chronic pain cases to the UNMHSC Pain Team via teleconferencing (TeleECHO).

The UNM Pain Center treats patients with complex pain who are referred by providers throughout the state. The TeleECHO clinic, through case-based learning loops, co-manages underserved patients where specialty pain care is absent. Rural providers increase self-efficacy in caring for patients with chronic pain who then receive patient-centered care in their own language, culture, and community. The TeleECHO clinic brings patient-centered expertise at no charge to rural communities through local PCCs who are sensitive to their patients’ cultural diversities; 150 cases were discussed in the past year, and the telehealth initiative is being modeled in other states. The New Mexico Medical Board endorsed this clinic as a model to provide safe, effective pain management and balance in opiate prescribing.

PCCs who present cases in the Pain TeleECHO Clinic have direct access to pain experts who provide interdisciplinary direction for multimodal care. PCCs are offered 2-day training at UNM, which promotes networking and provides access to pain experts. Category One AMA credits™ are provided for every activity.

The unique Project ECHO model gained national and international attention through research publications and is being replicated in several academic centers. UNM pain teams have hosted legislators, academic institutions, and health organizations such as the Veterans Administration to discuss innovative solutions to improve the quality of pain management.

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