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    • Plenary Lecture: The Biology of Infant and Childhood Pain: It All Begins Here
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    • 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
      • Study Examines How Doctors Use Prescription Drug Monitoring Programs
      • Low-Dose Vaporized Cannabis Improves Neuropathic Pain
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      • American Pain Society Announces $150,000 Pain Research Grant Program
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      • American Pain Society Presents 2012 Achievement Awards
      • American Pain Society Presents 2013 Achievement Awards
      • American Pain Society Presents 2014 Achievement Award
      • American Pain Society Publishes New Clinical Practice Guideline on Methadone Safety
      • American Pain Society To Provide Grant Support for Pain Research Forum’s “Papers of the Week”
      • Anxiety and Pain Fear Before Surgery Predict Chronic Post-surgical Pain
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      • Cannabinoid Shown Effective as Adjuvant Analgesic for Cancer Pain
      • Drug Treatments for Heroin Addiction Heighten Pain Sensitivity
      • 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
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      • Study Explores Role of Impaired Sleep in Fibromyalgia Pain
      • 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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        • Post-surgical Pain Management Can Influence Progression to Chronic Pain
        • American Pain Society Presents 2017 Achievement Awards
        • American Pain Society Encouraged by Pain Research Funding Progress
        • American Pain Society Scientific Meeting, April 3-6, Milwaukee
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      • Newsroom 2013 News Releases
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      • 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
      • Study Assesses Impact of Opioid Risk Reduction Initiatives
      • 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
      • 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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      • Newsroom 2019 News Releases
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2012 CCOE Award Recipients

Division of Pain Medicine, Stanford University
Palo Alto, CA

ccoe division of pain medicine stanford universityA second round of congratulations is in order for the Stanford University Pain Management Center, which received an APS CCOE in Pain Management Award in 2008. The division vigorously pursues a model of comprehensive interdisciplinary clinical care integrated with its research vision: “Predict, Prevent, and Alleviate Pain.”

Situated in the San Francisco Bay Area, the Division’s diverse faculty and staff serve patients from diverse racial, cultural, and socioeconomic backgrounds.

The Pain Division specialists offer medical, pharmacological, procedural, psychological, physical/occupational therapy, and complementary medicine interventions in their new 9,000-sq-ft outpatient Center and their dedicated inpatient chronic pain unit. Core faculty include specialists from anesthesiology, neurology, physiatry, internal medicine, psychology, and addiction medicine–all trained in pain management.

The Division employs a biopsychosocial approach to evaluating and treating patients experiencing complex acute, chronic, and cancer pain conditions. The faculty performs translational and clinical research, applying results to continuously improve patient outcomes. For example, the Division has recently translated its low-dose naltrexone study into a cost-effective treatment for fibromyalgia. Additionally, the Division was recently awarded an National Institutes of Health (NIH) P01 Center grant to investigate the mechanisms of “old” and “new” mind-body therapies for chronic low back pain including: CBT, MBSR, acupuncture and real-time fMRI neurofeedback.

The Division continues to develop the next generation of translational research and clinical investigators, as evidenced by a strong multidisciplinary Pain Fellowship and trainees’ receipt of multiple NIH K23, T32, and K99/R00 awards.

In summary, one CCOE award reviewer stated, “The program is a model of sustained excellence and innovation as it continues to expand the breadth of services via formal program development efforts that meet the needs of patients with specific, difficult-to-manage pain disorders…a range of other innovations to promote coordination of care is exciting to see.”

Fairview Pain Management Center, University of Minnesota Medical Center
Minneapolis, MN

ccoe fairview pain management center, university of minnesota medical centerThe Fairview Pain Management Center (FPMC), another second-time CCOE Award Recipient (first awarded in 2008), has completely reinvented its care model in recent years. The program, which serves more than 6,000 patients annually (about 4,800 on an outpatient basis), now collaborates with primary care clinics by sending multidisciplinary pain teams to work on site with primary care providers to offer assessment, management, and physician education at the patient’s home clinic (healthcare home). Despite financial challenges, Fairview Pain Management Center (FPMC) has maintained and expanded its multidisciplinary model while providing outreach services to primary care clinics. Team members consist of neurologists, physiatrists, interventionalists, internists, psychologists, physical therapists, advanced practice nurses, and registered nurses devoted solely to pain management. New patients see a medical provider and psychologist who jointly develop an individualized comprehensive plan of care including medical, interventional, physical and behavioral approaches to pain with an educational and self-care emphasis. With its ongoing association with the University of Minnesota Medical Center, patients have access to the entire spectrum of specialists from dentistry to transplant. The inpatient pain consultation service provides acute pain assessment and management for more than 1,000 complex hospitalized patients each year. FPMC has always had a strong commitment to training students, residents and fellows. All fellows are trained in interventional techniques, medical management of complex patients, behavioral and psychological aspects, addiction, and palliative care. The program is a core 3-month rotation for the university’s physical medicine and rehabilitation residency program; and provides training for advanced practice nurses, pharmacists, medical students, psychology doctoral students, and undergraduate students expressing an interest in health care and pain.

One CCOE award reviewer praised, “Top marks here because of the impact their care model innovation must have on primary care attitudes, beliefs, and confidence.”

Comprehensive Pain Center, James A. Haley Veterans’ Hospital
Tampa, FL

ccoe comprehensive pain center, james a haley veterans' hospitalThe Comprehensive Pain Center at James A. Haley Veteran’s Hospital in Tampa, FL, continues to serve as the Veteran Administration’s (VA) premier pain treatment center for veterans and active duty military personnel while remaining at the forefront in innovative pain research initiatives. The program serves more than 7,200 patients annually, most in outpatient (5,200) and integrated care outpatient pain programs (1,100). Services and programs have expanded significantly since the program received a 2007 CCOE Award, partly in response to the broad needs of returning Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn personnel. Current services include intensive interdisciplinary inpatient and outpatient Commission on Accreditation of Rehabilitation Facilities–accredited pain rehabilitation; outpatient medical management and psychological consultation and treatment; hospital-wide inpatient pain consultation; specialty pain clinic treatment (including headache clinics); integrated interventional medicine treatment; primary care–based pain consultation and treatment; and two innovative programs to identify and treat pain and pain-related comorbidities.

A wide range of specialists from endocrinology to cardiology routinely are consulted regarding medical comorbidities. Staff also works closely with the VA’s national polytrauma rehabilitation centers to manage pain issues among those with the most severe combat injuries.

Recent program innovations include the systemwide incorporation of the program’s Pain Outcomes Questionnaire measure into VA electronic medical records, an Accreditation Council for Graduate Medical Education medical pain fellowship that is seeking approval to add a second year of required training, designation as the VA’s national pain team training site, and establishment of the first VA-funded postdoctoral clinical psychology training program specializing in pain psychology. As system leaders in the provision of pain care, program personnel routinely serve as consultants to the VA, Department of Defense, and community healthcare systems.

CCOE Award reviewers commented, “This program has made impressive efforts to establish evidence-based specialized programs for specific groups of veterans,” and “This program has taken the leading role within the VA system in training providers from multiple disciplines in evidence-based pain management.”

United Back Care
Redmond, WA; Everett, WA;
Puyallup, WA

ccoe united back careUnited Back Care (UBC) has offered its pain management services as a freestanding, unaffiliated program for the last 28 years. It is the only center in Washington to offer multiple locations (three) and telemedicine to allow the broadest-possible access in Washington State, serving more than 1,000 outpatients through its programs each year. UBC’s pain management program includes physical/occupational therapy, psychology, medicine, biofeedback, and vocational counseling. The program is 4 weeks in duration for 6 hours daily. A specialized complex regional pain syndrome program and medical and psychological pain management consultations are offered as well. When appropriate, UBC coordinates care for targeted spinal or joint injections or surgery.

UBC’s physician serves in a medical advisory role in assisting lawmakers in Washington state redesign pain management treatment guidelines and protocols for safe medication use. UBC staff provide training and education to local employers and claims professionals on prevention and management of industrial injuries. UBC’s Opioid Elimination Program combines medical and psychological expertise to help opioid-dependent patients achieve a safe opioid taper.

UBC also provides community reintegration services and coordinates communication with patients’ employers and physicians to transition patients back into their workplace, home, and community in a safe and supported manner. Individualized services include resources for finding appropriate work, low or no cost English-as-a-second-language classes, housing, and low-cost healthcare and medication coverage. A monthly Family Support Group with UBC’s psychologists assists past and present patients and their families in the ongoing management of chronic pain and its impact on life, work and wellness.

UBC staff is actively involved in research and publication of peer-reviewed articles. One CCOE Award reviewer made note of UBC’s research activities, saying, “Clinicians have published nine papers since 2006; this is exemplary for a private practice.”

UBC also provides community reintegration services and coordinates communication with patients’ employers and physicians to transition patients back into their workplace, home, and community in a safe and supported manner. Individualized services include resources for finding appropriate work, low/no cost English-as-a-second-language classes, housing, and low cost healthcare/medication coverage.

UBC staff is actively involved in research and publication of peer-reviewed articles. One CCOE Award reviewer made note of UBC’s research activities, saying, “Clinicians have published nine papers since 2006; this is exemplary for a private practice.”

Chronic Pain Rehabilitation Program, Neurological Center for Pain, Cleveland Clinic
Cleveland, OH

ccoe chronic pain rehabilitation program cleveland clinicAs a part of the Cleveland Clinic, the Chronic Pain Rehabilitation Program (CPRP) has access to consultation from some of the world’s leading experts in all fields of medicine and surgery. Specialists are consulted on an as-needed basis; a goal of the Chronic Pain Rehabilitation Program, however, is to decrease patient reliance on medical care for chronic pain. In that regard, consults are kept to a minimum and patients are not admitted to the program if other treatment options exist. This program serves more than 1,800 patients annually (1,200 outpatients).

New developments are rapidly incorporated into the program’s treatment model. Unique staffing and expertise enable simultaneous management of pain and addiction. Outcomes data acquired at admission, discharge, 6 months, and 12 months have been collected on more than 2,500 patients. Outcome studies demonstrate marked, sustained improvements in pain, function, mood, and substance use. These data have contributed to numerous scientific presentations, poster presentations, and publications.

The program expanded services during the last 18 months to improve perioperative pain care via direct patient care and offers pain-related education to neurologists and neurosurgeons.

In response to the increased need for pain and addiction treatment, the CPRP has developed a substance abuse education track. Although not a chemical dependency program, the CPRP uses the expertise of staff trained in the diagnosis and treatment of chemical dependency. The CPRP has a strong regional stature, as evidenced by the fact that 49% of its patients live beyond the program’s seven-county area, and about one-third of patients travel from outside of Ohio.

CCOE reviewers of this program say, “This is a nationally renowned program for pain rehabilitation with a great physical rehabilitation and behavioral orientation,” and “This is an innovative program for patients with chronic pain who are dependent on addictive substances; this is a state-of-the-art rehab center for patients with chronic pain.”

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