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Interdisciplinary Pain Team Training Program

Interdisciplinary Pain Team Training Program. Michael E. Clark, PhD Candon Norton, PsyD. Chronic Pain Rehabilitation Program Tampa Veterans’ Hospital www.vachronicpain.org. History & Development. 2008 VA National Pain Initiative Proposal for enhanced pain services nationwide

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Interdisciplinary Pain Team Training Program

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  1. Interdisciplinary Pain Team Training Program Michael E. Clark, PhD Candon Norton, PsyD Chronic Pain Rehabilitation Program Tampa Veterans’ Hospital www.vachronicpain.org

  2. History & Development • 2008 VA National Pain Initiative • Proposal for enhanced pain services nationwide • Increase the number of pain specialists • Enhance primary care providers’ pain management knowledge and skills • Stimulate the development of interdisciplinary pain services nationwide • Specific training objectives and timeframes were contained in the National Pain Initiative proposal • Each facility is expected to send at least one primary care provider for training in the “stepped care” model of pain treatment within two years of initiative approval • Each VISN is to implement at least one CARF-accredited interdisciplinary pain management program within 5 years of initiative approval.

  3. History & Development • The VA National Pain Initiative proposed that the Tampa VA Chronic Pain Rehabilitation Program (CPRP), serve as the model center/training site. • The Interdisciplinary Pain Team Training Program provides program development and consultation services to treatment teams nationwide.

  4. Mission • Provide VA clinical care staff with the information and tools necessary to effectively treat veterans and active duty service members with chronic pain conditions utilizing the biopsychosocial model within an interdisciplinary framework

  5. Current Training Staff • 1 FTE Pain Psychologist • Serves as coordinator of training program • 1 FTE Pain RN • Serves as Nurse Educator and Support • Pain specialists in each discipline of the CPRP volunteer time to help educate training participants.

  6. Team-Oriented • Our goal is for each facility to send as many core members of the treatment team as is feasible. • Taking part in our program as a unit helps educate the treatment team to each other’s specialty areas while fostering the communication and teamwork necessary for interdisciplinary pain management to function at its best.

  7. Psychology Physical Therapy Occupational Therapy Social Work Pool Therapy Chronic Pain Pharmacy Psychiatry Dietetics Nursing Vocational Rehabilitation Recreation Therapy Medicine

  8. Training Format • An individualized itinerary corresponding to each visiting team’s unique training needs and goals is developed • Training experiences incorporate didactic sessions, interaction with and observation of interdisciplinary treatment modalities. • Training takes place at the James A. Haley Veterans’ Hospital in Tampa, FL and typically lasts 2-4 days.

  9. Training Format • Typically, training includes an assortment of the following topics • Interdisciplinary pain treatment program development • Information on CARF accreditation standards • Integration of pain outcomes measures • Cognitive-behavioral pain treatment • Polytrauma pain treatment • OEF/OIF pain screening and treatment • Blast-related headache treatment • Medical management • Interventional treatment

  10. Outcomes • 7 Training Sessions • 18 Participants from VAMCs, CBOCs, & military medical facilities • Training groups ranged in number from 1-9 • Various disciplines represented in training groups • 6 Psychologists • 4 PM&R Physicians • 2 Nurses • 2 Anesthesiologists • 1 Pharmacist • 1 Chief of staff • 1 Primary care physician • 1 PM&R Program Administrator

  11. Outcomes • Implemented pre-, post-, and follow-up assessment measures beginning with the most recent 10 participants • Pre-training data collected upon arrival to training program prior to any content presentation • Post-training data collected on last day of training after completion of content presentation • Follow-up questionnaires will be sent to graduates 6 months after completion of the training program • Feedback is attained using a 5-point Likert Scale • 1 = Not At All or Never • 5 = To A Very Great Extent

  12. Outcomes

  13. Future Directions • Marketing & Recruitment for team participation in the Interdisciplinary Pain Team Training Program • Formalization, Standardization, & Dissemination of Provider Education Resources • Formalization, Standardization, & Dissemination of Patient Education Resources

  14. How to Get Started • Contact the coordinator • Provide information about the current status of pain management programs at your VA facility. • Indicate which members of your treatment team will be visiting. • Specify group goals for training, as well as individual goals for treatment team members. • Secure travel support from your local facility or VISN.

  15. Contact Information Coordinator: Candon Norton, PsyD Website: www.vachronicpain.org Phone Number: 813-972-2000, ext. 5569

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