QUERI Highlights Implementation and Evaluation Science
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Pain Care and Opioid Safety

Nearly one in five U.S. adults experience chronic pain, and pain has been linked to dependence on opioids. Opioid and other drug overdose is the number one cause of accidental death in the U.S. Further, the prevalence and severity of chronic pain is higher in Veterans, and Veterans experience overdose at nearly twice the rate of non-Veterans. In order to decrease opioid misuse and improve access to pain treatments, and in partnership with multi-level stakeholders, QUERI centers are focusing on the following.

Consortium to Disseminate and Understand Implementation of Opioid Use Disorder (OUD) Treatment (CONDUIT) QUERI Evaluation will work to expand access to effective treatments for OUD by supporting providers at VA sites to facilitate Veterans’ access to effective treatments for OUD and chronic pain.

• Principal Investigators: William Becker, MD; Evelyn Chang, MD, MSHS; Joseph Frank, MD, Adam Gordon, MD, MPH: MPH; Amanda Midboe, PhD; David Moore, MD; Hilary Mosher, MD; Marc Rosen, MD; and Steven Zeliadt, PhD, MPH
• Partners: VA Academic Detailing Service, Pharmacy Benefits Management, Center for Medication Safety, VA Pain Management, and VA’s Office of Mental Health and Suicide Prevention

Evaluating Implementation of Stepped Care for Opioid Use Disorder Train-the-Trainer (SCOUTT) Program will assess whether the SCOUTT Program improves access to opioid use disorder care – and identify barriers that inhibit and facilitators that promote its success.

• Principal Investigator: Eric Hawkins, PhD
• Partner: VA’s Office of Mental Health and Suicide Prevention

Implementing Stepped Care for Opioid Use Disorder Train the Trainer (SCOUTT) Initiative will implement a comprehensive plan to train interdisciplinary teams in Primary Care, General Mental Health, and Pain Clinics to deliver a stepped care model of medication treatment for opioid use disorder.

• Principal Investigators: Adam Gordon, MD, MPH; Princess Ackland, PhD, MSPH; Hildi Hagedorn, PhD; and Amanda Midboe, PhD
• Partner: VA’s Office of Mental Health and Suicide Prevention

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