Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report
Background Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifyin...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2020-01-01
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| Series: | Canadian Journal of Pain |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/24740527.2020.1768059 |
| _version_ | 1818871554097807360 |
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| author | Louise Bell Peter Cornish Renée Gauthier Cristin Kargus Joshua Rash Rose Robbins Susan Ward Patricia A. Poulin |
| author_facet | Louise Bell Peter Cornish Renée Gauthier Cristin Kargus Joshua Rash Rose Robbins Susan Ward Patricia A. Poulin |
| author_sort | Louise Bell |
| collection | DOAJ |
| description | Background Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities. Aim We propose a unifying framework for multidisciplinary stepped care chronic pain programs and present its application at The Ottawa Hospital Pain Clinic. The Ottawa Hospital stepped care framework is an eight-tiered approach that allows patients the opportunity to decide collaboratively with a health care professional which treatment program will best suit their needs for the management of chronic pain. As levels of stepped care increase, the time and resource commitment to each step will also increase. Treatment is stepped up or down, depending on patient needs. Method This is a descriptive case study. Results Implementing the interprofessional model of care with the stepped care program has eliminated wait times for access to The Ottawa Hospital Pain Clinic Interprofessional Chronic Pain Management Program and has improved communication between professions of the interprofessional team, resulting in better care for patients. Conclusion More research is needed to further develop and evaluate the clinical efficacy of stepped care to manage chronic pain. |
| first_indexed | 2024-12-19T12:24:45Z |
| format | Article |
| id | doaj.art-afd0a7d8c877400b8aa7c141ea62a261 |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-12-19T12:24:45Z |
| publishDate | 2020-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-afd0a7d8c877400b8aa7c141ea62a2612022-12-21T20:21:37ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272020-01-014116817810.1080/24740527.2020.17680591768059Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary reportLouise Bell0Peter Cornish1Renée Gauthier2Cristin Kargus3Joshua Rash4Rose Robbins5Susan Ward6Patricia A. Poulin7Memorial University of NewfoundlandMemorial University of NewfoundlandThe Ottawa Hospital Pain ClinicThe Ottawa Hospital Pain ClinicMemorial University of NewfoundlandThe Ottawa Hospital Pain ClinicThe Ottawa Hospital Pain ClinicThe Ottawa Hospital Pain ClinicBackground Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities. Aim We propose a unifying framework for multidisciplinary stepped care chronic pain programs and present its application at The Ottawa Hospital Pain Clinic. The Ottawa Hospital stepped care framework is an eight-tiered approach that allows patients the opportunity to decide collaboratively with a health care professional which treatment program will best suit their needs for the management of chronic pain. As levels of stepped care increase, the time and resource commitment to each step will also increase. Treatment is stepped up or down, depending on patient needs. Method This is a descriptive case study. Results Implementing the interprofessional model of care with the stepped care program has eliminated wait times for access to The Ottawa Hospital Pain Clinic Interprofessional Chronic Pain Management Program and has improved communication between professions of the interprofessional team, resulting in better care for patients. Conclusion More research is needed to further develop and evaluate the clinical efficacy of stepped care to manage chronic pain.http://dx.doi.org/10.1080/24740527.2020.1768059chronic painpain managementinterprofessional treatmentstepped care |
| spellingShingle | Louise Bell Peter Cornish Renée Gauthier Cristin Kargus Joshua Rash Rose Robbins Susan Ward Patricia A. Poulin Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report Canadian Journal of Pain chronic pain pain management interprofessional treatment stepped care |
| title | Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report |
| title_full | Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report |
| title_fullStr | Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report |
| title_full_unstemmed | Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report |
| title_short | Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report |
| title_sort | implementation of the ottawa hospital pain clinic stepped care program a preliminary report |
| topic | chronic pain pain management interprofessional treatment stepped care |
| url | http://dx.doi.org/10.1080/24740527.2020.1768059 |
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