Opioid Information - HAN
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Provider Information: Pain Management
Pain Management Guidelines/Recommendations
American College of Emergency Physicians’ Clinical Policy on Opioid Prescribing
CDC Guideline for Prescribing Opioids for Chronic Pain
VA Management of Opioid Therapy for Chronic Pain (2022)
"Six Building Blocks: A Team Approach to Improving Opioid Management in Primary Care" (AHRQ)
Pain Management Clinical Tools
- CDC Clinical Tools
- Illinois Prescription Monitoring Program
- Opioid Risk Tool
- PEG Pain Scale Monitoring Tool
Online Continuing Medical Education (Free)
Opioid Stewardship and Managing the Opioid Crisis: A Health-Care Perspective
Please click the links below to access to Presentations from the February 13, 2018 conference "Opioid Stewardship and Managing the Opioid Crisis: A Health-Care Perspective"
Acute Pain Management presented by Jonah Stulberg, MD, Ph.D, MPH
Chronic Pain Management presented by Ankur Dave, MD
Harm Reduction presented by Gabriela Zapata-Alma, LCSW, CADC
Neurobiology of Pain and Addiction presented by T. Celeste Napier, Ph.D.
New Therapies on the Horizon presented by Frank Vocci, Ph.D.
Opioid Epidemiology presented by Elizabeth Salisbury-Afshar, MD, MPH
Opioid Use Disorders treatment presented by Christopher Holden, MD
Acute Pain Management presented by Jonah Stulberg, MD, Ph.D, MPH
Chronic Pain Management presented by Ankur Dave, MD
Harm Reduction presented by Gabriela Zapata-Alma, LCSW, CADC
Neurobiology of Pain and Addiction presented by T. Celeste Napier, Ph.D.
New Therapies on the Horizon presented by Frank Vocci, Ph.D.
Opioid Epidemiology presented by Elizabeth Salisbury-Afshar, MD, MPH
Opioid Use Disorders treatment presented by Christopher Holden, MD
Provider Information: Harm Reduction and Overdose Prevention:
Harm Reduction and Overdose Prevention:
- Encourage patients (and their family and friends) to carry naloxone:
- Any licensed prescriber can write a prescription for naloxone, which patients can fill in a pharmacy. Any licensed prescriber can also write a prescription for naloxone for friends and family of a patient who is using opioids. For more information, click here. **Because of the increase in fentanyl and analogs, you may want to consider prescribing 3 units of naloxone instead of the standard two units*
- To watch a video on how to talk to patients about naloxone in primary care and pain management settings, go here.
- Per Illinois law, a pharmacist who has completed training can initiate naloxone dispensing without a physician prescription. The same Illinois law requires that all Medicaid plans must provide coverage for naloxone. To date, Walgreens has trained all of its pharmacists in Illinois to be able to do this. Many other individual and chain pharmacies have trained some pharmacists.
- Overdose response education and naloxone distribution is also available through the Chicago Recovery Alliance (CRA). A schedule for the CRA mobile van can be found here.
- Any licensed prescriber can write a prescription for naloxone, which patients can fill in a pharmacy. Any licensed prescriber can also write a prescription for naloxone for friends and family of a patient who is using opioids. For more information, click here. **Because of the increase in fentanyl and analogs, you may want to consider prescribing 3 units of naloxone instead of the standard two units*
- Educate patients (and their family and friends) on harm reduction techniques to avoid overdose and death:
- Avoid using drugs alone
- Know your limits- do a “test shot” to see how strong the drug is (i.e., inject or snort a smaller amount than usual to make sure that the response is as expected)
- Avoid mixing drugs when possible, especially multiple “downers” that can cause respiratory depression
- Carry an overdose rescue kit (naloxone) and be sure others know you have it
- Encourage patients and families to check out the CDPH website: "Overcome Opioids" (www.overcomeopioids.org) which includes general information and local resources.
AMA Video: How to Use Naloxone
Opioid Related Epidemiology Briefs
See links below for recent opioid-related epidemiology briefs:
2021 Chicago Mid-Year Opioid Report
Opioid Surveillance Report - 2019
Chicago Opioid Update - December 2020
Data Brief: 2019 Chicago Opioid Overdose Data Brief
Opioid Surveillance Report –Chicago 2017. City of Chicago, October 2018
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2016
Epidemiology Report: Increase in Overdose Deaths Involving Opioids - Chicago, 2015-2016
Epidemiology Brief: Characterizing Opioid Use, Misuse, and Overdose in Chicago, IL 2015
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2015
2021 Chicago Mid-Year Opioid Report
Opioid Surveillance Report - 2019
Chicago Opioid Update - December 2020
Data Brief: 2019 Chicago Opioid Overdose Data Brief
Opioid Surveillance Report –Chicago 2017. City of Chicago, October 2018
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2016
Epidemiology Report: Increase in Overdose Deaths Involving Opioids - Chicago, 2015-2016
Epidemiology Brief: Characterizing Opioid Use, Misuse, and Overdose in Chicago, IL 2015
Epidemiology Brief: Opioid Related Overdose Deaths in Cook County, IL 2015
Related Links
- Illinois Prescription Monitoring Program
- Providers’ Clinical Support System For Opioid Therapies
- SAMSHA Treatment Finder
- Learn more about SAMHSA’s COVID-19 Guidance for Opioid Treatment Programs here.
- Access the Drug Enforcement Administration’s guidelines on Use of Telemedicine While Providing Medication Assisted Treatment (MAT) here.
- For the most up-to-date information on responses to COVID-19 for the Substance Use Disorder Treatment field, go to https://www.samhsa.gov/
Opioid Contacts
Miao Jenny Hua, MD, PhD, MPH
Medical Director of Behavioral Health
Phone: 312-747-9762
Email: miao.hua@cityofchicago.org
