Provider Information: Pain Management Provider Information: Pain Management
Opioid Stewardship and Managing the Opioid Crisis: A Health-Care Perspective 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 byT. 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: Opioid Use Disorder Diagnosis and Treatment Provider Information: Opioid Use Disorder Diagnosis and Treatment

DSM 5 OUD Diagnostic Criteria

Recent New England Journal of Medicine Article describing opioid use disorder treatment

Best Practices Related to Opioids for Emergency Departments

Medication Assisted Treatment (MAT) OUD Treatment Guidelines

OUD online CME:

If you are interested in attending a free CDPH - sponsored buprenorphine training, please contact Gabrielle Nicohols via email at Gabrielle.Nichols@cityofchicago.org.

Provider Information: Harm Reduction and Overdose Prevention: 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.  or contact: Allison.Arwady@cityofchicago.org**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.
    • Patient videos of how to administer naloxone can be found here.
    • Patient handout on how to administer naloxone can be found here and here.  (Two handouts for patients)
  • 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.
  •  
  • Talk to patients about their readiness to engage in treatment: 
    • Let them know that Medication Assisted Treatment (MAT) has good outcomes for people with opioid use disorder.  Methadone, buprenorphine, and extended release injectable naltrexone are all FDA approved medications for opioid use disorder.
    • If patients express interest but are not sure where they can go for treatment, they can call the Illinois Substance Use Helpline at 1-833-2FINDHELP to identify local addiction treatment resources.  Additionally, the Substance Abuse and Mental Health Services Administration (SAMHSA) behavioral health treatment finder can be used to identify locations by type of treatment: https://findtreatment.samhsa.gov/
Contact Us Contact Us

Contact Us:

Allison Arwady, MD, MPH
Chief Medical Officer

Phone: 312-747-5443

Email: Allison.Arwady@cityofchicago.org

*After hours, weekends, and holidays, call 311 and ask for the communicable disease physician on-call (or 312-744-5000 if outside the City of Chicago).

Materials to Download - for your patients Materials to Download - for your patients

We have items for providers to share with their patients.  Please click on the item you would like to download

Handout for Patients on  Prescription Opioid Safety                                                                                                                       
   
Handout  For Patients regarding naloxone and overdose reversal                      
   
Step Up Poster
   
Get Help Poster