Prevention of Substance Use Disorder

Provides guidelines that can improve communication between providers and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder and overdose.

Assesses the evidence regarding the use and abuse of opioids by chronic noncancer pain patients to create a set of clinical practice guidelines for the responsible prescribing of opioids.

Provides clinical recommendations for initiating and maintaining chronic opioid therapy of 90 days or longer.

The PAMI Pain Management and Dosing Guide is a free tool for use by health care providers in hospital, EMS, or acute care settings. Content was developed after extensive literature review of pain, sedation, and analgesia medications for acute pain, chronic pain and procedural sedation in all ages. The guide was developed and reviewed by a multidisciplinary team of physicians, nurses, pain specialists, and pharmacists. Dosing ranges should be used as a general guide and adapted to specific patient characteristics such as age and comorbidities.

Provides a summary of recommendations on how to assess and manage chronic pain. Includes detailed tools, such as an assessment algorithm, management algorithm, personal care plan for chronic pain, and the DIRE Score, which predicts patient suitability for long-term opioid analgesic treatment.

Presents an overview of PDMPs for prescribers.