The American Society of Addiction Medicine Handbook on Pain and Addiction

Dr. Ilene R. Robeck, MD, FASAM is an internist/addictionologist with a special interest in chronic pain treatment in primary care as well as the approach to the patient with chronic pain with comorbid substance abuse, mental health concerns and/or complex medical problems. She is currently the Director of Virtual Pain Care at the Richmond VA Medical Center. She is also Co-Chair of the National Primary Care Pain Task Force and Past President of the Florida Society of Addiction Medicine.Dr. Herbert L. Malinoff, MD, FACP, DFASAM is the president and founder of Pain Recovery Solutions, PC. He specializes in treating patients with chronic pain syndromes, addiction, and in detoxification as well as internal medicine needs. . Dr. Malinoff lectures internationally on Chronic Pain and Addiction and is an active member of the American Society of Addiction Medicine where he co-chairs the Pain and Addiction-Common Threads Course. He is a Fellow of both the American College of Physicians and the American Society of Addiction Medicine. Dr. Malinoff is an attending physician at St. Joseph Merch Hospital in Ypsilanti and is on the faculty of the Department of Anesthesia at the University of Michigan Medical Center.Dr. Melvin I. Pohl, MD, DFASAM is a Board-Certified Family Practitioner. He is the Chief Medical Officer of Las Vegas Recovery Center (LVRC) and was a major force in developing LVRCs Chronic Pain Recovery Program. Dr. Pohl is a Clinical Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of Nevada School of Medicine. He is the author of A Day without Pain, revised edition and The Pain Antidote - Stop Suffering from Chronic Pain, Avoid Addiction to Painkillers, and Reclaim Your Life. Dr. Pohl filmed a show for PBS on chronic pain which aired around the country in 2016.Dr. R. Corey Waller MD, MS, FACEP, DFASAM is an addiction, pain, and emergency medicine specialist and the Senior Medical Director for Education and Policy at the Camden Coalition of Healthcare Providers (CCHP). Dr. Waller earned a Masters of Science in neuromolecular biology at Southwest Texas State University and earned his Medical Degree at the University of Texas Medical School in San Antonio. Dr. Waller completed his Emergency Medicine residency at Thomas Jefferson University in Philadelphia and is board Certified in Emergency Medicine and Addiction Medicine.Dr. Michael F. Weaver, MD, DFASAM is Professor of Psychiatry at The University of Texas Health Science Center at Houston. He completed a Residency in Internal Medicine and a Clinical Research Fellowship in Addiction Medicine at Virginia Commonwealth University. He is involved in patient care, medical education, and research. Dr. Weaver has multiple publications in the fields of addiction medicine and pain management.Dr. Mark A. Weiner, MD, DFASAM earned his medical degree at Cornell University Medical College in New York City. He completed his internship and residency in Internal Medicine at Northwestern University McGaw Medical Campus in Chicago, Illinois. At St Joseph Mercy Hospital Ann Arbor, he is the Medical Director of Substance Use Disorders, the Section Head of Addiction Medicine, Program Director for the Addiction Fellowship and Medical Director of IHA Pain Management Consultants. He is the chair of the planning committee of the American Society of Addiction Medicine course, Pain and Addiction: Common Threads and the Pain and Addiction Education Expansion Task Force.Dr. William F. Haning, III, MD, DFASAM, DFAPA is a physician and tenured Professor of Psychiatry, retired, at the John A. Burns School of Medicine, University of Hawaii. He is the Past Director of Medical Doctorate Programs for the school and remains Director of Addiction Psychiatry/Addiction Medicine. He serves as a Director-at-Large of the American Society of Addiction Medicine (ASAM); Chair of the Examination Committee for Addiction Psychiatry, American Board of Psychiatry and Neurology (ABPN); current Chair, ASAM Publications Council; and the Editor-in-Chief of ASAM Weekly.Bonnie B. Wilford, MS, is Executive Vice President of the Coalition On Physician Education in Substance Use Disorders (COPE), an organization dedicated to improving the education of all medical students by increasing the attention given to substance abuse and related disorders. She has also served as a section editor for multiple editions of ASAMs Principles of Addiction Medicine, managing editor of several editions of the ASAM Patient Placement Criteria, and a frequent contributor to medical journals and UpToDate. Her work has been recognized with awards, including the AMAs Distinguished Service Award and ASAM's Presidents Award for Lifetime Achievement in Addiction Education.

Intended as a guide for clinicians who treat this patient population, this book is ideal for primary care providers, mental health clinicians, clinicians treating patients with substance abuse disorders, and pain clinicians who wish to bridge the knowledge gaps in treating these individuals... This handbook is an evidence-based, concise guide to managing the challenges in treating this population.

• Foreword: Advancing Our Understanding of Pain and Addiction Vivek H. Murthy, M.D., M.B.A Introduction: The Clinical Challenge of Pain and Addiction Irene R. Robeck, M.D., FASAM Section I. Addressing Pain and Addiction: Core Concepts Chapter 1. The Incidence and Prevalence of Pain and Addiction Emily Brunner, M.D. and Robert Levy, M.D., FASAM Chapter 2. The Neurophysiology of Pain and Addiction R. Corey Waller, M.D., M.S., DFASAM Chapter 3. Psychosocial Aspects of Pain and Addiction Ross Halpern, Ph.D. Chapter 4. The Language of Pain and Addiction Michael M. Miller, M.D., DFASAM, DLFAPA Chapter 5. Providing Integrated Care for Pain and Addiction Alan A. Wartenberg, M.D., FACP, FASAM Chapter 6. Ethical Issues in Treating Pain and Addiction Christopher J. Spevak, M.D., FASAM Chapter 7. Legal Issues in Treating Pain and Addiction Edwin A. Salsitz, M.D., FACP, DFASAM and Martha J. Wunsch, M.D., FAAP, DFASAM Section II. Diagnosing and Treating Pain and Addiction: Common Principles Chapter 8. The Pharmacology of Opioids Christopher Cavacuiti, M.D., CCFP, M.H.Sc., FASAM Chapter 9. Understanding and Preventing Opioid Misuse and Abuse Robert L. DuPont, M.D., Theodore V. Parran, Jr., M.D., and Bonnie B. Wilford, M.S. Chapter 10. Screening Patients for Opioid Risk Jeffrey Fudin, Pharm.D., DAIPM, FCCP, FASHP, Jacqueline Cleary, Pharm.D., BCACP, Courtney Kominek, Pharm.D., BCPS, CPE, Abigail Brooks, Pharm.D., BCPS, and Thien C. Pham, Pharm.D. Chapter 11. Diagnosing Patients and Initiating Treatment Theodore V. Parran, Jr., M.D., John A. Hopper, M.D. and Bonnie B. Wilford, M.S. Chapter 12. Drug Testing and Other Tools for Patient Monitoring Louis E. Baxter, Sr., M.D., FASAM Chapter 13. Opioid Overdose Prevention and Management Bernd Wollschlaeger, M.D. Section III. Treating Pain in Patients with, or at Risk for, Co-Occurring Addiction Chapter 14. Opioid Pharmacotherapies for Chronic Pain Thien C. Pham, Pharm.D., Courtney Kominek, Pharm.D., BCPS, CPE, Abigail Brooks, Pharm.D., BCPS and Jeffrey Fudin, Pharm.D., DAIPM, FCCP, FASHP Chapter 15. Non-Opioid Pharmacotherapies for Chronic Pain James A. D. Otis, M.D., FAAN, DABPM Chapter 16. Professionally Directed Non-Pharmacologic Management of Chronic Pain Peter Przekop, D.O., Ph.D. Chapter 17. Self-Directed Non-Pharmacologic Management of Chronic Pain Stephen Colameco, M.D., M.Ed., FASAM, and Stephen F. Grinstead, Dr.A.D., LMFT, ACRPS, CADC-II Chapter 18. Revising the Treatment Plan and/or Ending Pain Treatment Mark A. Weiner, M.D., DFASAM and Herbert L. Malinoff, M.D., FACP, DFASAM Section IV. Treating Substance Use Disorders and Addiction in Patients with Co-Occurring Pain Chapter 19. Pharmacotherapies for Opioid Use Disorder and Addiction William F. Haning, III, M.D., DFASAM, DFAPA, Jason Baker Fields, M.D., DABAM, AND Yngvild Olsen, M.D., M.P.H. Chapter 20. Non-Pharmacologic Therapies for Opioid Use Disorder and Addiction Michael F. Weaver, M.D., DFASAM Chapter 21. Mindfulness as a Component of Addiction Treatment Sharone Abramowitz, M.D., FASAM Chapter 22. Preventing Avoidable Work Disability Marianne Cloeren, M.D., M.P.H., FACOEM, FACP and Stephen Colameco, M.D., M.Ed., DFASAM Chapter 23. Revising the Treatment Plan and/or Ending Addiction Treatment John A. Hopper, M.D., and Theodore V. Parran, Jr., M.D. Section V. Adapting Treatment to the Needs of Specific Populations Chapter 24. Pain and Addiction in Patients with Co-Occurring Psychiatric Disorders Penelope P. Ziegler, M.D., FASAM Chapter 24-Sidebar. Pain and Addiction in Patients with Post-Traumatic Stress Disorder Steven A. Eraker, M.D. Chapter 25. Pain and Addiction in Patients with Co-Occurring Medical Disorders Stephen Colameco, M.D., M.Ed., DFASAM and Melvin I. Pohl, M.D., FASAM Chapter 25-Sidebar. Pain and Addiction in Patients with Traumatic Brain Injury Sanjog S. Pangarkar, M.D. Chapter 26. Pain and Addiction in Patients with Fibromyalgia Karen Muchowski, M.D., FAAFP and Steven R. Hanling, M.D. Chapter 27. Pain and Addiction in Patients Who Smoke Cigarettes Lori D. Karan, M.D., DFASAM, FACP Chapter 28. Pain and Addiction in Adolescents and Young Adults Michael F. Weaver, M.D., DFASAM Chapter 29. Pain and Addiction in Older Adults Nelly Buckalew, M.D., N.D., M.S., M.S.L., Rachel Maree, M.D., M.P.H., Zachary Marcum, Ph.D., Pharm.D., and Debra K. Weiner, M.D. Chapter 30. Pain and Addiction in Women Mishka Terplan, M.D. , M.P.H., FACOG, FASAM Chapter 31. Pain and Addiction in Military Personnel and Veterans Ilene R. Robeck, M.D., Stephen C. Hunt, M.D., M.P.H., Lucile Burgo-Black, M.D., FACP, Jeremiah McKelvey, Pharm.D., Afreen Siddiqui, M.D., and Anthony J. Mariano, Ph.D.