Interdisciplinary Pain Team Training Program

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Interdisciplinary Pain Team Training Program

• Michael E. Clark, PhD
• Candon Norton, PsyD

Chronic Pain Rehabilitation Program Tampa
Veterans Hospital www.vachronicpain.org
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History Development

• 2008 VA National Pain Initiative
• Proposal for enhanced pain services nationwide
• Increase the number of pain specialists
• Enhance primary care providers pain management
  knowledge and skills
• Stimulate the development of interdisciplinary
  pain services nationwide
• Specific training objectives and timeframes were
  contained in the National Pain Initiative
  proposal
• Each facility is expected to send at least one
  primary care provider for training in the
  stepped care model of pain treatment within two
  years of initiative approval
• Each VISN is to implement at least one
  CARF-accredited interdisciplinary pain management
  program within 5 years of initiative approval.

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History Development

• The VA National Pain Initiative proposed that the
  Tampa VA Chronic Pain Rehabilitation Program
  (CPRP), serve as the model center/training site.
• The Interdisciplinary Pain Team Training
  Program provides program development and
  consultation services to treatment teams
  nationwide.

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Mission

• Provide VA clinical care staff with the
  information and tools necessary to effectively
  treat veterans and active duty service members
  with chronic pain conditions utilizing the
  biopsychosocial model within an interdisciplinary
  framework

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Current Training Staff

• 1 FTE Pain Psychologist
• Serves as coordinator of training program
• 1 FTE Pain RN
• Serves as Nurse Educator and Support
• Pain specialists in each discipline of the CPRP
  volunteer time to help educate training
  participants.

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Team-Oriented

• Our goal is for each facility to send as many
  core members of the treatment team as is
  feasible.
• Taking part in our program as a unit helps
  educate the treatment team to each others
  specialty areas while fostering the communication
  and teamwork necessary for interdisciplinary pain
  management to function at its best.

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Psychology
Occupational Therapy
Physical Therapy
Social Work
Pool Therapy
Chronic Pain
Psychiatry
Pharmacy
Dietetics
Nursing
Recreation Therapy
Vocational Rehabilitation
Medicine
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Training Format

• An individualized itinerary corresponding to each
  visiting teams unique training needs and goals
  is developed
• Training experiences incorporate didactic
  sessions, interaction with and observation of
  interdisciplinary treatment modalities.
• Training takes place at the James A. Haley
  Veterans Hospital in Tampa, FL and typically
  lasts 2-4 days.

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Training Format

• Typically, training includes an assortment of the
  following topics
• Interdisciplinary pain treatment program
  development
• Information on CARF accreditation standards
• Integration of pain outcomes measures
• Cognitive-behavioral pain treatment
• Polytrauma pain treatment
• OEF/OIF pain screening and treatment
• Blast-related headache treatment
• Medical management
• Interventional treatment

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Outcomes

• 7 Training Sessions
• 18 Participants from VAMCs, CBOCs, military
  medical facilities
• Training groups ranged in number from 1-9
• Various disciplines represented in training
  groups
• 6 Psychologists
• 4 PMR Physicians
• 2 Nurses
• 2 Anesthesiologists
• 1 Pharmacist
• 1 Chief of staff
• 1 Primary care physician
• 1 PMR Program Administrator

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Outcomes

• Implemented pre-, post-, and follow-up assessment
  measures beginning with the most recent 10
  participants
• Pre-training data collected upon arrival to
  training program prior to any content
  presentation
• Post-training data collected on last day of
  training after completion of content presentation
• Follow-up questionnaires will be sent to
  graduates 6 months after completion of the
  training program
• Feedback is attained using a 5-point Likert Scale
• 1 Not At All or Never
• 5 To A Very Great Extent

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Outcomes
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Future Directions

• Marketing Recruitment for team participation in
  the Interdisciplinary Pain Team Training Program
• Formalization, Standardization, Dissemination
  of Provider Education Resources
• Formalization, Standardization, Dissemination
  of Patient Education Resources

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How to Get Started

• Contact the coordinator
• Provide information about the current status of
  pain management programs at your VA facility.
• Indicate which members of your treatment team
  will be visiting.
• Specify group goals for training, as well as
  individual goals for treatment team members.
• Secure travel support from your local facility or
  VISN.

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Contact Information

• Coordinator Candon Norton, PsyD
• Website www.vachronicpain.org
• Phone Number 813-972-2000, ext. 5569