Abstract
A highly effective modern method of curbing or better management of chronic pain is now better understood and utilized by the medical community: interdisciplinary pain management program (IPMP). As modern medical professionals continue to move away solely from prescribing opioids for the treatment of chronic pain, the efficacious and continuously improving methods of interdisciplinary pain rehabilitation will almost certainly continue to grow in popularity. An IPMP always incorporates a structured and unified team of various mental and physical health professionals who regularly meet and update one another on individual patients. Typically, these programs are structured in order to address the rehabilitation and continuous monitoring and progress of patients, often those who suffer from pain conditions. Therefore, IPMP teams will carefully track patient progress and outcomes, often for years after completing direct treatment. Within this Chapter, a more thorough overview of striving for better and new pain rehabilitation due to the opioid crisis will be addressed. An overview of the concept, background, professional roles, distinctions from multidisciplinary care, case studies, and implementations of interdisciplinary medicine focused on chronic pain management and suggestions for future improvements in the fields will also be explored.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Melzack R. The tragedy of needless pain. Sci Am. 1990 Feb 1;262(2):27–33.
NIH fact sheets – pain management [Internet]. National Institutes of Health. U.S. Department of Health and Human Services; 2018 [cited 14 Jan 2019]. Available from: https://www.report.nih.gov/nihfactsheets/ViewFactSheet.aspx?csid=57.
The Good Body. Chronic pain statistics: facts, figures and research [infographic] [Internet]. The Good Body; 2018 [cited 14 Jan 2019]. Available from: https://www.thegoodbody.com/chronic-pain-statistics/.
The cost of pain to business and society due to ineffective pain care [Internet]. The American Academy of Pain Medicine. [cited 15 Jan 2019]. Available from: http://www.painmed.org/PatientCenter/Cost_of_Pain.aspx.
Chronic conditions [Internet]. CMS.gov Centers for Medicare & Medicaid Services. Center for Medicare and Medicaid Services; 2017 [cited 15 Jan 2019]. Available from: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/CC_Main.html.
Florence CS, Zhou C, Luo F, Xu L. The economic burden of prescription opioid overdose, abuse, and dependence in the United States. Med Care. 2016;54:901–6.
Rash JA, Poulin PA, Shergill Y, Romanow H, Freeman J, Taljaard M, et al. Chronic pain in the emergency department: a pilot interdisciplinary program demonstrates improvements in disability, psychosocial function, and healthcare utilization. Pain Res Manag. 2018;5:1–10.
Relieving pain in America. 2011. Available from: https://www.ncbi.nlm.nih.gov/books/NBK92522/.
Noe C, Williams CF. The benefits of interdisciplinary pain management. J Fam Pract. 2012;61(4 Suppl):S12–6.
Gatchel RJ, McGeary DD, McGeary CA, Lippe B. Interdisciplinary chronic pain management: past, present, and future. Am Psychol. 2014;69(2):119.
Turk DC, Stanos SP, Palermo TM, Paice JA, Jamison RN, Gordon DB, Clark ME. Interdisciplinary pain management. Glenview: American Pain Society; 2010.
Körner M. Interprofessional teamwork in medical rehabilitation: a comparison of multidisciplinary and interdisciplinary team approach. Clin Rehabil. 2010;24(8):745–55.
Stanos S. Focused review of interdisciplinary pain rehabilitation programs for chronic pain management. Curr Pain Headache Rep. 2012;16(2):147–52.
Seal K, Becker W, Tighe J, Li Y, Rife T. Managing chronic pain in primary care: it really does take a village. J Gen Intern Med. 2017;32(8):931–4.
Engel G. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.
Kao YSM-C, Sturgeon JA, Rico TJ, Mackey S, Darnall BD. Pain catastrophizing moderates relationships between pain intensity and opioid prescription: nonlinear sex differences revealed using a learning health system [Internet]. Anesthesiology. The American Society of Anesthesiologists. 2017 [cited 15 Jan 2019]. Available from: http://anesthesiology.pubs.asahq.org/article.aspx?articleid=2633144.
Loeser JD. Concepts of pain. In: Stanton-Hicks J, Boaz R, editors. Chronic low back pain. New York: Raven Press; 1982. p. 145–8.
Meldrum ML. Brief history of multidisciplinary management of chronic pain, 1900–2000. In: Chronic pain management: guidelines for multidisciplinary program development, vol. 26. New York: Informa; 2007. p. 1–3.
Mayer TG, Gatchel RJ, Mayer H, Kishino ND, Keeley J, Mooney V. A prospective two-year study of functional restoration in industrial low back injury: an objective assessment procedure. JAMA. 1987;258(13):1763–7.
Mayer TG. Functional restoration for spinal disorders: the sports medicine approach. Philadelphia; 1998.
Gatchel RJ, Okifuji A. Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. J Pain. 2006;7(11):779–93.
Giusti EM, Castelnuovo G, Molinari E. Differences in multidisciplinary and interdisciplinary treatment programs for fibromyalgia: a mapping review. Pain Res Manag. 2017;2017:7261468.
Mcgeary DD, Mcgeary CA, Nabity P, Villarreal R, Kivisalu T, Gatchel RJ. Improving stress reduction and wellness in interdisciplinary chronic pain management: is transdisciplinary care a better option? J Appl Biobehav Res. 2016;21:205–15.
http://americanpainsociety.org/uploads/about/position-statements/interdisciplinary-white-paper.pdf.
Steps to becoming a doctor everything you need to know [Internet]. DoctorPremed. [cited 15 Jan 2019]. Available from: https://www.doctorpremed.com/becoming-a-doctor.html.
Osteopathic training [Internet]. Doctors that do. Doctor of osteopathic medicine. [cited 15 Jan 2019]. Available from: https://doctorsthatdo.org/difference/osteopathic-training.
Flynn DM, Cook K, Kallen M, Buckenmaier C, Weickum R, Collins T, et al. Use of the pain assessment screening tool and outcomes registry in an army interdisciplinary pain management center, lessons learned and future implications of a 10-month beta test. Mil Med. 2017;182:167–74.
Kurklinsky S, Perez RB, Lacayo ER, Sletten CD. The efficacy of interdisciplinary rehabilitation for improving function in people with chronic pain. Pain Res Treat. 2016;2016:1–6.
Anamkath NS, Palyo SA, Jacobs SC, Lartigue A, Schopmeyer K, Strigo IA. An interdisciplinary pain rehabilitation program for veterans with chronic pain: description and initial evaluation of outcomes. Pain Res Manag. 2018;2018:1–9.
Erickson B, Perkins M. Interdisciplinary team approach in the rehabilitation of hip and knee arthroplasties. Am J Occup Ther. 1994;48(5):439–45; Eisenberg D, Lohnberg JA, Kubat EP, Bates CC, Greenberg LM, Frayne SM. Systems innovation model: an integrated interdisciplinary team approach pre- and post-bariatric surgery at a veteran’s affairs (VA) medical center. Surg Obes Relat Dis 2017:600–6.
Revivo G, Amstutz DK, Gagnon CM, Mccormick ZL. Interdisciplinary pain management improves pain and function in pediatric patients with chronic pain associated with joint hypermobility syndrome. PM R. 2018;11:150–27.
Robiner WN, Petrik ML. Managing difficult patients: roles of psychologists in the age of interdisciplinary care. J Clin Psychol Med Settings. 2017;24:27–36.
Ólason M, Andrason RH, Jónsdóttir IH, Kristbergsdóttir H, Jensen MP. Cognitive behavioral therapy for depression and anxiety in an interdisciplinary rehabilitation program for chronic pain: a randomized controlled trial with a 3-year follow-up. Int J Behav Med. 2017;25:55–66.
Scott W, Daly A, Yu L, Mccracken LM. Treatment of chronic pain for adults 65 and over: analyses of outcomes and changes in psychological flexibility following interdisciplinary acceptance and commitment therapy (ACT). Pain Med. 2016;18:252–64.
Giannitrapani KF, Glassman PA, Vang D, Mckelvey JC, Day RT, Dobscha SK, et al. Expanding the role of clinical pharmacists on interdisciplinary primary care teams for chronic pain and opioid management. BMC Fam Pract. 2018 Mar;19:107.
What are the education requirements for becoming a pharmacist? [Internet]. Learn.org. [cited 2019 Jan15]. Available from: https://learn.org/articles/What_are_the_Education_Requirements_for_Becoming_a_Pharmacist.html.
Pruskowski J. The role of clinical pharmacists on the interdisciplinary team #334. J Palliat Med. 2017;20(8):897–9.
Doyle D. The role of the nurse in interdisciplinary rounds Research paper – 1756 words [Internet]. StudyMode – Premium and Free Essays, Term Papers & Book Notes. 2012 [cited 14 Jan 2019]. Available from: https://www.studymode.com/essays/The-Role-Of-The-Nurse-In-1047663.html.
Tool 2A: interdisciplinary team [Internet]. AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care. U.S. HHS: Agency for Healthcare Research and Quality; 2013 [cited 14 Jan 2019]. Available from: https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk-tool2a.html.
The role of registered dietitian nutritionists in behavioral health [Internet]. Behavioral Health Nutrition. [cited 14 Jan 2019]. Available from: http://www.bhndpg.org/about/the-role-of-registered-dietitian-nutritionists-in-behavioral-health/.
Mihalov SA, Bouffard KJ, Cara JR. Successful treatment of multifactorial chronic daily headaches at an interdisciplinary chronic pain program: a case study. PM R. 2018;10:446–51.
Pain management programs [Internet]. The ACPA. 2018 [cited 14 Jan 2019]. Available from: https://www.theacpa.org/pain-management-tools/pain-management-programs/.
Stanos SP. Developing an interdisciplinary multidisciplinary chronic pain management program: nuts and bolts. In: Chronic pain management: CRC Press. FL: Boca Raton; 2007. p. 158–79. https://www.taylorfrancis.com/books/e/9780429142314/chapters/10.3109/9781420045130-10.
Hadjistavropoulos T, Herr K, Turk DC, Fine PG, Dworkin RH, Helme R, Jackson K, Parmelee PA, Rudy TE, Beattie BL, Chibnall JT. An interdisciplinary expert consensus statement on assessment of pain in older persons. Clin J Pain. 2007;23:S1–43.
Weiss D, Tilin F, Morgan MJ. The Interprofessional health care team. Burlington, MA: Jones & Bartlett Learning; 2016.
Ehde DM, Dillworth TM, Turner JA. Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. Am Psychol. 2014;69(2):153.
Huffman KL, Sweis GW, Gase A, Scheman J, Covington EC. Opioid use 12 months following interdisciplinary pain rehabilitation with weaning. Pain Med. 2013;14(12):1908–17.
Bailey JC, Kurklinsky S, Sletten CD, Osborne MD. The effectiveness of an intensive interdisciplinary pain rehabilitation program in the treatment of post-laminectomy syndrome in patients who have failed spinal cord stimulation. Pain Med. 2017;19:385–92.
National Institute on Drug Abuse. Opioid overdose crisis [Internet]. NIDA. 2018 [cited 14 Jan 2019]. Available from: https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis.
Saral I, Sindel D, Esmaeilzadeh S, Sertel-Berk HO, Oral A. The effects of long- and short-term interdisciplinary treatment approaches in women with fibromyalgia: a randomized controlled trial. Rheumatol Int. 2016;36:1379–89.
Brose SW, Schneck H, Bourbeau DJ. An interdisciplinary approach to reducing opioid prescriptions to patients with chronic pain in a spinal cord injury center. PM R. 2018;11:135–41.
Allaire C, Williams C, Bodmer-Roy S, Zhu S, Arion K, Ambacher K, et al. Chronic pelvic pain in an interdisciplinary setting. Obstet Gynecol Surv. 2018;218:276–7.
Wiecha J, Pollard T. The interdisciplinary eHealth team: chronic care for the future. J Med Internet Res. 2004;6(3):e22.
Kim SJ, Marsch LA, Guarino H, Acosta MC, Aponte-Melendez Y. Predictors of outcome from computer-based treatment for substance use disorders: results from a randomized clinical trial. Drug Alcohol Depend. 2015;157:174–8.
Davis F. A technology acceptance model for empirically testing new end-user information systems: Theory and results (Doctoral Dissertation). Massachusetts Institute of Technology. 1985. Retrieved from: http://space.mit.edu/handle/1721.1/15192.
Ruiz S, Snyder LP, Rotondo C, Cross-Barnet C, Colligan EM, Giuriceo K. Innovative home visit models associated with reductions in costs, hospitalizations, and emergency department use. Health Aff. 2017;36(3):425–32.
Sletten CD, Kurklinsky S, Chinburapa V, Ghazi S. Economic analysis of a comprehensive pain rehabilitation program: a collaboration between Florida blue and Mayo Clinic Florida. Pain Med. 2015;16(5):898–904.
Pain Management Center [Internet]. Shirley Ryan AbilityLab – Formerly RIC. AbilityLab; 2019 [cited 2019]. Available from: https://www.sralab.org/services/center-pain-management.
Pract JF. The benefits of interdisciplinary pain management [Internet]. MDedge Psychiatry. 2017 [cited 14 Jan 2019]. Available from: https://www.mdedge.com/jfponline/article/59209/pain/benefits-interdisciplinary-pain-management/page/0/2.
Cohen S, Yu W. The concentration and persistence in the level of health expenditures over time: estimates for the U.S. population, 2008–2009. Medical Benefits. 2012;6:1–4. https://meps.ahrq.gov/data_files/publications/st354/stat354.pdf.
Rubin S, Burke N, Natta MV, Yen I, Shim JK. Like a fish out of water: managing chronic pain in the urban safety net. J Health Soc Behav. 2018;38:487–500.
Salsbury SA, Goertz CM, Vining RD, Hondras MA, Andresen AA, Long CR, et al. Interdisciplinary practice models for older adults with back pain: a qualitative evaluation. The Gerontologist. 2018;2017:376.
Carter S, Lacoss J, Martinez M, Sanchez-Reilly S, Lee S, Garcia T. Use of video game technology for geriatric total pain management education: response of interdisciplinary healthcare students (QI821). J Pain Symptom Manag. 2018;55:711.
Patel B, Hacker E, Murks C, Ryan C. Interdisciplinary pain education: moving from discipline-specific to collaborative practice. Clin J Oncol Nurs. 2016;20:636–43.
Manworren R, Lafond C, Wittmayer K, Cordaro L, Seewald N, Hoeman E, et al. Interdisciplinary education to improve pediatric healthcare providers knowledge and attitudes regarding pain. J Pain. 2018;19:S97.
Hechler T, Kanstrup M, Holley AL, Simons LE, Wicksell R, Hirschfeld G, Zernikow B. Systematic review on intensive interdisciplinary pain treatment of children with chronic pain. Pediatrics. 2015;136(1):115–27.
Dorflinger LM, Ruser C, Sellinger J, Edens EL, Kerns RD, Becker WC. Integrating interdisciplinary pain management into primary care: development and implementation of a novel clinical program. Pain Med. 2014;15(12):2046–54.
All AC, Fried JH, Wallace DC. Quality of life, chronic pain, and issues for healthcare professionals in rural communities. Online J Rural Nurs Health Care. 2017 Mar 8;1(2):29–57.
Gdiesing. Senate passes opioid crisis response act | AHA News [Internet]. American Hospital Association. 2018 [cited 24 Feb 2019]. Available from: https://www.aha.org/news/headline/2018-09-18-senate-passes-opioid-crisis-response-act.
Berman J. The latest way to combat the opioid epidemic – student-loan relief [Internet]. MarketWatch; 2019 [cited 24 Feb 2019]. Available from: https://www.marketwatch.com/story/the-latest-tool-to-combat-the-opioid-epidemic-student-loan-relief-2019-02-08.
Goodnough A. Study Links Drug Maker Gifts for Doctors to More Overdose Deaths [Internet]. The New York Times; 2019 [cited 24 Feb 2019]. Available from: https://www.nytimes.com/2019/01/18/health/opioids-doctors-overdose-deaths.html.
Ravindranath M, Ferris S, Zanona M, Galioto K. How your health information is sold and turned into ‘risk scores’ [Internet]. POLITICO; 2019 [cited 24 Feb 2019]. Available from: https://www.politico.com/story/2019/02/03/health-risk-scores-opioid-abuse-1139978.
Leslie A, Doiron S, Welcome K. Artist hopes 800-pound spoon will draw attention to opioid crisis [Internet]. WPRI; 2019 [cited 24 Feb 2019]. Available from: https://www.wpri.com/news/local-news/west-bay/artist-hopes-800-pound-spoon-will-draw-attention-to-opioid-crisis/1761961071.
Mattie Stepanek quotes [Internet]. BrainyQuote. Xplore; [cited 15 Jan 2019]. Available from: https://www.brainyquote.com/quotes/mattie_stepanek_319300.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Brecht, D.M., Stephens, J., Gatchel, R.J. (2020). Interdisciplinary Pain Management Programs in the Treatment of Pain Conditions. In: Noe, C. (eds) Pain Management for Clinicians. Springer, Cham. https://doi.org/10.1007/978-3-030-39982-5_18
Download citation
DOI: https://doi.org/10.1007/978-3-030-39982-5_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-39981-8
Online ISBN: 978-3-030-39982-5
eBook Packages: MedicineMedicine (R0)