The Integrative Pain Management Program: implementing a multi-modal care program for chronic pain in a safety net setting
Proposal Summary
Socioeconomically vulnerable patients experience high rates of pain, barriers to care, and greater risks from conventional pain treatments. Multimodal, non-pharmacologic approaches are recommended as first line treatments for pain, but are often unavailable in resource-limited settings. In 2016, we created and evaluated a multimodal pain management program, the Integrative Pain Management Program (IPMP), at Tom Waddell Urban Health primary care clinic (TWUHC) in the Tenderloin neighborhood of San Francisco, a community experiencing high rates of opioid overdose. TWUHC provides health services for diverse, underserved patients with high prevalence of chronic diseases, chronic pain, and opioid use, many of whom are marginally-housed or homeless. We determined feasibility of the program and assessed the program’s effects on patients with chronic pain. We propose to present a 60 minute workshop describing the IPMP, briefly reviewing our research findings (recently accepted for publication in the Journal of General Internal Medicine and the Journal for Alternative and Complementary Medicine), and giving recommendations/having Q & A on how an organization may start a similar multi-modal program. We also have a 9 minute short film documentary about IPMP that we would like to show in the description portion of the workshop, so would need AV facilities if chosen. Thank you so much for your consideration!
Skills or Experience
Presenter 1 has presented at last year's IM4US conference and is also a skilled group facilitator and public speaker. She is the Health Education Manager for SFDPH Primary Care, and has extensive teaching and public speaking experience. Both Presenter 2 and Presenter 3 have given presentations at a local and national level, most recently at the National Healthcare for the Homeless Conference x 2 years.
Topic Keywords
Group visits, public health, safety net, acupuncture, massage, mindfulness, movement, multi-modal care, chronic pain, research, community, cognitive behavioral therapy, implementation.
Educational Methodology
Presentation/Lecture with Discussion: present information and engage the learners in discussion about the material.
Audience Skill Level
This session is appropriate for all audiences and skill levels
Primary Presenters
Kristina M Leonoudakis-Watts, BS, San Francisco Department of Public Health
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Joseph Pace, MD, Tom Waddell Urban Health Clinic, San Francisco Department of Public Health, Primary Care
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Co-Presenters
Blue Walcer, MPH, San Francisco Department of Public Health
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