Chronic, Noncancer Pain Care in the Veterans Administration

Courtney, Rena Elizabeth; Schadegg, Mary Josephine

doi:10.1016/j.anclin.2023.02.004

Cited by 9Musculoskeletal pain and rehabilitationPain Management and Opioid UseAnesthesia and Pain Management

Chronic, Noncancer Pain Care in the Veterans Administration

Courtney, Rena Elizabeth, Schadegg, Mary Josephine·2023·Anesthesiology Clinics

DOI 10.1016/j.anclin.2023.02.004

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Abstract

The Veterans Health Administration has always been a leader in the innovation and implementation of evidence-based care. The use of the stepped care model of chronic pain has led to several novel interventions and strong practices in the last several years at each level of care with regard to education, use of technology, and increasing access to evidence-based care (eg, behavioral health, interdisciplinary teams). The Whole Health model is also being implemented nationwide and has the potential to significantly affect chronic pain treatment in the coming decade.

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The Veterans Health Administration uses an evidence-based stepped care model of pain management to address a complex biopsychosocial approach to pain care.
“The Veterans Health administration (VHA) uses an evidence-based stepped care model of pain management to address this complex biopsychosocial approach to pain care.25,26”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [25]
Step 3 programs include interdisciplinary care for people with chronic pain and high levels of comorbidity and complexity.
“Step 3 programs include interdisciplinary care for people with chronic pain and high levels of comorbidity and complexity.25,26”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [25]
A growing number of VHA step 3 programs are interdisciplinary, consist of intensive multimodal care, and have shown improvements in patient-reported outcomes such as increased function and decreased pain catastrophizing and sleep difficulties.
“There are a growing number of step 3 programs in the VHA which are interdisciplinary, consist of intensive multimodal care, and have shown improvements in patient reported outcomes such as increased function, and decreased pain catastrophizing and sleep difficulties.25,26”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [25]
The Empower Veterans Program is an example of a Step 3 Tele-Pain program that is interdisciplinary, multimodal, emphasizes a biopsychosocial approach, and includes the Whole Health Model.
“The Empower Veterans Program (EVP) is an example of a Step 3 Tele-Pain program that is interdisciplinary, multimodal, emphasizes a biopsychosocial approach, and includes the Whole Health Model.25,27”
From Remotely Delivered Psychologically Informed Mindful Movement Physical Therapy for Pain Care: A Framework for Operationalization (2023) · cites this paper as [25]

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Using a Whole Health Approach to Build Biopsychosocial-Spiritual Personal Health Plans for Veterans with Chronic Pain
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Tailored to Fit
Purcell, N., Becker, W. C., Zamora, K. A., McGrath, S. L., Hagedorn, H., Fabian, E. R., McCamish, N., & Seal, K. H. (2020) · Medical Care · doi:10.1097/mlr.0000000000001376 · Cited by 10 · see citing works

Authors: Courtney, R. E., & Schadegg, M. J.
Affiliations: Salem VA Medical Center (US)
University of Mississippi (US)
Corresponding author: Courtney, Rena Elizabeth
ORCID: Courtney, Rena Elizabeth
Schadegg, Mary Josephine
Venue: Anesthesiology Clinics
Publisher: Elsevier BV
Published: 2023-06
Volume: 41
Issue: 2
Pages: 519-529
ISSN: 1932-2275 (ISSN-L)
DOI: 10.1016/j.anclin.2023.02.004
OpenAlex: W4324387176
Cited by: 9
References: 43
Citations by year: 2026: 1 · 2025: 3 · 2024: 3 · 2023: 2
FWCI: 0.33
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Anesthesiology Clinics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
Keywords: chronic non-cancer pain, Veterans Health Administration, stepped care, evidence-based care, behavioral health, interdisciplinary teams, pain management, veterans
MeSH terms: Humans, United States, United States Department of Veterans Affairs, Veterans, Chronic Pain, Pain Management

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Chronic, Noncancer Pain Care in the Veterans Administration

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