Collaborative Care for Opioid Dependence And Pain Pilot Study (CCODAPP)

This pilot study evaluates a collaborative care program to assist with opioid tapering in patients with chronic pain. Patients will be randomized to receive the intervention or usual care.

Patients will meet with a care coordinator to discuss current opioid use pattern and potential reduction strategies. Participants will fill out baseline measures. A 6 week positive psychology intervention will also be introduced in which patients will practice different techniques each week over 6 weeks, and will then practice incorporating a single technique into daily practice for the remaining 6 weeks. During the first 6 weeks, patients will have weekly check in meetings with a care manager to report on any withdrawal symptoms. These meetings will space to ever other week during the remaining 6 weeks. Possible treatment adjustments will be discussed between the care coordinator and primary investigator at weekly meetings. At the completion of the 12 week study, patients will complete outcome measures.

Inclusion Criteria: Chronic pain for at least 6 months Receiving daily opioid treatment Exclusion Criteria: Not speaking English Significant psychiatric impairment including severe cognitive impairment, suicidality, schizophrenia, or bipolar disorder Known life expectancy of less than 6 months