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Pain and Addiction: The Role of Primary Care as the Center of Treatment 

Pain and Addiction: The Role of Primary Care as the Center of Treatment
Chapter:
Pain and Addiction: The Role of Primary Care as the Center of Treatment
Author(s):

Cynthia M. A. Geppert

and Karen E. Cardon

DOI:
10.1093/med/9780199315246.003.0054
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date: 26 June 2019

In this chapter, we describe the problems that arise when the patient with co-occurring pain and addiction is treated in separate, parallel, or even sequential models of care and the benefits of a comprehensive, continuity-of-care approach. We suggest that the most advantageous center for this cooperative care is the primary care setting, where the majority of patients with chronic pain and addiction are seen. This chapter provides an overview of patient-centered integrative options including pharmacological, psychotherapeutic, interventional and rehabilitative, for patients and clinicians to consider. We also provide descriptions of innovative integrative programs in the literature, and a case based example of how pain and addiction treatment can work together for the benefit of the primary care practitioner and patient.

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