Healthy Living with Chronic Pain (CPSMP) for Opioid Addiction

AzPHA 2017 - Poster Presentation Wendy

Did you see AZLWI Director, Wendy O’Donnell at the AzPHA Conference on September 28th? In case you missed it, view Wendy’s poster presentation to learn about AZLWI’s efforts in helping to reduce opioid abuse in Arizona.

The Problem

According to the Institute of Medicine (IOM) chronic pain in the US is a major public health problem. It
affects over 100 million adults and is a major cause of missed work. Chronic pain, defined as pain for
greater than 12 weeks, can lead to additional problems including trouble sleeping, depression and
anxiety, reduced quality of life, fatigue, and can lead to negative changes in the brain over time. (IOM,
2011) Chronic pain is often not treated adequately and there are concerns about the side effects of
medical approaches and the potential for opioid addiction.

Opioids are powerful painkillers prescribed for chronic pain that can be highly addictive. Safe  prescribing and use of opioids can improve patient safety, reduce harm, and prevent unintended
consequences. Findings and recommendations from the IOM study on pain guided the
development of the National Pain Strategy (NIH, 2016). These recommendations include:

  • Recognition that chronic pain is a biopsychosocial
    condition that often requires integrated,
    multimodal, and interdisciplinary treatment. All of
    these components should be evidence-based.
  • Recommendation that self-management
    programs can improve quality of life and are an
    important component of acute and chronic pain
    prevention and management.

Our Solution

The Arizona Living Well Institute is the state-wide hub for Stanford University’s evidence-based
Chronic Disease Self-Management Education (CDSME) programs. The Chronic Pain Self-
Management Program (CPSMP) is called Healthy Living with Chronic Pain. These workshops are offered for 2 ½ hours, once a week, for 6 consecutive weeks. Throughout the workshop, participants have the opportunity to learn and practice many self-management skills. Healthy Living with Chronic Pain specifically addresses addiction, proper use of pain medication, and use of opioids.

Many patients that have been prescribed opioids have not been educated on alternative methods to  manage pain which can lead to opioid abuse. Healthy Living with Chronic Pain is a useful tool in reducing opioid misuse and abuse and the current opioid epidemic. It can also be used in conjunction with a  medication assisted treatment (MAT) program to increase self-confidence and empower participants to take an active role in their lives.

Workshops are reimbursable by AHCCCS through the Regional Behavioral Health Authories. Individuals can self-refer or healthcare professionals can refer into Healthy Living with Chronic Pain workshops by clicking on the “Enroll Now” button on the upper left side of the screen.

Institute of Medicine. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research, 2011.
National Institutes of Health, National Pain Strategy: A Comprehensive Population Health-Level Strategy for Pain, 2016. Retrieved at:

View and download a printable copy.

Healthy Living with Chronic Pain (Chronic Pain Self-Management) Workshops are a:

WIN Clients receive meaningful and effective services. Workshops are AHCCCS reimbursable. Employment and workforce development.Chronic Pain Self-Management workshops were developed by Stanford University and are evidence-based. Participants are taught skills to better manage their chronic pain through an interactive experience. Workshop subjects include addiction education, proper use of medication and alternative solutions for chronic pain.

WIN Behavioral health agencies can receive reimbursement per participant per workshop by AHCCCS through the Regional Behavioral Health Authorities under a behavioral health diagnosis. Our staff can help agencies identify the billing codes to do this.
WIN Peer support specialists, community health workers, assisters and other professionals make great workshop facilitators. Once they have successfully completed training they are certified as Healthy Living Leaders. Certification adds to an individual’s skill set and improves their employability.

View and download a printable copy.



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