Implementation of the Ottawa Hospital Pain Clinic stepped care program: A preliminary report

Figures & data

Figure 1. Stepped Care 2.0 implemented in a mental health setting

Figure 2. (a) Old referral pathway. (b) New referral pathway

Figure 3. The Ottawa Hospital Pain Clinic eight-tiered interprofessional chronic pain management stepped care framework

Table 1. Information provided to patients during orientation session at the Ottawa Hospital Pain Clinic

Why a group session?

Definition of pain and difference between acute and chronic pain

Hurt vs. harm in chronic pain

Impact of chronic pain

Biopsychosocial approach to address multiple dimensions of chronic pain

Building your toolkit—What to do above and beyond medical management and setting realistic expectations

Risk–benefit of opioid use in the management of chronic pain

Research vignettes on the impact of “understanding pain” and nonpharmacological management

Next steps: What to expect at your first visit with pain specialist

Programs offered by the interprofessional team

Community resources (psychosocial, legal, financial, medical)