Chronic pain is a very common condition affecting up to 20% of adult population. Studies indicate that chronic pain often co-occurs with psychiatric illnesses, including depression, anxiety , and SMI.  Data also indicate that this co-occurrence leads to a number of worsened outcomes. This webinar will use a de-identified case to illustrate the relevant topic. The webinar will first introduce the case. It will then go into some of the data showing co-morbidity, as well as outcomes related to co-morbid pain and mental illnesses. Next, the webinar will explore bio-psychosocial models that may explain this co-occurrence.  Finally, the webinar will lay out an approach to appropriate diagnosis and management of the patient with co-occurring chronic pain and SMI. The management recommendations will begin with psychosocial, will then go into pharmacological, and end with exploratory ideas. Throughout this content, webinar will emphasize effective communication strategies with the patient. The webinar will return to the de-identified case periodically to better illustrate these concepts. 

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on July 7, 2022.

Learning Objectives

• Evaluate and treat a patient with co-occurring chronic pain and SMI.  
• Utilize existing data to create an effective bio-psycho-social treatment plan for a patient with co-occurring chronic pain and SMI.  
• Use motivational interviewing to effectively communicate with the patient.

Outline

• Case study for consideration 
• Definitions and epidemiology of SMI and chronic pain  
• Models of explanation 
• Treatment approaches  
• Attendee Q&A 

Target Audience

Counselor, Peer Specialist/Peer Support, Pharmacist, Physician (Non-psychiatrist), Physician Assistant, Psychiatrist, Psychologist, Social Worker 

Instructional Level

Intermediate

Estimate Time to Complete 

Estimated Duration: 1.0 hour
Program Start Date: July 7, 2022 
Program End Date: July 7, 2025 

Ongoing Interdisciplinary Discussion Board

After completing the course, engage with colleagues in the mental health field through SMI Adviser's Webinar Roundtable Topics discussion board. This is an easy way to network and share ideas with other clinicians who participate in this webinar. Access through the discussion tab.

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, nursing continuing professional development contact hours (NCPD, formerly CNE), CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by viewing the live presentation and completing the evaluation. Participants claiming CE credit for psychologists and those claiming CE credit for Social workers, must have full attendance to claim credit. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), NCPD (nurses), CE certificate (psychologists), CE certificate (social workers) or certificate of participation (other disciplines) showing the event date and hours earned.  

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 

The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content. 

Nurses/Nurse Practitioners

The American Psychiatric Nurses Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. 

Social Workers 

American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course. ACE provider approval period: 05/18/2021 - 05/18/2024. Social workers completing this course receive 1.0 continuing education credits. 

Faculty and Planner Disclosures

The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. 

Instructor

• Snehal Bhatt, MD is a board-certified physician in General Psychiatry and Addiction Psychiatry.  He is an associate professor at the University of New Mexico, where he serves as the chief of addiction psychiatry and the fellowship director for the Addiction Psychiatry program.  He is currently involved in a number of federal grants aimed at improving access to OUD treatment, including ED initiated buprenorphine and low threshold buprenorphine.  Additionally, he is currently the site-PI for a phase 2 study exploring psilocybin as a treatment for Alcohol Use Disorder, a phase 2 study evaluating a novel NMDA antagonist as a treatment for opioid withdrawal, and a NIDA CTN study evaluating ways to optimize outcomes for patients with opioid use disorders. 

Planners

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Dr. Brister has no relevant financial relationships to disclose.  
• Amy Cohen, PhD, American Psychiatric Association. Dr. Cohen has no relevant financial relationships to disclose. 
• John Torous, MD, Beth Israel Deaconess Medical Center. Dr. Torous has no relevant financial relationships to disclose. 
• Sherin Khan, LCSW, Thresholds. Ms. Khan has no relevant financial relationships to disclose. 
• Donna Rolin, PhD, APRN, University of Texas at Austin. Dr. Rolin has no financial relationships to disclose. 

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be:  Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact SMIadviserhelp@psych.org for technical assistance