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Papers of the Week

2020 Aug 13

Can J Pain



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


Bell L, Cornish P, Gauthier R, Kargus C, Rash J, Robbins R, Ward S, Poulin PA
Can J Pain. 2020 Aug 13; 4(1):168-178.
PMID: 33987496.


Access to multidisciplinary pain management treatment in Canada is limited, with wait times up to 4 years. Stepped care approaches to mental health treatment have led to substantial reduction and elimination of wait times and may be applicable to chronic pain settings. There is no unifying framework for stepped care chronic pain programs. A systematic review of the efficacy of stepped care in chronic pain management conducted by the Canadian Agency for Drugs and Technologies reported varied results that may be due to heterogeneous stepped care models across facilities.