Opioid and Chronic Pain Response Program (OCPRP), supported by the Boulder Community Health Foundation and City of Boulder
Health Equity Fund, exists to address barriers to care for those seeking
relief from Opioid Use Disorder and/or chronic pain. The program works
to address opioid addiction and its underlying causes by connecting individuals
to substance abuse treatment, as well as provide education and support
around ALTO-alternative to opioid therapies, to manage chronic pain to
avoid a potential addictive disorder.
What this looks like in practice is service navigation, and possible financial
support, for adults that are:
- Experiencing homelessness
The OCPRP is housed in the
Center for Mind Body Medicine at the
Della Cava Family Medical Pavilion at the Foothills Medical Campus. Working with specialist
Dr. Brad Fanestil allows the OCPRP to collaborate on supporting patients with chronic pain,
including some that have been prescribed powerful pain killers for years.
Dr. Fanestil is taking a neurological approach to pain management while
working in tandem with in-house alternative practitioners which consist
of acupuncture, massage and reiki, to allow patients an introduction to
different tools to manage their pain.
OCPRP staff have connected with, and are building relationships, with BCH
Primary Care Providers (PCPs), Emergency Department (ED) staff and over
30 community agencies to share resources and create a vertical referral
process. Some of our strongest partnerships exist with
Boulder County Public Health, The Denver Recovery Group West and
Behavioral Health Group. The inception of this program has coincided with a select group of PCPs
obtaining their DEA X-waiver credential, which allows these providers
to prescribe Suboxone, often referred to as Medication Assisted Treatment
or MAT, in a primary care setting, as well the Foothills ED starting Suboxone
inductions for those that meet withdrawal criteria.
OCPRP staff has helped facilitated multiple successful Suboxone inductions
at the Foothills ED for individuals referred from Public Health. After
the induction phase, the OCPRP Patient Navigator worked with these individuals
to engage in treatment at one of the outpatient treatment centers. While
most patients are appropriate for an outpatient setting, some require
a higher level of care in the form of residential treatment and subsequent
step-down care following an inpatient stay. OCPRP staff can assist participants
with navigation of the residential treatment options available to them
in Boulder County, and beyond, and which facility may be the best fit for them.
Through the generous funding from the City of Boulder and The BCH Foundation,
the OCPRP has money to provide scholarships to connect participants with
an appropriate intervention. Scholarships can help cover:
- Unmanageable costs such as office visit copays
- Suboxone or other forms of MAT for opioid use disorder
- Alternative pain management therapies
- Behavioral health interventions
- Outpatient treatment
- And other barriers being identified by the client
Participants only need to meet simple eligibility criteria and OCPRP can
begin to close these gaps in care.
The OCPRP began taking referrals in May of this year. To date the program
has received over 95 referrals; 13 people have connected to outpatient
treatment, one to residential services, and 14 to ALTO therapies. The
overall goal of the OCPRP is to alleviate health inequity and normalize
alternative treatment modalities in health care settings. The individuals
that have accessed the program now have additional tools in their toolbox
to address opioid disorders and chronic pain.
The OCPRP hopes to grow and continue to meet the needs of marginalized
and stigmatized populations. Future visions for the program include: bringing
ALTO to the inpatient setting and expanding the focus of treatment to
other substance use disorders.
Contact the OCPRP Today
Please call Shelby Souther, Patient Navigator at 303-415-8659 for more
information or referrals. You can also learn more about the program by
reaching out to Amanda Wroblewski, Program Coordinator, at 303-415-4291.