HEAL Initiative: Integrative Management of chronic Pain and OUD for Whole Recovery (IMPOWR) - Building Engagement, Assistance, Capacity, Outreach, and Networks (BEACON) Center
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The contract outlines a federal initiative under the HEAL program aimed at improving the integrated management of co-occurring chronic pain (CP) and opioid use disorder (OUD), conditions that frequently overlap and complicate treatment outcomes. Recognizing that 40-75% of individuals with OUD also experience chronic pain, the initiative seeks to overcome challenges posed by fragmented healthcare systems through a hybrid implementation-effectiveness trial that tests collaborative care models and strategies to enhance scalability and sustainability of evidence-based practices in diverse health settings. Key stakeholders including peer specialists, clinicians, health system leaders, and payers will be engaged to address systemic barriers and facilitate sustained integrated care. Central to this effort is the BEACON Center, which will provide network coordination, capacity building, ongoing surveys and qualitative analyses, and resource development to support ongoing stakeholder engagement and improve access to combined CP and OUD services. The funding opportunity, led by the National Institute on Drug Abuse in collaboration with other NIH institutes, is intended to solicit research applications focusing on effective interventions and implementation science to strengthen integrated care for CP and OUD. Although applications are not yet being accepted, potential applicants are encouraged to prepare by forming collaborations and developing projects that incorporate community-based participatory research and other approaches that enhance the reach and durability of integrated treatment models. This initiative, guided by specific federal authority, aims to foster innovative, scalable solutions to complex healthcare delivery challenges and ultimately improve outcomes for individuals affected by these co-occurring conditions.
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40-75% percent of individuals with opioid use disorder (OUD) have co-occurring chronic pain (CP), which impacts their ability to fully engage in treatment. Effective management of both conditions is hindered by siloed medical disciplines and health systems. HEAL Integrative Management of Chronic Pain and OUD for Whole Recovery (IMPOWR) was funded in FY21 to test novel interventions for the management of co-occurring CP and OUD at the patient level. This initiative will test different implementation strategies and other approaches to address scalability and sustainability of evidence based practices for CP and OUD from a health system perspective. Studies will engage key decision leaders in health systems including but not limited to: peer specialists, clinicians, health system leaders, and payers. Studies will execute a single hybrid II/III implementation-effectiveness trial to focus on collaborative care models and implementation strategies to meaningfully integrate CP and OUD service provision in diverse health settings. These studies will address complex factors that influence the ability to scale and sustain effective and integrated care for CP and OUD. The BEACON Center will provide: (1) network coordination support, (2) capacity building at the intersection of CP, OUD, and implementation science, (3) annual surveys/qualitative activities to understand different barriers and attitudes impacting access and sustained use to integrated CP and OUD service delivery, (4) develop important resources for key stakeholder audiences that can inform/improve sustainability and scalability of evidence-based practices.
The National Institute on Drug Abuse (NIDA) in partnership with National Institute on Alcohol and Alcoholism (NIAAA), National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institute of Mental Health (NIMH), and National Center for Complementary and Integrative Health (NCCIH), and National Institute of Neurological Disorders and Stroke (NINDS) intends to publish a Notice of Funding Opportunity (NOFO) to solicit applications for research on the effective management of OUD and CP. Applications are not being solicited at this time. Notice is being provided to allow potential applicants sufficient time to develop meaningful collaborations and responsive projects. This NOFO will utilize the U2C activity code. Investigators with expertise and insights into this area of CP management and OUD/opioid misuse are encouraged to begin to consider applying for this new NOFO. In addition, collaborative investigations combining expertise in community-based participatory research approaches, implementation science, and other strategies to amplify scalability and sustainability will be encouraged and, these investigators should also begin considering applying for this NOFO. Grant authorities that allow NIDA to forecast this opportunity are as follows: 42 U.S.C. § 241 and § 284.