Collaborating Within Scope to Address the Opioid Crisis

The College of Chiropractors of Ontario (CCO) unanimously endorsed our Opioid and Pain Reduction Collaborative. This endorsement clarifies that chiropractors can collaborate with patients and prescribing physicians or nurse practitioners, while remaining within their scope of practice.

This collaborative will equip health care professionals with the information they need to refer patients to chiropractic care and other manual therapy to better manage their pain. In this video, Caroline Brereton, our CEO, shares details on how it will support chiropractors, as well as primary care professionals, to help address the opioid crisis.

OCA Chiropractor Pain Reduction Toolkit

Chiropractor Dialogue Map

Thumbnail of Chiropractor Dialogue Map
View and Download

Pain Reduction Tool
Low Back Pain

Thumbnail of Pain Reduction Tool - Low Back Pain
View and Download
Digital Fillable

Pain Reduction Tool
Neck Pain

Thumbnail of Pain Reduction Tool - Neck Pain
View and Download
Digital Fillable

Pain Reduction Tool
Shoulder Pain

Thumbnail of Pain Reduction Tool - Shoulder Pain
View and Download
Digital Fillable

Using the Chiropractor Toolkit to Address the Opioid Crisis

Our strategy to address the crisis is a two-part approach engaging primary care professionals (PCP)s and chiropractors. It contains separate tools for each.

The Chiropractor Pain Reduction Toolkit is designed to help you navigate communication in patient-centred care. Specifically, it will help you collaborate with PCPs and communicate with your shared patients, who want help managing their opioid dependency..This toolkit includes a Chiropractor Dialogue Map and three pain reduction forms to help address your patient’s low back, neck and/or shoulder pain.

The Chiropractor Dialogue Map enables you to safely begin a conversation with your patient about helping them manage their opioid prescription, while staying within the chiropractic scope of practice.

The three pain reduction forms support your informed referral and should help you begin to coordinate care with your patient’s PCP. The forms include fillable sections for you to insert your patient’s assessment, treatment plan and recommendations to their PCP. You can use the ‘view and download’ versions to do this manually or the ‘digital fillable’ versions to do this online.

The Chiropractor Pain Reduction Toolkit complements the Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Tool, which we developed in partnership with the Centre for Effective Practice (CEP). It’s designed to give PCPs the confidence they need to navigate evidence-based manual therapy that can help manage opioid dependency.

Each of your tools includes a brief overview of what a PCP should know in case they are not familiar with the Manual Therapy as an Evidence-Based Referral for Musculoskeletal Pain Tool.

You can use the forms to walk your patient’s PCP through assessment, treatment and referral recommendations for the relevant pain.

Once you complete the form you can begin communication based on your patient’s preference. You can give it to your patient to pass to their PCP, inviting them to contact you. Or, if your patient gives their permission, you can send the completed form directly to their PCP.

Continuing Education

We’re also working to develop an Opioid and Pain Reduction Learning Program. Its goal is to empower chiropractors to collaborate with patients, prescribing physicians and nurse practitioners. We’re working together to provide effective solutions that mitigate opioid dependency.

As new updates are provided, we will share them with you here.