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Practice guidance is offered regarding long\u2010term opiate treatment, including definitions of addiction, initial assessments, ongoing substance misuse monitoring, use of psychological assessment instruments, and managing medication misuse problems. Additionally, we examine the role of the mental health professional within this area and examine the incorporation of psychological interventions for patients using opiates. A case illustration includes several of these complicated issues of managing chronic pain with opiate medications. \u00a9 2006 Wiley Periodicals, Inc. J Clin Psychol: In Session 62: 1397\u20131408, 2006.<\/jats:p>","DOI":"10.1002\/jclp.20319","type":"journal-article","created":{"date-parts":[[2006,8,25]],"date-time":"2006-08-25T21:30:10Z","timestamp":1156541410000},"page":"1397-1408","source":"Crossref","is-referenced-by-count":10,"title":["Clinical considerations in the treatment of chronic pain with opiates"],"prefix":"10.1002","volume":"62","author":[{"given":"Bruce D.","family":"Naliboff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen M.","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quynh","family":"Pham","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,8,25]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2003.10.009"},{"key":"e_1_2_1_3_1","volume-title":"Definitions related to the use of opioids for the treatment of pain","author":"American Academy of Pain Medicine, American Pain Society, & American Society of Addiction Medicine","year":"2001"},{"key":"e_1_2_1_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_1_5_1","volume-title":"MMPI\u20102: An administrative and interpretive guide","author":"Butcher J. 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