A. It is presumed the inmate population is affected by chronic pain at a rate that is significantly less than that of the general population. B. A special license is required for the prescribing of methadone for chronic pain in the incarcerated population. C. Inmates in correctional facilities have a constitutional right to health care, including pain management, under the eighth amendment to the U.S. Constitution. D. Pain due to arthritis is not commonly reported in the incarcerated population. E. Unsure

A. Lack of pain management guidelines specific to this population B. Lack of access to nonopioid analgesics for pain management C. Lack of guidance on opioid use in inmates with chronic noncancer pain D. Lack of availability of nonpharmacologic modalities for pain management E. Unsure

A. Medications for opioid use disorder, such as buprenorphine or methadone, along with counseling can lower overdose deaths after release. B. Medications used for pain are not restricted in this setting which may increase the likelihood of personalizing a pain management plan. C. Pharmacists are usually not involved in drug therapy management of inmates but do play an important role in staff education and training. D. State departments of correction spend significantly less on medications compared to large insurers such as Medicare. E. Unsure

A. Medical history B. Unstable housing C. Medicaid enrollment D. Family support E. Unsure

A. The pathophysiology and management of pain and opioid use disorder are mutually exclusive. B. A history of opioid use disorder decreases the risk of developing chronic pain. C. Inadequate pain management can increase the risk of relapse. D. Opioids should never be used for acute pain management in patients with opioid use disorder. E. Unsure

A. Adding opioids to MOUD will lead to an overdose. B. Opioid analgesic requirements are higher in patients on MOUD. C. Patients on MOUD requesting opioids for pain are frequently drug seeking. D. MOUD provides adequate analgesia without the need for additional opioids. E. Unsure

A. Optimize mental health treatment. B. Develop and document a plan for managing anticipated acute pain without opioids. C. Use opioids for chronic pain based on pain pathophysiology. D. Avoid use of buprenorphine or methadone for the management opioid use disorder. E. Unsure