Psychiatric Grand Rounds


Santa Barbara Cottage Hospital
Center for Psychiatry and Behavioral Health Care

invites you to attend its presentations to the healthcare community.


April 9, 2014


Information about obtaining CEUs

Receive Grand Rounds notices by e-mail


Wednesday, April 9, 2014
12:00 to 1:30 p.m.

Burtness Auditorium
Santa Barbara Cottage Hospital (get directions)

A buffet lunch and beverages will be provided.
No RSVP or advance registration is required.


How to Assess Patients with Chronic Pain

And how to move them off opioid analgesics
and use psycho-social interventions to prevent relapse.


Greg Teas, MD



Dr. Teas will discuss the tools and techniques for assessing chronic pain patients who are seeking care to self-manage their symptoms and who have often failed at conventional pain management treatment.  The majority of these patients are receiving chronic opioid analgesic therapy and continue to experience various degrees of impairment or disability secondary to their pain and associated complications.  He will describe conversion to buprenorphine and rapid or slow tapering.  Additional elements of a mental health based, psycho-social treatment program developed as an Intensive Outpatient Program will be reviewed with references to the evidence of their effectiveness.  He will discuss emerging alternative views as chronic pain being a brain process with reverberating circuits that suggest peripheral interventions may have limited benefits once these changes to brain function have occurred.  And finally, Dr. Teas will discuss the role of the natural pain management system in the brain – the endorphin system behaves and how its activity can be altered by a variety of factors.


At the conclusion of this presentation, participants will be able to:

  • Explain the physical dynamics of chronic as opposed to acute pain.
  • Identify high risk patients who are at particular risk for opioid dependency once this therapy has been undertaken.
  • Cite the evidence of chronic pain as brain disease and why certain interventions may succeed or fail.

Dr. Greg Teas is a board certified psychiatrist who has extensive experience in working with opioid dependent patients referred from a variety of settings including pain clinics, physical rehab centers and workman’s compensation.  He is President of the American Academy of Clinical Psychiatrists and is the Chief Medical Officer of ABBHH a 141 bed non-for-profit psychiatric hospital that cares for a variety of psychiatric and chemically dependent patients. 





CEUs are now paid for and processed online. To obtain CEUs, you must sign in at the beginning of the lecture. Following attendance at the lecture, click here or on the icon at left, or go to and search for "Grand Rounds". Pay the $18 fee there online. Within 5 business days you will receive an e-mail from Cottage Health System with instructions for obtaining your CEU certificate. Attendance must be verified by signing in at the beginning of the lecture. 


Course meets the qualifications for 1 hour of CE credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences (Provider # PCE 741) and Provider approved for 1 continuing education (CE) contact hour for RNs by the California Board of Registered Nursing (Provider #00252), through the Education Department, Cottage Health System.

Free of charge for CHS Employees and professionals affiliated to Cottage Health System. Others: $18 unit.


Physicians: Please note that due to changes in the requirements to qualify for CMEs, Psychiatric Grand Rounds is no longer able to offer CMEs.



All Grand Rounds invitations are now sent by e-mail.  If you would like to receive notices by e-mail, and you haven’t already done so, please send your e-mail address to  Please use “Grand Rounds” in the subject line.