Pragmatic RCT of SBIRT-PM

Veterans seeking compensation for musculoskeletal (MSD) conditions often develop chronic pain and are at high risk for substance misuse. The Investigators propose to test the effectiveness and cost-effectiveness of Screening, Brief Intervention and Referral to Treatment for Pain Management (SBIRT-PM), designed to reduce pain and reduce risky substance use, in part by helping Veterans get comprehensive pain treatment. The study will involve clinicians at a single site contacting Veterans throughout New England by phone to deliver SBIRT-PM counseling in a pragmatic, randomized, clinical trial.

Inclusion Criteria: * Post-9/11 Veteran applying for MSD-related compensation, as ascertained from filed claim, * Reports a score of ≥4 (threshold for moderately severe pain) on the BPI's Pain Severity subscale (average of four pain intensity items); * Availability of a landline or cellular telephone for SBIRT-PM. Exclusion Criteria: * Reports inability to participate during the study enrollment call * Received three or more non-pharmacological pain treatment modalities within the last 12 weeks from VA. * Participating in another PMC3 study as evidenced by a research protocol alert for that study at the time the study invitation letter is mailed.