Opioids and Substance Use in the Management of Pain in Children and Youth

Our curriculum has long focused on an interdisciplinary 3P approach in the management of pain in children. We are proud to have curated many presentations and resources and fostered an engaged community of practice.

However, to talk about pain management includes discussing safe prescribing and management of opioids and controlled substances. In line with the new Pain Management Guidelines that include opioid guidelines (Coming April 2023) and feedback from participants, Paediatric Project ECHO is delivering 10 sessions dedicated to the Opioids and Substance Use in the Management of Pain in Children and Youth.

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Click + for more information on each agenda item.

April 14th, 2023 | Opioids in Paediatric Pain Management | Dr. Fiona Cambell

  • Use strategies to improve safe and effective opioid use for kids
  • Describe opioid related harms
  • Access resources to support safe and effective opioid use.

April 21st, 2023 | Acute Pain Management | Ashley Harvey and Jacqueline Hanley

  • Identify principles of opioid management for acute pain in the in-patient setting.
  • Identify signs and symptoms of opioid withdrawal and describe opioid weaning recommendations.

April 28th, 2023 | Chronic Pain, Substance Use and Mental Health | Dr. Marco Battaglia

  • Discuss the relationship between paediatric chronic pain, mental health and substance use.
  • Describe assessment approaches to and main risk factors for concurrent disorders
  • Identify treatment strategies for this patient population

May 5th, 2023 | Cannabis

  • Describe the biological vulnerabilities of the developing brain in children and adolescents when exposed to regular cannabis use.
  • Discuss specific mental health diagnoses that may be more prevalent in children or adolescents exposed to regular use of cannabis.
  • Review current literature supporting evidence for the use of cannabis for pediatric chronic pain

May 12th, 2023 | Methadone | Dr. Genevieve D'Souza

  • Review appropriate indications and contraindications for prescribing Methadone in children and summarize potential adverse effects when using Methadone
  • Outline the mechanism of action of Methadone
  • Discuss Methadone dosing and opioid conversion to Methadone

May 26th, 2023 | Transition from Acute to Chronic Pain | Jennifer Tyrrell and Dr. Lisa Isaac

  • Outline risk factors for chronic post-surgical pain
  • Describe opioid stewardship within the transitional pain context
  • Review the evidence for prevention of chronic pain
  • Outline the limitations of evidence for prevention of chronic pain in children

June 2nd, 2023 | Screening for Risks for Development of Substance Use Disorder | Dr. Karen Leslie

  • Identify factors the increase the likelihood for the development of Substance Use Disorders
  • Describe commonly used screening tools for use with adolescents
  • Discuss approaches for intervention across the care continuum “

June 9th, 2023 | Substance Use Disorder (Signs & Treatment) | Dr. Karen Leslie

  • Describe diagnostic criteria for Substance Use Disorders (SUD)
  • Discuss evidence based approaches for adolescent SUD
  • Identify local and provincial treatment programs and resources

June 16th, 2023 | Cancer Pain

  • Distinguish between of different types of cancer pain
  • Identify pharmacological pain management strategies for paediatric cancer pain
  • Describe a comprehensive pain management plan for paediatric cancer

June 23rd, 2023 | Sickle Cell Pain

  • Explain sickle cell disease
  • Discuss the pathophysiology of vaso-occlusive crisis and the manifestation of pain
  • Describe the role of opioids in the treatment of an acute sickle cell crisis
  • Identify non-pharmacological pain management strategies to support patients with sickle cell disease


Join our community of practice!

ECHO is a proven healthcare education model associated with increases in knowledge and self-efficacy as well as positive practice-level impacts (View ECHO Impact). Therefore, we believe that ECHO can equip healthcare providers with the tools to balance considerations of humane and effective pediatric pain management and opioid and substance use and addictions.

These sessions will be led and facilitated by our very own Pain Management Leads, Dr. Naiyi Sun and Sara Klein, PT. Additionally, we are incredibly privileged to have Dr. Marco Battaglia and Dr. Karen Leslie joining us to not only present didactics and share their expertise in substance use and addictions but to co-lead and facilitate this series.

Register Now!


Dr. Naiyi Sun

Dr. Naiyi Sun

Anaesthesiologist | ECHO Medical Lead

Sara Klein, PT Physiotherapist

Sara Klein

Physiotherapist | ECHO Medical Lead

Dr. Karen Leslie

Staff Paediatrician and Professor of Paediatrics in the Division of Adolescent Medicine

Dr. Marco Battaglia

Associate Chief of the Division of Child & Youth Psychiatry

Speakers (in order of schedule)

Ashley Harvey

Clinical Nurse Specialist

Jacqueline Hanley

Clinical Nurse Specialist

Dr. Genevieve D’souza

Pediatric Anesthesiologist

Jennifer Tyrrell

Nurse Practitioner

Dr. Lisa Isaac

Pediatric Anesthesiologist