I have a very significant career opportunity if I am able to improve the well-being of a long term pain med abuser. I have not yet seen the patient but have been told he has been abusing for about 20 years, which started after an injury where he was given oxycodone. He has a fractured ankle and deals with a lot of pain. He is said to have a very unique personality. When high he has been known to beat his wife and is not allowed to see his children unless supervised. The patient wants to come clean as he will face prison time if he does not. Has been in and out of care for years.
First thing that comes to mind is +SI to help deal with the pain but I do not have much experience treating drug addiction. Can anyone shed some insight into how to treat such a patient?