Digital and Behavioral Tele-Health Tapering Program for Lowering Dependence on Opioids in Patients Undergoing Surgery

Inclusion Criteria:

* Greater than or equal to 18 years of age
* Patients undergoing head and neck cancer surgery, open abdominal surgery, thoracic surgery
* Life-expectancy of 270 days or more
* Patients who will receive opioids as part of their treatment post-operatively
* Perioperative opioid use:

  * Naive Arm: No opioids 30 days prior to surgery
  * Tolerant Arm: Use of opioids on 2 or more days/week, for 1 or more months prior to surgery
* Patient is willing to use Lucid Lane program to provide behavioral health support perioperative period up to 9 months post-op for tolerant opioid users and 1 month for opioid naive users
* Patient is willing to discuss Lucid Lane progress with MD Anderson perioperative team and prescribing clinicians
* Patient is willing to sign a Lucid Lane Participant Agreement
* Patient is willing to sign an informed consent

Exclusion Criteria:

* Serious mental illnesses including schizophrenia-spectrum disorders, severe bipolar disorder, and severe major depression
* Active suicidal ideations
* Patients on methadone, naltrexone, or buprenorphine for treatment of opioid use disorder (i.e. for treatment of addiction, and not for treatment of pain)
* Patient unwilling to use or not possessing access to a device that allows for video visits (e.g. a smartphone, tablet, or computer)
* Patients who are on end-of-life care
* Insufficient ability to use English to participate in the consent process, the intervention or study assessments. The Lucid Lane therapists will be conducting therapy sessions in English, and the ability to understand English is required for the consent process. All questionnaires and surveys will be in English to ensure appropriate and comprehensive care for this patient population
* Insufficient ability to provide informed consent to participate