[The treatment concept at the "Center for Pain Studies" of the Rehabilitation Institute of Chicago.].
The article describes the interdisciplinary treatment of chronic pain at the Center of Pain Studies (CPS). The CPS is an intergral part of the Rehabilitation Institute in Chicago. An essential part of the program is a 1-day outpatient evaluation in which members of all disciplines take part. A team conference determines the appropriateness of the pain program for each patient accepted for further care at the CPS. In 50% of the patients chronic pain is connected with work-related accidents. General aims of the treatment are to return to productive life, improve emplopyability, increase activity level, improve mobility, apply pain management techniques, and improve coping. The program is monitored by an evaluation/follow-up system. Success criteria of the 6-month follow-up for the years 1987-91, such as less daily downtime in 58-78% of the patients, more time out on weekends in 40-68%, return to work in 50-67% and reduced depression in 37-70%, give an impression of the effectiveness of the pain management program.
Petermann
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F
Klinische Psychologie, Universität Bremen, Grazer Straße 6, D-28359, Bremen.
Krischke
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N