Category: Treatment - CBT

Symposium

An Acceptance-Based, Interdisciplinary, Intensive Outpatient Program for Active Duty Sailors and Marines With Chronic Pain

Saturday, November 18
3:30 PM - 5:00 PM
Location: Aqua Salon E & F, Level 3, Aqua Level

Keywords: ACT (Acceptance & Commitment Therapy) | Pain | Group Therapy
Presentation Type: Symposium

Chronic pain contributes to significant impairment in military personnel given the physical requirements and high-risk environments in which they work. The prevalence of chronic pain in the military is associated with significant health expenditures and costs due to lost productivity.  Typical biomedical interventions are commonly insufficient to produce long term benefits and may rely heavily on pharmaceutical solutions that carry significant risks of misuse. Functional restoration pain programs (FRPP) which combine physical rehabilitation interventions with psychosocial interventions based on the biopsychosocial model of chronic pain have produced substantial improvements in patient outcomes, including reduced pain, reduced disability, and improvements in common, concomitant mental health complaints. 


This presentation will describe the FRPP at Naval Medical Center San Diego constructed to promote return to full, world-wide, deployable duty status in service members whose careers are threatened by chronic pain conditions. FRPP is an intensive, interdisciplinary, outpatient program, consisting of 112 hours of treatment over 8 weeks. The treatment consists of group-based Acceptance and Commitment Therapy and directed mindfulness practice integrated with pain education, quantitatively directed progressive exercise rehabilitation, and optimized medication management. Self-report measures of functioning and mental health are collected along with objective measures of functioning during the program at baseline, 4 weeks, and 8 weeks for individual tailoring of the treatment as well as for measuring overall program effectiveness. 


To date, 72 active duty participants completed the program in the first 12 patient cohorts. Clinically significant improvements were observed across multiple measures of physical functioning and mental health, including pain interference, depression, and sleep impairment. Eighty-five percent of patients achieved “fit for full duty” status upon successful graduation. These data will be presented along with longer-term outcomes collected at 6-months and 1-year post treatment assessing the maintenance of treatment gains.

Emmanuel Espejo

Naval Medical Center San Diego

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An Acceptance-Based, Interdisciplinary, Intensive Outpatient Program for Active Duty Sailors and Marines With Chronic Pain



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