The Service helps people who have long term pain, for which there are no curative treatments, to lead as normal life as possible in spite of their pain. The Team uses evidence-based, psychological approaches to reduce the disability and distress caused by persistent pain. The 36 hour interdisciplinary pain management programme encompasses physical, psychological and practical techniques to improve quality of life.
Service inclusion and exclusion criteria
Service inclusion criteria
- Patient is motivated to engage in a self-management approach to pain
- Patient demonstrates an understanding of self-management approach/ understanding of cognitive model/ psychologically minded.
Service exclusion criteria
- English not first language/ sensory problems precluding group
- Active psychosis
- Severe cognitive impairment
- Patient still seeking or involved in active treatment, or those seeking a ‘diagnosis’ (often with the aim of a ‘cure’)
- Psychological/psychiatric problem that is a primary concern or which precludes group CBT approaches, for example:
- Anxiety related behaviour interferes with functioning More than pain
- Motivational deficits related more to depression than pain
- Clear suicidal intent and planning
- Primary alcohol or drug problems
-Severe disability such that individual cannot manage demands of programme.
Situations to be discussed with team:
- Where the patient has an ongoing social situation which is unlikely to support changes encouraged by pain management programme
- Where the patient is engaged in ongoing litigation
- Where there are unaddressed &/or an intense sense of grievance about cause of pain &/or medical investigations/treatment.