Challenge 
                                                                        Program 
                                                                      
                                                                      MISSION 
                                                                        STATEMENT:  
                                                                        Our mission 
                                                                        is to 
                                                                        provide 
                                                                        coordinated, 
                                                                        comprehensive 
                                                                        rehabilitation 
                                                                        to individuals 
                                                                        suffering 
                                                                        chronic 
                                                                        pain syndrome. 
                                                                        A functional 
                                                                        restoration 
                                                                        model 
                                                                        addressing 
                                                                        physical 
                                                                        deconditioning, 
                                                                        body mechanics, 
                                                                        pain behaviors, 
                                                                        inappropriate 
                                                                        medication 
                                                                        use, psychological 
                                                                        and social 
                                                                        factors 
                                                                        inhibiting 
                                                                        recovery 
                                                                        is employed. 
                                                                        This is 
                                                                        in contrast 
                                                                        to the 
                                                                        palliative 
                                                                        measures 
                                                                        that have 
                                                                        been proven 
                                                                        ineffective 
                                                                        in restoring 
                                                                        normal 
                                                                        functioning 
                                                                        in this 
                                                                        patient 
                                                                        population.
                                                                      PROGRAM 
                                                                        ADMISSION 
                                                                        CRITERION: 
                                                                        
                                                                      
                                                                        - Majority 
                                                                          of patient 
                                                                          are 
                                                                          in the 
                                                                          Workers 
                                                                          Compensation 
                                                                          system 
                                                                          (others 
                                                                          may 
                                                                          be admitted 
                                                                          under 
                                                                          special 
                                                                          circumstances). 
                                                                          
 
                                                                        -  
                                                                          The 
                                                                          patient 
                                                                          has 
                                                                          had 
                                                                          persistent 
                                                                          pain 
                                                                          complaints 
                                                                          for 
                                                                          six 
                                                                          months 
                                                                          or more, 
                                                                          that 
                                                                          have 
                                                                          not 
                                                                          been 
                                                                          sufficiently 
                                                                          alleviated 
                                                                          by traditional 
                                                                          interventions 
                                                                          to permit 
                                                                          a return 
                                                                          to normal 
                                                                          function. 
                                                                          
 
                                                                        - The 
                                                                          patient's 
                                                                          physical 
                                                                          condition 
                                                                          is stable 
                                                                          and 
                                                                          they 
                                                                          are 
                                                                          capable 
                                                                          of ambulating 
                                                                          without 
                                                                          assistance. 
                                                                          " The 
                                                                          patient 
                                                                          is unable 
                                                                          to work, 
                                                                          or on 
                                                                          light 
                                                                          modified 
                                                                          duty. 
                                                                          
 
                                                                        - Pain 
                                                                          behaviors 
                                                                          and 
                                                                          functional 
                                                                          impairment 
                                                                          is disproportionate 
                                                                          to diagnosed 
                                                                          complaints. 
                                                                          " A 
                                                                          diagnosis 
                                                                          of myofascial 
                                                                          pain 
                                                                          and/or 
                                                                          evidence 
                                                                          of physical 
                                                                          deconditioning. 
                                                                          
 
                                                                        - Presence 
                                                                          of depression, 
                                                                          anxiety, 
                                                                          anger 
                                                                          or fear 
                                                                          at levels 
                                                                          affecting 
                                                                          recovery 
                                                                          but 
                                                                          not 
                                                                          so severe 
                                                                          as to 
                                                                          inhibit 
                                                                          success 
                                                                          in treatment. 
                                                                          
 
                                                                        - Barriers 
                                                                          or secondary 
                                                                          gain 
                                                                          issues 
                                                                          that 
                                                                          inhibit 
                                                                          recovery.
 
                                                                      
                                                                      TREATMENT 
                                                                        OBJECTIVES 
                                                                        | PROGRAM 
                                                                        ADMISSION 
                                                                        CRITERION 
                                                                        | DISCHARGE 
                                                                        CRITERION