Progressive goal attainment program

The progressive goal attainment program (PGAP) is a preventative program for disabilities which targets the psychosocial risk factors associated with pain and disabilities. PGAP is for clients suffering from persistent pain and for whom the pain symptoms and the psychosocial factors are preventing the progress in the rehabilitation.

PGAP is a ten week intervention program that facilitates the rehabilitation of individuals suffering from diverse health problems associated with persistent pain. PGAP has helped people suffering from back pain, cervical sprains, fibromyalgia, osteoarthritis and rheumatoid arthritis. (Include leaflet made by University Center for Research on Pain and Disability)

The assessments and interventions are standardized. The results from research show that PGAP is an efficient method of improving the level of function and easing the return to work for people at higher risk of developing a prolonged disability due to persisting pain. (modified paragraph from leaflet made by University Center for Research on Pain and Disability)

Process

  • To avoid chronicity, the screening (initial assessment) should be done between the 4th and 12th week following the sick leave.

  • If the person is on sick leave for over three months, the PGAP is used as a tool to reduce the disability.

  • The maximal duration of the program is ten weeks. The therapist meets the clients once a week for an hour session. The mid-term assessment is about an hour and thirty minutes. After three to four weeks of treatments, problems of adherence to the program can be seen and at that time the therapist will decide with the client if it is appropriate to continue the treatment or to stop the intervention.

  • The main goal of the PGAP is to maximize the participation in activities even if there is pain.

  • The specific modules for the psychosocial problems that can be treated within the PGAP are: catastrophic beliefs, fear of pain, beliefs regarding the disability and transition back to the work environment.

References

 

  • The clients can be referred by a physiotherapist or an occupational therapist of the Montclair Physiotherapy and Rehabilitation Center if they see there is insufficient progress during the treatments. If so, the screening (initial assessment) will be done at no extra cost. The trained therapist will communicate with the agent if the client shows psychosocial concerns that could be addressed with the PGAP to prevent chronicity and/or reduce the disability. Treatments will start after the authorization of the payee.

  • The pharmacological interventions, physiotherapy and occupational therapy treatments given to the clients are not affected by their participation in the PGAP. Clients can participate in the PGAP only if they there are no medical restrictions.

  • Clients can also be referred by a doctor, a rehabilitative advisor, or an indemnity agent.