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James A. Haley Veterans’ Hospital - Tampa, Florida

 

Treatment Programs

Inpatient Chronic Pain Rehabilitation Program

Treatment in the Inpatient CPRP is very intensive. Individuals are admitted on a Monday and undergo 19 full days of rehabilitation. Participants average six to eight hours of active programming each treatment day. An individualized program of treatment is developed for each participant. Basic components include:

  • Daily heated pool therapy session
  • Daily physical therapy
  • Exercise sessions twice each day
  • Relaxation training sessions twice each day
  • Group Lectures 2 or more hours each day
  • Recreational therapy daily
  • Occupational therapy daily
  • Walking sessions twice each day
  • Daily medical rounds

Additional treatments may be used when the treatment team feels they are indicated. These include upper extremity therapy, gait training, vocational rehabilitation, individual psychotherapy, trigger point injections, Transcutaneous Electrical Nerve Stimulation (TENS), hot packs, cold packs, medication adjustments, or other appropriate treatments.

Treatment continues on weekends. Individuals may take therapeutic passes when medically cleared, but must continue their rehabilitation program on their own when away from the hospital. Those that remain in the hospital over the weekend must attend treatment sessions on Saturday and Sunday.

Outpatient Chronic Pain Rehabilitation Program

Treatment in the Outpatient CPRP involves many of the same treatment components as the Inpatient program but instead of staying at the hospital for 3 weeks, veterans come to the VA 2 days per week for 8 consecutive weeks to participate in treatment. Basic components include:

  • Daily heated pool therapy session
  • Daily physical therapy
  • Exercise sessions twice each day
  • Relaxation training sessions twice each day
  • Group Lectures 2 or more hours each day
  • Recreational therapy daily
  • Occupational therapy daily
  • Walking sessions twice each day
  • Daily medical rounds

Pain Services for OEF/OIF Veterans

Pain, Activation and Sleep Skills (PASS)

PASS is an outpatient treatment program designed to help Veterans develop behavioral skills for improving sleep quality and daytime fatigue in the context of chronic pain. It provides education about the interaction between daytime dysfunction and its contribution to the maintenance of sleep difficulties (e.g., insomnia) and chronic pain. Each Veteran referred is individually evaluated. Treatment occurs over the course of either 3- or 8-weekly class meetings. Duration of classes is determined based on the Veteran’s needs.  Individual evaluation and classes occur at the Outpatient Pain Clinic (G320-38; Third floor of the SCI building). The best way to refer a patient is to add Dr. Aaron M. Martin, Ph.D. to a patient note. Consults can also be made via “Psychology-Pain – Outpt” consults – identify PASS, Dr. Martin, “sleep,” etc. in the consult and he will schedule with the Veteran directly. More information about PASS can be obtained by emailing Dr. Aaron M. Martin at Aaron.Martin2@va.gov or calling x3419.

Sleep Apnea: If you suspect a Veteran has sleep apnea, but has not been referred for a sleep study, please consider placing a sleep study consult ASAP to avoid delay in rule-out/treatment. Veterans can be evaluated for PASS while they have a sleep study scheduled. So referring to PASS and a sleep study in tandem is acceptable.

Chronic Headache Management Program (CHAMP)

CHAMP is an interdisciplinary, outpatient program that treats veterans suffering with chronic headaches.  The treatment team includes a pain psychologist, a neurologist, an occupational therapist, a pain nurse practitioner, and pain nurses who specialize and are dedicated to treating headaches that occur among veterans.  The patients will be provided with behavioral interventions, focused medication management, and suggested improvements in their daily environment to reduce the frequency and severity of their headaches.  When indicated, the patients may also receive biofeedback, nerve blocks, trigger point injections, and Botox® injections.  All patients are evaluated individually by both pain psychology and neurology to determine if they would benefit from CHAMP.  If accepted, patients are seen by the treatment team one day per week for 3-4 hours of therapy for 5 consecutive weeks.  Additional treatments such as biofeedback or Botox injections would require other scheduled sessions.  Following the 5-week program, patients are seen for aftercare sessions as needed.  For more information about CHAMP, please contact Dr. S. Curtis Takagishi at 813-972-2000 x5663 or via email at StanleyCurtis.Takagishi@va.gov.  VA providers who wish to make a referral may place a formal consult in “Pain (RMS/Neurology)-Outpatient” and under the headache section, check the CHAMP (yes) box.