ACTiveRehab- ACT for the Pain Rehab Team

Presenter: Graciela Rovner (Sweden)

“ACTiveRehab- ACT for the pain rehab team: Assessment, allocation and tailoring the group based rehab-programmes.

”this workshop is adapted for all professionals working with patients with chronic pain.

-How can we apply ACT principles for each of the members of in our inter-professional pain rehabilitation team? So that each of them get guidance and support in how to best adapt ACT, not as psychotherapy, but to boost our own interventions?

ACT trainings and tools for chronic pain are designed by and for psychologists/psychotherapists. Many other professionals are also trained, but find difficulties to adapt these principles into their own profession. ACTiveRehab, is an empirically developed and innovative model that allows us to understand, implement and adapt the ACT processes for each of the professionals (physio, occupational therapist, nurse, and MD). ACTiveRehab offers a common language for your team to discuss the patients and also inform how to design the inter-professional rehabilitation program based on ACT processes.

How can we assess and select our patients into rehabilitation programs using the ACT principles? And how can we quickly recognise the needs and responsiveness of the patients so that we can tailor rehabilitation programs for different group of patients?

We know that our patients with pain, even with the same diagnoses, respond differently to the ACT intervention. We know also that group-based interventions are far more effective than individual interventions, but it has not been easy to create groups that have similar needs and thus predict with precision their outcome since the responsiveness to group interventions have been uneven.

ACTiveRehab offers a comprehensive implementation pathway for the pain clinic, from how to assess, discuss and select patients to how to modularize and tailor the group-based rehabilitation packages for the different group of patients. ACTiveRehab offers an algorithm to group them according to their needs and health resources (Rovner 2014, 2015, in press). Then the taxonomy will help the inter-professional team to understand how to tailor each module in terms of prioritising specific ACT processes as well as the dosage and intensity needed for each of these groups, ultimately allowing for an ‘individualisation’ of group-based interventions.

This pre-workshop is designed for the inter professional team that have basic notions about ACT. The most important is that the psychologist in the team is not a beginner in ACT, but the rest of the team may have just basics. Why the psychologist need good basics in ACT is because then the adaptation of ACT processes offered by ACTiveRehab, will strongly support the psychologist to help the rest of the team to implement this new modality as soon as they come back to the clinic.

Graciela Rovner