Patients treated at The East End Multidisciplinary
Pain Management Program (EMP) are referred by physicians,
the WSIB, insurance providers, rehabilitation counsellors,
other allied health service providers, lawyers and paralegal
counsellors. The program provides assessment to physicians
and to other referring sources under section 24 of the
S.A.B.S. (Statutory Accident Benefits Schedule).
Treatment recommendations are provided.
Where appropriate, OCF-18/59 treatment plans are completed
and submitted on behalf of patients. The EMP offers
the following treatment programs:
- Eleven week multidisciplinary pain
management program. This program provides over 100
hours of treatment utilizing a cognitive behavioural
approach in the management of chronic pain. The program
meets the standards for evidence based treatment.
It has a strong research component, having collected
outcome data since its inception in 1998.
- Individualized programs involving:
- Specialized physiotherapy. The
program physiotherapist has been involved in the
treatment of patients with chronic pain for over
twelve years. This therapist uses modalities that
are specific to the treatment of patients with
chronic pain. These modalities include: acupuncture;
biofeedback; and one-to-one cognitive behavioural
therapy that is goal directed.
- Psychotherapy. The program social
worker has many years of experience in outpatient
psychiatry. Modalities of treatment include: IPT
(Interpersonal Therapy); cognitive behavioural
therapy; brief focussed goal directed therapy;
family therapy; marital therapy; and grief counselling.
- Specialized occupational therapy.
The program occupational therapist has many years
of experience in the field of pain management.
She is able to help patients implement the goals
of functional reactivation in their homes and
workplace. Where appropriate vocational re-entry
goals are a central part of treatment.
- Nutritional counselling. The program
nutritionist is available to provide patients
with education and counselling in order to meet
their nutritional goals. For many patients, chronic
pain is often associated with negative changes
in eating habits and body image, and medication
induced weight gain that can further impair their
ability to increase their level of function.
- Psychiatry. The program psychiatrist
has subspecialty training in the treatment of
patients with chronic pain. He is a member of
The Canadian Pain Society Task Force that developed
the national consensus statement and guidelines
for the use of opioids in the treatment of non-cancer
pain. Dr. Ennis can provide diagnostic, as well
as pharmacologic and non-pharmacologic treatment
input for the management of patients with chronic
pain. His work has been publicized in the media.
Please download a recent program schedule
(found below) to gain a more detailed understanding
of the pain program's group program.
- General Information:
Program Schedule [pdf]
Additional Program Information [pdf]
- Volume 2 Number 1 [pdf]
- Volume 1 Number 1 [pdf]