Table 2.

Description of multidisciplinary pain management.

Session	Topic	Adolescent Content	Parent Content
1	Rapport Building, History	Build rapport; obtain patient history. Discuss gals for treatment.	Joint Session: Same content
2	PT Session 1	Child in Physical Therapy	N/A
3	Biopsychosocial Model Education	Biopsychosocial model of pain; gate control theory of pain; stress-pain connection	Joint Session: Same content
4	PT Session 2	Child in Physical Therapy	N/A
5	Setting Treatment Goals	Discuss SMART goals; assist adolescent in completing goals.	N/A
6	PT Session 3 Treatment Goals (Parent only)	Child in Physical Therapy	Parent meets separately with psychologist; Discuss SMART goals with the parent that focus on enhancing adolescent coping; assist parent in completing goals.
7	Coping Skills training	Learn and rehearse relaxation techniques (e.g., breathing, progressive muscle relaxation, imagery)	N/A
8	PT Session 4 Coping Skills Training 1 (Parent only)	Child in Physical Therapy	Parent learns relaxation techniques (e.g., breathing, progressive muscle relaxation, imagery) being taught to the patient and how to encourage the patient to use these skills at home.
9	Cognitive Restructuring	Introduction to fundamental cognitive-behavioral strategies including active coping, distraction, and cognitive restructuring	N/A
10	PT Session 5 Coping Skills Training 2 (Parent Only)	Child in Physical Therapy	Parent introduction to fundamental cognitive-behavioral strategies taught in the adolescent session including active coping, distraction, and cognitive restructuring
11	Relapse Prevention, Termination & Future Goals	Review accomplishments; assist adolescent in developing long-term goals; identify “lessons learned” throughout treatment; present graduation certificate.	Joint Session: Same content
12	PT Session 6	Child in Physical Therapy	N/A