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what we seek to do is build up kids coping and resilience to help increase their strength and endurance and of course to improve their functioning and their independence in their life once we find that kids are able to get on this positive functional track thats when we see them be able to improve from their pain it is not an easy program its a lot of hard work but if the children engage in the program they can be successful in overcoming their pains and disabilities families are referring physicians can initiate a referral by calling the medical pain service an appointment will be made in our pain management clinic where they will be evaluated by a pain physician a physical therapist and a pain psychologist good candidates for our program are children with a chronic pain condition who have completed their diagnostic workup and have completed some outpatient therapy but still suffer from chronic pain and disability we have people that they meet with from the medical side so physician