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SERVICES

Structured Intensive Multidisciplinary Program

Our Structured Intensive Multidisciplinary Program (SIMP) has been designed to help people who have disabling persistent pain that is impacting their quality of life.

SERVICES

Recovery From Debilitating Pain

SIMP treats all factors that influence disability and pain. Our approach involves helping you learn skills that will allow you to better manage and cope with pain to improve your functioning.

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A Comprehensive Approach

When pain begins to interfere with work, home responsibilities, or day-to-day life—and leads to a decline in fitness and health, weight gain, mood changes, or reliance on medications—a structured rehabilitation approach becomes essential.

Our comprehensive program addresses the full range of factors contributing to pain and disability with an evidence-based approach that is different from traditional treatments, one that focuses on equipping you with practical skills to manage and reduce pain over the long term. The goal is to restore your function, improve your quality of life, and empower lasting change.

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SIMP Evaluation

An initial comprehensive evaluation helps determine the most appropriate treatment—whether it’s a pain management program or another approach. This includes:

  • A half-day appointment with a rehab physician, pain psychologist, and vocational counselor
  • A treatment decision made collaboratively at the end
  • Occasionally, a brief follow-up visit may be required for more information
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SIMP Program

The program is tailored to each patient's unique needs. It includes:

  • A team approach with a physician, pain psychologist, vocational counselor, and occupational/physical therapists
  • Exercise and reconditioning: stretching, strengthening, and cardio fitness
  • Training in body mechanics and pain coping strategies
  • Vocational support for work-related disabilities
  • Neuroscience education to better understand why pain persists, better understand why you feel the way you do, and build your confidence with getting active again
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Program Length

The program runs Monday–Friday, 9 AM–4 PM, for 20 days. Afterward, a long-term home exercise plan is created. Follow-ups support progress for 3 months.

A preliminary phase is available for those not ready for full days, typically 45 minutes each of PT and OT, 5 days/week, for 1–4 weeks to ease the transition.

SERVICES

SIMP Outcomes

Persons served in the SIMP Program improved on all measures. There were improvements in reported pain, pain worry, fear avoidance beliefs, depression, self-reported function and objective measures of function. Individuals treated also reduced their use of opiates, sedatives, alcohol and tobacco.

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Physical Outcomes

Nearly 70% of people improve their physical capacity level by at least two levels and nearly 30% improve their physical capacity by three levels (e.g. sedentary to light-medium).

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Psychosocial Outcomes

Over 40% of persons served report clinically meaningful reductions in pain worry, pain interference, disability, depression, and anxiety. Over 60% report clinically meaningful reductions in pain fear/avoidance.

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Medication Outcomes

Of those who start the program on opioids, only 14.37% are still on opioids uponcompleting the program. Of those 14.37% still on opioids, their opioid dose has decreased significantly.

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Vocational Outcomes

At one year after completion of the program, 70% of persons served have either returned to work or are in retraining.

PATIENT TESTIMONIALS

What our patients have to say

"I absolutely love the care I received at RIW. I'm not completely back to the way I was before my injury but I can tell a huge difference. The staff is caring and amazing! You really do get what you put into it!"
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Doris Young

"Being in the program here has given me the atmosphere I needed to go through a 28 day juice fast where I have lost over 20 lbs so far. I have established an exercise routine that I will use after I'm done here, I have learned strategies for improving my memory, I've learned how to be aware of my posture and my mechanics (lifting techniques, etc.) I have had the privilege of meeting and working with the very friendly and knowledgeable staff here at RIW and benefiting from their knowledge. Thank you!"
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John Briggs

"Before coming to RIW I was so discouraged and told my life would never be the same because I would always have the effects of my injury looming over me. After coming to RIW I have learned and improved so much that I am functioning more independently than I had prior to my injury. My eating and exercise habits have changed for the better and my mood is improved overall. Without RIW I wouldn't be pursuing the things that I am."
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Spence Salina

CONTACT US

Visit our facility next to Seattle Center in Lower Queen Anne. We have parking on site and are located near several bus lines.

415 1st Avenue N, Suite 200, Seattle, WA 98109

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