Mission

 

Wholes Child LA (WCLA) seeks to be the country’s premier provider of integrative mind-body treatment for children suffering pain, stress, and many common disabling conditions which can be arrested and treated before they become chronic lifelong struggles.

Background of the Problem

 

Persistent pain is a disabling illness that seriously impacts and often disables 15-30% of our nation’s children!  Ongoing pain can arise from cancer, arthritis, injuries, or other diseases, but more commonly it is caused by intractable headaches, abdominal pain, fibromyalgia, neuropathic pain like RSD, and muscle conditions.  A recent study found that by age 20 years, more than 26% of Americans or about 76.5 million people have problems with persistent pain.  

 

For example, over 45 million Americans get chronic, recurring headaches, a number which far exceeds the sufferers of asthma, diabetes and coronary heart disease combined.  Persistent pain is becoming a costly epidemic.  Ten years ago, the annual cost of pain from all causes was about $100 billion, while recent studies have found that annual costs associated with low back pain alone are about $85.9 billion.  The total cost of arthritis, the nation’s leading cause of disability, is about $128 billion.  Compared with the expense of other chronic conditions, the annual costs associated with chronic pain far exceed those related to heart disease, hypertension, and respiratory disease combined.

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There are several reasons why there is so little prevention of adult chronic pain:

• Insufficient pediatric programs to treat pain in childhood.Few centers in the country have the expertise to treat persistent pain in children.  Fewer yet have implemented an interdisciplinary approach to treating chronic pain that integrates a mind-body, family approach with specialists practicing complementary medicine.
• Insufficient training in pain management for pediatricians and family medicine practitioners.  Primary Care Clinicians (PCPs) receive little training in how to diagnose and treat common pain conditions in children.  The typical child with persistent pain who finally reaches a specialty pediatric pain clinic will have first seen an average of eight different subspecialists and undergone numerous tests.  Despite that, they still hurt, are missing school, and their life has been put on hold while they suffer.
• Mind-body, family-centered, pediatric pain clinics are not sufficiently revenue-generating businesses.  Because overhead for hospitals and university medical centers is high, they have to generate revenues by focusing more on providing surgical procedures and less on allowing doctors to spend time simply speaking with patients. 
• Inadequate efforts being made by the medical profession towards preventing pain and promoting wellness/healthy living in children.  Most pediatric pain clinics barely have time to treat patients with the most severe pain problems and often have long waiting lists just for initial consultations or appointments.  Also, PCPs have so little time to see patients that the time they have is primarily focused on treating the current problem/symptom rather than addressing the genesis//root of the condition.  Helping children and families learn about stress management, healthy eating, exercise, and other health-promoting behaviors can reduce the risk of childhood pain becoming chronic pain into adulthood.  

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Goals & Objectives for Whole Child LA

1) Provide expert, integrative diagosis and treatment to children and young adults with pain who have NOT had relief from theri primary care providers and other specialists. 

 2)  Reduce healthcare disparities by establishing a proven integrative, mind-body, family-centered model in the community to treat pain in infants, children, adolescents, and young adults by: 

• Serving children of all economic levels can be served regardless of ability to pay.
• Reducing race, ethnic, economic, and geographic disparities in the treatment of pain.
• Having a central location where our care team can treat children most effectively. 
• Working in partnership with the UCLA Pediatric Pain Research team to implement the latest state-of-the-art tools and methodologies into practice as well as carry on  outcome-based studies.
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3)    Provide training in treatment of common pain problems presented by children to physicians and other clinicians (e.g. PCPs, 4^th year medical students, complementary clinicians like acupuncturists)

4)    Serve the community and impact healthcare policy related to the national problem of pain by: 

• Serving as a model program that can be replicated in high-poverty urban as well as rural communities.
• Using telemedicine to provide support for developing new programs, PCPs, families at great geographic distance, and children too sick to attend the onsite clinic.
• Holding workshops for parents and teachers in the community on topics such as stress management, pain control, reintegrating children into their schools after pain becomes more manageable.
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