Chronic noncancer pain (CNCP) is common in the general population as well as in people who have a substance use disorder (SUD) (Exhibit 1-1). Chronic pain is not harmless; it has physiological, social, and psychological dimensions that can seriously harm health, functioning, and well-being. As a multidimensional condition with both objective and…

Horses have always been appreciated by humans for their strength, beauty, and gentle demeanor. Children, especially, have gravitated toward them and many experience their first horseback riding lesson at a young age. However, horses can play a very different role in the lives of children and adults with disabilities. Hippotherapy is physical,…

It is estimated that 3.2% of Cuba's population of 11.4 million persons has a severe disability of some kind. Recent economic difficulties have, it may be assumed, had a negative impact on health service provision--which is free to all--and thus, on population health outcomes and nutritional levels. There is a traditional culture of family care for…

The primary purpose of this project was to establish a structured multi-disciplinary and interdisciplinary program of services for the traumatically spinal cord injured (SCI) clients at the West Virginia Rehabilitation Center. The program, conducted from July 1, 1979 to June 30, 1982, included services ranging from physical and mental restoration…