The Progressive Goal Attainment Program (PGAP®)

The Progressive Goal Attainment Program (PGAP®) is an evidence-based treatment program targeting psychosocial barriers to recovery and rehabilitation for clients suffering from debilitating health or mental health conditions. It is a highly researched standardized intervention for reducing disability associated with a wide range of debilitating health and mental health conditions. The PGAP is supported by empirical data and has been demonstrated to reduce disability and contribute to successful return-to-work in individuals with conditions including back pain, whiplash, fibromyalgia, cancer, depression, and PTSD.

The primary goal of the PGAP is to reduce psychosocial barriers to rehabilitation progress. This goal is achieved through the use of evidence-based techniques specifically designed to target psychosocial risk factors.

The PGAP includes:

• Cognitive-behavioural techniques such as thought-monitoring and reappraisal;

• Behavioural techniques such as graded exposure and goal setting;

• Relational techniques such as disclosure and validation.

The PGAP would be considered a CBT intervention, with a primary focus on behaviour change. CBT techniques have been adapted such that ‘disability reduction’ is the central objective of treatment as opposed to symptom management.

Finally, the evidence base speaks clearly in favour of the PGAP, particularly as it pertains to return-to-work outcomes. In all clinical trials of the PGAP, return to work has been the primary outcome variable. A list of scientific publications supporting the use of the PGAP as a return-to-work intervention can be accessed through the www.PGAPworks.com website.

Within our team, both Kelly Alderson and Cass Hill are trained and experienced in the provision of the Progressive Goal Attainment Program. We have found it to be of extreme benefit to the majority of clients who have engaged in the program. For more information on how the PGAP can assist you or your clients or to find out more information regarding this service, please feel free to contact us for further discussion.