1.) What does CWR do?
The mission of Corporate Wellness Resources (CWR) is to provide new opportunities for self-funding institutions to reduce their healthcare utilization and costs through improving the health and performance of employees and other covered individuals. CWR offers unique and cost-effective large group programs to rapidly and significantly reduce and often eliminate chronic pain, stress, and symptoms of stress related illnesses, which are some of the highest healthcare cost drivers. Our philosophy is that health must be improved for healthcare utilization and costs to decrease. Our program methods and approaches have been proven in clinical studies to achieve these health improvements and increased performance, which can lead to substantial cost savings for payers of healthcare services (including corporations, governments, and other institutions). Program participants are provided tools for use after programs end to maintain and extend the health and performance benefits gained during programs. Thus, as healthcare utilization and costs are reduced and performance is improved over the long-term, profitability is further enhanced.
2.) What types of conditions do CWR’s group programs address?
CWR’s approach to interrupting automatic patterns addresses conditions such as:
- Chronic pain (e.g. back, neck, hip, shoulder, knee, headache, arthritis, etc.)
- Automatic, repetitive, and often prolonged stress reactions in response to life circumstances (we experience stress when we are triggered to react in ways we don’t want)
- Symptoms of stress-related conditions (e.g. sleep disturbance, headache, anxiety, depression, fatigue, high blood pressure, diabetes, among many others)
- Undesired eating habits
- Undesired smoking and use of other tobacco products
- Excessive use of alcohol
- Unworkability in important relationships
3.) What are the approaches used in CWR’s group programs?
Some of the approaches used in our group programs include:
- Future Visioning: to shift the focus from past results to achieving rapid health improvement moving forward.
- Guided Relaxation: to recognize and interrupt automatic patterns that contribute to pain and stress and unwanted results in other areas of life.
- Effective Muscle Release©: to identify and release overly contracted muscles to relieve pain and stiffness and increase mobility and postural alignment.
- Effective Communication Skills: to eliminate miscommunication stress, since a large proportion of stress can be triggered in communication.
- Health Activities at home/work: to empower participants to accomplish sustained improvement in health and performance.
- Long-term Support Tools: to maintain and enhance long-term health improvement far beyond the end of programs (a key
4.) How can CWR’s programs effectively address such a variety of ill-health conditions in the same group program?
A wide variety of ill-health conditions can be addressed in the same group program because people have their own unique set of automatic habits and patterns that drive automatic stress reactions; these contribute to and exacerbate their ill-health conditions. Whether it’s chronic back, neck, hip, shoulder, knee, or headache pain; or stress-related conditions such as sleep disturbance, anxiety, depression, fatigue, or high blood pressure; there is an automatic pattern that restricts behavioral change. The proprietary technique of “automatic pattern interruption” used in the programs can relieve the physical, mental, and emotional components comprising the automatic patterns of thinking, speaking, listening, viewing the world and their future, moving and stress reactions that reinforce the expression of chronic pain, stress, or certain stress-related illnesses. Participants learn to recognize and interrupt their automatic patterns that have developed during their lifetime. Once these patterns are recognized and interrupted, participants are free to make rapid, desired changes. This is the heart of accelerated behavioral change that is accomplished in CWR programs. Recognizing and interrupting automatic patterns is like riding a bicycle; once learned, always remembered. Anytime the automatic pattern expresses, it can be interrupted. This promotes the long-term benefits that can be achieved in a wide variety of conditions.
Accelerated learning techniques and mind-body approaches are used to accomplish automatic pattern interruption and guide the changes participants will make to improve health. They learn: 1) construction of a new future vision of optimal health to replace a view that their conditions must be managed rather than resolved; 2) new strategies for relaxing and breathing properly to interrupt automatic stress reactions; 3) movement education routines to relax and release muscles in excess contraction that contribute to pain, fatigue, and restricted movement; 4) communication techniques to eliminate miscommunication stress and support workability in all conversations; 5) release of unwanted thoughts and replacement with thoughts that support achieving optimal health. These are some of the many program elements that empower rapid behavioral changes for producing desired results.
5.) How effective are CWR’s group programs?
The roots of “automatic pattern interruption” originated with some of Dr. Bob Levine’s training starting in the early 1990’s. He and Charlene Levine have worked together to develop and package the approaches used in CWR programs. When Dr. Levine worked as the Director of the Center for Integrative Wellness for Henry Ford Health System (HFHS), he and his team further developed and tested many of the approaches used in CWR programs. During the five-year period from 2007 to 2011, over 2,500 participants with a variety of backgrounds (including employees from Chrysler, HFHS and Dow Chemical) attended over 30 group programs focused on relieving pain and stress. Dr. Levine brought to those programs the importance of tracking, not only pain reduction, but pain elimination. Pain elimination without masking symptoms with pharmaceuticals is the ultimate objective for all of healthcare. In the studies carried out at HFHS, nearly 40% of all chronic pain conditions were eliminated, including pain in the back, neck, hip, shoulder, knee, among others. During the first group program in 2007 with Chrysler employees reporting chronic back pain, 55% of reporting participants eliminated their pain by the end of the program. Over the 5-year period, chronic headaches were eliminated by the end of the program in 45% of those people who reported this condition at the start. Over 40% of people reporting arthritis at the start of programs were pain free by programs end. Medication usage was also reduced or eliminated in a majority of participants. Current CWR group programs represent the next generation of high performance, results-oriented programing with the latest enhancements developed by the CWR team.
6.) How does CWR measure the effectiveness of their group programs?
CWR uses a sophisticated computerized survey system to track health outcomes using validated measures. Some of the outcome measures assessed by surveys before program start, at the program end, and at intervals after program end include:
- Acute and chronic pain, reduction and elimination (0-10 Numeric Rating Scale-NRS)
- Stress, reduction and elimination (0-10 NRS and Perceived Stress Scale)
- Disability (Oswestry Disability Inventory)
- Sleep quality (Pittsburgh Sleep Quality Index)
- Anxiety (0-10 NRS)
- Depression symptoms (PHQ-9)
- Fatigue (0-10 NRS)
- Work Life Quality
- Changes in medication usage
Reports of anonymous grouped data are provided to clients and CWR works with clients to assess cost saving achieved by program participants.
7.) How can the health improvement results obtained in CWR’s programs be maintained long-term?
The main reason why health improvements are sustained is that participants in CWR programs understand the importance of taking responsibility for their health. They identify how their automatic patterns have kept them from realizing this value and through automatic pattern interruption they are free to adopt the position of being responsible for their health. This aids them in making rapid changes and engaging in the home and work activities that are part of the program to be accomplished between sessions and beyond the end of the program. Participants’ abilities to interrupt their automatic patterns remain with them long after the programs end. They are able to continue to interrupt patterns on a regular basis, which allows for sustained behavioral change and sustained health improvement. They continue to use the tools and information learned to maintain a more healthful state.
8.) What is the format for CWR’s programs?
CWR group programs are delivered on site for maximum efficiency and convenience for our clients. Programs generally include 12-16 contact hours, including internet-based and telephonic learning. This occurs over a 6 to 10 week period to ensure that changes made by participants are long lasting. Pricing per participant can be substantially lower than costs for conventional medical interventions (e.g. physical therapy, surgeries and procedures, behavioral services, etc.) and often the need for these services is either reduced or eliminated (hence, cost savings).