MCWR’s Mission

Provide viable, evidence-based, outcomes focused, multidisciplinary services to the appropriately identified patient population to meet their foremost rehabilitation needs while also assuring the delivery of the highest quality of care offered to the surrounding medical community, local employers, and superintendent insurance carriers.

Vision

To assist and empower you, the person served, with the means to identify and overcome any rehabilitation barrier that may limit your post-injury restoration. This will be accomplished by addressing the medical, psychological, functional, behavioral, physical, and vocational factors that may challenge or impede an optimal recovery; and by developing an individualized plan of care that incorporates evaluation, education, training, conditioning, and various therapeutic measures provided by our multidisciplinary team of professionals.

Our integrated approach incorporates the best-proven medical, rehabilitation, vocational, and bio-behavioral parameters. These components are tailored into an individualized plan of care to meet your specifically defined needs. By empowering you to overcome your unique physical, emotional, vocational, and perceptual barriers, and by providing you viable solutions to facilitate your full recovery toward optimizing your capabilities. You will then recover your full potential to reclaim your fullest lifestyle both personally, professionally, and socially.

Scope of Services

All our services are provided in an outpatient setting. Depending on your individual needs, the program your referring physician has recommended will adhere to the requirements and standards mandated by the State of Texas and the Texas Department of Insurance. Clinical services are available 8am to 5pm, Monday through Friday. Appointment dates and times can be modified to accommodate most any individual need provided that such modifications or preferences are discussed early upon program admittance. Program participation is contingent upon our ability to obtain Insurance authorization and approval. Persons served are to be 18 years of age or older prior to program entry.

All program candidates receive a thorough medical evaluation prior to program entry to identify any condition that would limit or restrict their safe participation in the program. As a CARF compliant facility, MCWR’s central obligation is to identify and remove any barrier that may restrict full and safe participation of any authorized candidate in our programs. MCWR personnel receive regular training, and our program design makes every effort, to assure the appropriate level of respect, understanding, and courtesy is provided to each person served within the program in regard to their cultural or dietary needs, ethnic background, national origin, religious perspective, sexual orientation, physical impairment, and/or disability status.

The fees associated with our programs are regulated by the State of Texas and are based on 125% of Federal Medicare fee guidelines. Payment for our services and your program participation is provided by most Insurance Carriers which can include subscribing or non-subscribing employer groups, independent insurance companies, group insurance providers, or Employer Networks. No fees will be billed to program participants that receive funding from a Worker’s Compensation carrier. Referrals to any of our programs may be made by a medical physician, physician assistant, nurse practitioner, or chiropractor. Nurse case managers and/or insurance adjustors can also make referrals for services although a prescription must be provided by an appropriate licensed health care provider as noted above.

*CARF & CARF International is the Commission for the Accreditation of Rehabilitation Facilities and provides one of the highest and most stringent certifications obtainable by a clinical facility.

Multi-Disciplinary Rehab Programs
(for Non-Worker’s Comp patients)

Functional Restoration and Bio-Behavioral Rehab Program

At Medical Center Physical Therapy (MCPT) we provide multi-disciplinary treatment approaches for patients recovering from injuries, surgeries, or conditions where the outcome has become prolonged and/or non-optimal. This includes individuals who have received sufficient medical treatment but have been unable to recover and return to a reasonable quality of life. In these cases the expectant outcome has been jeopardized by a combination of barriers consisting of chronic pain, psychological obstacles to recovery, and inadequate functional restoration. Our integrated approach incorporates the best proven medical, rehabilitation, and psycho-behavioral components tailored into a comprehensive program to meet the special needs of this challenging patient population.

We offer three (3) specialized programs for such patients which are supervised and implemented by our highly trained and compassionate team of clinicians. We are dedicated to working with each patient to build their bridge of physical and emotional healing toward a full recovery. Addressing each individual’s physical, mental, vocational, and bio-behavioral barriers, provides the required solution to facilitate each patient’s full recovery toward reclaiming their life – personally, professionally, and socially. Following our evaluation, we will typically recommend one of the following Plans of Care:

Functional Restoration Program (FRP)

  • Comprehensive, evidence-based program addressing burden and suffering associated with Chronic Pain
  • Utilizes an interdisciplinary team of medical, psychological, physical, and vocational specialist
  • Designed to specifically address the complex interplay of factors involving both behavior and function
  • Eliminates challenging behavioral barriers that prevents the return to a full lifestyle
  • Designed for patients with debilitating pain patterns, exhibit reliance upon narcotics for functioning, have exhausted medical options, and/or have had sub-optimal responses to medical treatment
  • Often experience depression, anxiety, fear-avoidance, and mental distress that challenge their recovery
  • Provides the means for each patient to achieve a fuller, more optimum recovery

Physical Therapy with Adjunctive Behavioral Medicine Services

  • A multi-disciplinary team approach enlisting Physical Therapist and Behavioral Health Counselors to address the potentially limiting behaviors and barriers that prevent a full recovery
  • Patients receive physical activity training and individual counseling
  • Beneficial with patients who require behavioral specialist involvement in order to address more significant behavioral barriers that limit rehab potential
  • Often targeted for patients struggling with high levels of anxiety and depression, low self-esteem, increased feelings of perceived injustice and disability, low-motivation, and significant fear-avoidance behaviors
  • Can be very effective for the treatment and rehab of patients with Chronic Pain Syndrome, Post-Traumatic Stress Disorder, Mood Disorders, and Adjustment Disorder

Bio-behavioral Rehabilitation

  • Consists of Physical Therapy provided within a structured cognitive behavioral model
  • Involves specialized patient training enlisting one-on-one Bio-behavioral Rehab techniques
  • Especially beneficial for patients with unusually high anxiety levels or significant fear-avoidance behaviors

Multi-Disciplinary Rehab Programs
(for Worker’s Comp patients)

Return to Work Programs
(patient/employee has a job to return to)

Work Conditioning Program

Work conditioning is an intensive, work related, goal oriented conditioning program designed specifically to restore systemic neuromusculoskeletal functions (e.g., joint integrity and mobility, muscle performance (including strength, power, and endurance), motor function (motor control and motor learning), range of motion, (including muscle length), and cardiovascular/pulmonary functions (e.g. aerobic capacity/endurance, circulation, and ventilation and respiration/gas exchange). The objective of the work conditioning program is to restore physical capacity and function to enable the patient/client to return to work.

Interdisciplinary Work Hardening Program

Work Hardening is a highly structured, goal oriented, individualized treatment program designed to maximize the individual’s ability to return to work. Work Hardening programs, which are interdisciplinary in nature, use real or simulated work activities in conjunction with conditioning tasks that are graded to progressively improve the biomechanical, neuromuscular, cardiovascular/metabolic, and psychosocial functions of the individual. Work hardening provides a transition between acute care and return to work while addressing the issues of productivity, safety, physical tolerances, and work behaviors.

Tertiary Care Programs
(for cases where all medical care has been exhausted)

Interdisciplinary Chronic Pain Program

Chronic Pain is a psychobehavioral-social disorder where pain and suffering become the central focus for the patient/worker. It can define their complete existence. Chronic Pain can manifest alongside marginal pathological findings and may be devoid of objectifiable measurement. As a result of an inadequate clinical response to standard/routine medical treatment to address the pain cycle, the patient-worker can become depressed, anxious, fearful, and mentally distressed. This creates a real, definable medical condition where they are unable to function effectively within a normal work setting. For the injured worker the inability to fully attend to essential personal needs creates tangible barriers that prevent productive lifestyle reintegration. If not successfully identified and treated, Chronic Pain becomes a complex and multifactorial disorder. As with any disorder of this magnitude, a specific treatment methodology that will address the unique needs of the languishing patient/worker is needed.