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The economic burden of pain-related work-disability is undeniable, although it may be exceeded by even larger costs in terms of human suffering. Pain-management programs have generated mixed occupational outcomes, and clinicians face a bewildering array of variables involved in this process. It is proposed that pain management is necessary for successful occupational rehabilitation, although it is not usually sufficient. A pilot project was conducted to test the hypothesis that outcomes could be improved by simultaneously addressing the problems of chronic pain, and long-term unemployment. The outcomes at 3- and 15-months postdischarge from an intervention group...