clinical education

Focus on Psychological Flexibility Skills for the Human Rehabilitation Framework (HRF-ACT)

Course Description

This course is designed to explore and apply the six core Acceptance and Commitment Therapy (ACT) psychological flexibility processes within the Human Rehabilitation Framework (HRF). This highly specialized course seamlessly blends expert-led lectures, practical skills development, and comprehensive case studies, all aimed at optimizing the clinical application of psychological flexibility skills. By actively participating in this multifaceted approach, participants will develop the necessary knowledge and skills to effectively integrate ACT principles within the HRF, thereby cultivating psychological flexibility and enhancing patient outcomes.

Course Background​

The study of movement and pain has undergone significant changes in the last four decades as increased effort to move healthcare from a biomedical to biopsychosocial approach for care. The Human Rehabilitation Framework (HRF) is the world’s first biopsychosocial process-based approach to rehabilitation, accessible by all disciplines to deliver care in a transdisciplinary manner. It addresses the criticisms of the Biopsychosocial (BPS) Model and is an evolutionary step forward for Evidence-Based Practice (EBP), providing a new perspective that synthesizes scientific evidence, clinical practice, and personalized care. The HRF is based on the scientific philosophy of Functional Contextualism and replaces differential diagnosis, Clinical Practice Guidelines (CPGs), Clinical Prediction Rules (CPRs), and Clinical Pathways with a process-based approach for evaluation and intervention. It supports advances in personalized precision medicine and the value-based care model and is designed to be ready for the future of biomedicine and biopsychosocial research.

Course Target Audience: Physical Therapists, Athletic Trainers, Occupational Therapists, Chiropractors, Physical and Occupational Therapist Assistants, Massage Therapists, Counselors/Social Workers, Nurses/Nurse Practitioners, Osteopaths, Physicians, Rehabilitation Professional Students

Course Objectives

  1. Understand Core Concepts – Introduce participants to the fundamentals of psychological flexibility, the Human Rehabilitation Framework (HRF), and Acceptance and Commitment Therapy (ACT).

  2. Develop Practical Skills – Equip participants with evidence-based skills in psychological flexibility for use in clinical and personal settings.

  3. Explore Models and Theories – Familiarize participants with the EEMM and EEMM-HRF models, functional analysis, multilevel selection theory, applied evolutionary science, and network theory.

  4. Examine Real-world Applications – Discuss actual clinical cases and explore different ACT variants to demonstrate the practical utility of the course material.

  5. Introduce Prosocial Concepts – Explore the progression of individual development toward shared purpose and vision, focusing on collective action and co-evolution as outlined by the Prosocial Core Processes.

  6. Explore Cutting-Edge Developments in Clinical Decision-Making – Examine how EEMM-HRF, idiographic analysis, and emerging technologies are reshaping the future of clinical reasoning and skillful interventions.

Current Offerings


Unlock the flexibility to learn at your own pace with our captivating online edition.

Course Instructors

Dr. Leonard Van Gelder is a clinician, coach, researcher, & educator. He is a co-founder of, and serves in leadership roles for, the Institute of Contextual Health. He has been involved in the movement and rehabilitation field for over 20 years. During this time, he has studied, published research, and presented at regional and international conferences on the science of movement and pain. He has explored a diverse spectrum of manual therapy and movement approaches, and emphasizes a biopsychosocial approach to movement, manual therapy, and education in his practice. Leonard is the creator and lead developer of the Human Rehabilitation Framework (HRF).

Dr. Eddie O’Connor is a professional speaker and both clinical and sport psychologist, specializing in removing barriers to peak performance. He is a Fellow and Certified Mental Performance Consultant through the Association for Applied Sport Psychology, and member of the United States Olympic Committee Sport Psychology Registry. Dr. Eddie has worked with youth, high school, collegiate, national and international, Junior Olympic and professional athletes and coaches, as well as performing artists and musicians. Dr. Eddie is frequently sought after by media, appearing regularly on FOX News in Grand Rapids, a featured guest on SiriusXM’s Doctor Radio, and quoted in,, Los Angeles Times, Runner’s World,, and He is author and host of “The Psychology of Performance: How to Be Your Best in Life” by The Great Courses, quoted in the New York Times as being the “Netflix of learning” who recruit “the world’s greatest professors” that “are truly special.” An international presenter with over 350 speaking engagements and media appearances, Dr. Eddie delivers a powerful and entertaining message to his audience. Dr. Eddie is the owner of where he writes, has courses, and provides individual mentorship as well.



Course Schedule


  • General Introduction
  • Dimensions Overview

ACT General Overview

  • Overview
  • Creative Hopelessness
  • Self-Compassion


  • Defusion
  • Defusion Reads
  • Cognitive Dimension


  • Presence
  • Presence Reads
  • Attention Dimension


  • Acceptance/Expansion
  • Acceptance/Expansion Reads
  • Emotion Dimension


  • Observing Self
  • Self Reads
  • Self Dimension


  • Values
  • Values Reads
  • Motivation Dimension

Overt/General Behavior

  • Committed Action
  • Committed Action Reads
  • Behavior Dimension

ACT Specific Tools

  • Choicepoint
  • Matrix

Putting Things Together 

  • Mix and Match Reads
  • Real Play Video Example

Functional Analysis-Networking-Outcomes

  • Networks and Outcomes

Other ACT Variants

  • ACT Variants

Prosocial Introduction

  • Prosocial

End of Course Interviews Between Leonard and Eddie

This course has been approved by The American Physical Therapy Association, Michigan Chapter for Physical Therapists and Physical Therapy Assistants for 15 CEUs and is eligible for PDR credit in the area of pain and symptom management for Michigan Physical Therapy Licensure.

Cancellation Policy

Cancellations received at least 7 business days before the event are 100% refundable. There will be no refund for cancellations received later. If participants register and do not attend, they are still responsible for full payment. Participants will need to contact IOCH via phone or email with a request for refund. IOCH will process the participant’s refund within 3-5 business days from the day the request is received.

Get Notified on Course Availability

Wish to host a course?

Contact us below for information on hosting a course at your facility!