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Integrative Health Funder Network Breakfast Lori Knutson RN, HNB-BC Senior Director, Health and Wellness Services, Touchstone Mental Health, Minneapolis, MN

Integrative Health Funder Network Breakfast

Overview

• Integrative Health Defined

• The Time is Now

• The New Science

• Integrative/Integrated

• A Community Health Model

Integrative Health

• Holistic Health: Philosophy (the whole is greater than the sum of the parts, presence, values/attitude/belief).

• Integrative Medicine/Functional Medicine (subspecialty of medicine).

• Traditional Healing (Native American, Traditional Oriental Medicine, Ayurveda).

• Complementary Therapies (massage therapy, biofeedback, aromatherapy, guided imagery, healing arts).

• Nutraceuticals (nutrients, supplements, herbal products, specific diets).

• Allopathic Healthcare

Fundamentals of Integrative Health

• Empowering individuals with the knowledge, skills, tools, and resources for optimal health (Self Care—True Primary Care)

• Nutrition (Food as Medicine)

• Physical Activity (Functional Capacity)

• Mind Body Connection (Psychoneuroimmunology)

• Purpose and Meaning (Connection to Something Greater than Oneself)

Integrative Health: The Time is Now

Our Current State of Health Affairs

60 million with high blood pressure

40 million arthritis

10 million - asthma

30 million - clinical depression

23 million - migraine headaches

60 million obese

20.8 million - diabetes

Inflammatory conditions

Depression results in more absenteeism than almost any other physical disorder and costs employers more than $51 billion per year in absenteeism and lost productivity, not including high medical and pharmaceutical bills. *

*According to a 2004 Rand Corporation report.

Integrative Health National Impact

• The U.S. government recently announced that it will spend $21.7 million over five years to investigate non-drug approaches to pain, PTSD, substance use, and sleep disorders.

• The U.S. Health Resources and Services Administration, Bureau of Health Professions, Division of Public Health and Interdisciplinary Education, recently awarded $1.7 million grant to establish a Center for Integrative Medicine in Primary Care.

• Effective January 2015, the Joint Commission standards for pain management in ambulatory settings now include non-pharmacologic strategies such as acupuncture, massage therapy, relaxation therapy, and cognitive behavioral therapy.

Section 2706 “Non-Discrimination in Health Care”

“expressly forbids health insurance providers to discriminate…..against any health care provider who is acting within the scope of that providers license or certification under applicable

State law”

The New Science in Health and the New Science in Healthcare

It is estimated

that 85% of

health

problems are

stress related

Lifestyle: Primary Impact on Health

and Wellbeing

The New Medicine

• Functional Medicine

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The New Science in Health: Epigenetics

• Epigenetics Controls Genes. Certain circumstances in life can cause genes to be silenced or expressed over time. In other words, they can be turned off (becoming dormant) or turned on (becoming active).

• Epigenetics Is Everywhere. What you eat, where you live, who you interact with, when you sleep, how you exercise, even aging – all of these can eventually cause chemical modifications around the genes that will turn those genes on or off over time.

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A Revolution in Health

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Nessa Carey, PhD Virology, Human Genetics, Molecular Biology University of Edinburgh Senior Lecturer in Molecular Biology at Imperial College, London

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Epigenetics

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Functional Medicine

Integrative/Integrated:

There is no health without mental health.

Implications of Mental Illness

• Mind Body Disconnection

• Chronic Disease

• Significant Disempowerment

• Isolation

• Social Imperative

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Integrative Mental Health

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Molecules of Emotions

Mind Body Connection

Back to the Basics

FOOD as MEDICINE

Fig.?1 Overview of links between Mediterranean-style diet and healthy brain function via plant compounds/nutrients.

Natalie Parletta , Catherine M. Milte , Barbara J. Meyer

Nutritional modulation of cognitive function and mental health

The Journal of Nutritional Biochemistry Volume 24, Issue 5 2013 725 - 743

http://dx.doi.org/10.1016/j.jnutbio.2013.01.002

PHYSICAL ACTIVITY as MEDICINE

•Increases serotonin in the brain which regulates sleep/wake cycles, mood, and appetite. •Releases endorphins which produce feelings of well-being. •Offsets the fight or flight (stress/cortisol) response; a release for stress

Physical Activity

MIND BODY CONNECTION

Thoughts and Physiology

“If you want to know what your

thoughts were yesterday look at

your body today; if you want to

know what your body will look like

tomorrow look at your thoughts

today”

Veda Text

“You should sit in meditation

twenty minutes every day – unless

you are too busy; then you should

sit for an hour”

Old Zen adage

Relaxation Technique

• No cost

• Natural

• Available 24 hours a day,

• 365 days a year

Relaxation Response

Epigenetic Therapy: Psychobiotic

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Probiotics

Psychobiotics and Cortisol, GABA, Neurotransmitters, and Oxytocin

Spirituality

Spiritual Health

SpiritualityThat which gives

meaning and purpose to ones

life

A Community Health Model: Integrative and Integrated

Community Integrative Health Model

• Nurse Lead (Executive Leader and Clinical Leader)

• Dietitian

• Fitness Specialist

• Health Coach

• Acupuncturist

• Massage Therapist

• Primary Care Without Walls (Mobile Unit)

Touchstone Mental Health

Wellness Plan

Fitness Specialist

Nutritionist

Health and Wellness

Nurse Practitioner

Core Components

Gut Health Blood Sugar

Balance Nutrition

Detoxification

Adrenal Function Sleep

Movement

Mind-body Connection

Thyroid Function

Neurotransmitter &

Hormone Balance

Purpose Spirituality

Environment

Relationships Wellness

Care Model

©2014 Laura Sandquist DNP, CNP, RN

Communit

y Hea

lth and

Wellness Cen

ter

Touchstone’s Community Health and Wellness Center

Education & Training

Business Model for Success

• Minnesota Health Care Program (Medical Assistance)

• Hennepin Health (Public ACO)

• Commercial Payer (HealthPartners)

• Sliding Scale

• Philanthropy

Building the Data & Research Infrastructure

New Program Innovations

Gaps in Health and Wellbeing: Opportunity for Funding

• Awareness—Build a Campaign

• Knowledge---Experiential Learning

• Skills---Training in skills that minimize stress and build resilience.

• Resources (coordination)---Health Coaching

• Access----Build community access in the places that people live and work.

• Research:

Living Laboratory (Real Life) and Clinical

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Mind-Body-Spirit

“If the body is sick the mind worries and the spirit grieves; if the mind is sick the

body and spirit with suffer from its confusion; if the spirit is sick there will be

no will to care for the body or mind”

J.R. Worsley, Acupuncturist