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