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+#REDIRECT [[Alternative medicine]]
-Integrative medicine combines mainstream medical therapies and [[Complementary medicine|complementary]] and [[Alternative medicine|alternative]] (CAM) therapies for which there is some high-quality scientific evidence of safety and effectiveness. <ref> National Center for Complementary and Alternative Medicine. (2007). What is CAM? Retrieved from http://nccam.nih.gov/health/whatiscam/ </ref>
-Integrative medicine is a phrase coined by [[Andrew Weil]], MD, to signify the blending of conventional [[biomedicine]] with complementary and alternative medicine practices to return wholeness, balance, and support to the self-healing process. Integrative medicine recognizes both the wisdom traditions of diverse healing systems and the advancements in clinical practice, research, public hygiene, and technology of modern biomedicine and allopathic care. <ref> California Institute of Integral Studies, Integrative Health Studies. (2010). Program Description: Glossary of Terms. San Francisco: California Institute of Integral Studies.</ref> Dr. Andrew Weil goes on to clarify that integrative medicine as a “healing-oriented medicine that takes account of the whole person (body, mind, and spirit), including all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative.” <ref> Lemley, B. (n.d.) What is Integrative Medicine? Retrieved on June 25, 2010 from http://www.drweil.com/drw/u/ART02054/Andrew-Weil-Integrative-Medicine.html</ref>
-During the Summit on Integrative Medicine and the Health of the Public in Washington, DC. in 2009, the [[Institute of Medicine]] wrote, “integrative medicine can be described as orienting the health care process to create a seamless engagement by patients and caregivers of the full range of physical, psychological, social, preventive, and therapeutic factors known to be effective and necessary for the achievement of optimal health throughout the life span. Integrative medicine envisions a health care system that focuses on efficient, evidence-based prevention, wellness, and patient-centered care that is personalized, predictive, preventive and participatory.” <ref>Institute of Medicine of the National Academies. (2009). Integrative Medicine and the Health of the Public: A Summary of the February 2009 Summit. Retrieved from http://www.iom.edu/Reports/2009/Integrative-Medicine-Health-Public.aspx</ref> Integrative Medicine also “encourages patients, doctors, and complementary practitioners to work as a team for the best possible outcome.” <ref> Peters, D. & Woodham, A. (2000). The complete guide to integrative medicine. New York: Dorling Kindersley.</ref>
-There is no standard definition of Integrative Medicine and many different terms (integrative healthcare, integrated medicine, multidisciplinary care, holistic medicine) can describe the concept of melding complementary and alternative medicine with conventional medical care. <ref> Boon, H., Verhof, M., O’Hara, D., Findlay, B., & Majid, N. (2004). Integrative healthcare: Arriving at a working definition. Alternative Therapies, 10(5), 48-56. </ref>
-== Recent History ==
-* 1991: The National Institutes of Health created the Office of Alternative Medicine.
-* 1998: The Office of Alternative Medicine’s status was upgraded from office to center and renamed [[National Center for Complementary and Alternative Medicine|The National Center for Complementary and Alternative Medicine (NCCAM)]]. <ref>Whorton, J.C. (2002). Nature cures: The history of alternative medicine in America. New York: Oxford University Press. </ref>
-* 1993: [[Bill Moyers]]’ “[http://www.ambrosevideo.com/items.cfm?id=376 Healing and the Mind]” aired and was a first introduction to many on how thoughts, emotions, and mood can impact physical health.
-* 1994: [[Andrew Weil|Dr. Andrew Weil]] founded the Arizona Center for Integrative Medicine that currently offers a 1,000 hour fellowship for doctors, nurse practitioners, and physician assistants and conducts research in integrative medicine.
-* 2001: Eisenberg, Kessler, and Van Rompay et. al. publish their landmark study on complementary and alternative medicine usage in America. They found 67.6% of respondents used at least one CAM therapy in their lifetime and nearly half continued to use CAM therapies years later.<ref> Kessler RC, Davis RB, Foster DF, Van Rompay MI, Walters EE, Wilkey SA, Kaptchuk TJ, & Eisenberg DM. (2001). Long-term trends in the use of complementary and alternative medical therapies in the United States. Annals of Internal Medicine. 135(4), 262-8.</ref>
-* 2002: A [http://www.ahc.umn.edu/cahcim/ Consortium of Academic Health Centers in Integrative Medicine] was created and currently includes 44 academic medical centers.
-* 2004: The [http://www.accahc.org/ Academic Consortium for Complementary and Alternative Health Care] was formed to promote policies and action to advance integrated health care.
-* 2009: The Institute of Medicine held a [http://iom.edu/Activities/Quality/IntegrativeMed.aspx Summit on Integrative Medicine] (SIM), gaining respectability with high-level evaluators.
-Further information: [[History_of_alternative_medicine|History of Alternative Medicine]]
-== Conceptual Framework ==
-Integrative Medicine is based on understanding the whole person, not just the physical symptoms. Integrative Medicine is more than just adding up conventional and alternative therapies; it also involves figuring out what the underlying reasons are of why the client is ill and seeking the best solutions based on the client’s personal beliefs and situation.
-Many Integrative Medicine practitioners have several guiding principles behind their practice, and although they may vary in specifics, they all emphasize a partnership between the practitioner(s) and the client, the use of the body’s innate healing response, a broad definition of health and disease that incorporates mind, body, and spirit, and openness to a broad range of modalities.
-Some major principles of integrative medicine are:
-* A partnership between patient and practitioner in the healing process
-* Appropriate use of conventional and alternative methods to facilitate the body's innate healing response
-* Consideration of all factors that influence health, wellness and disease, including mind, spirit and community as well as body
-* A philosophy that neither rejects conventional medicine nor accepts alternative therapies uncritically
-* Recognition that good medicine should be based in good science, be inquiry driven, and be open to new paradigms
-* Use of natural, effective, less-invasive interventions whenever possible
-* Use of the broader concepts of promotion of health and the prevention of illness as well as the treatment of disease
-* Training of practitioners to be models of health and healing, committed to the process of self-exploration and self-development<ref> Lemley, B. (n.d.) What is Integrative Medicine? Retrieved on June 25, 2010 from http://www.drweil.com/drw/u/ART02054/Andrew-Weil-Integrative-Medicine.html</ref>
-== Components of Integrative Health ==
-The [[National Center for Complementary and Alternative Medicine|National Center for Complementary and Alternative Medicine (NCCAM)]] categorizes the different modalities of integrative medicine in the following categories:
-* Domains – whole medical systems
-* Mind-body medicine
-* Biologically-based practices
-* Manipulative and body-based practices
-* Energy medicine
-Further information: [[List of branches of alternative medicine]]; [[Conventional medicine]]; [[Allopathic medicine]]
-===Healing Circle===
-An emerging practice in integrative medicine is the Healing Circle. Some patients, typically with chronic diseases, have consulted with multiple conventional and CAM practitioners over the years with unsatisfactory results. The Healing Circle brings this patient in with three to eight practitioners from a variety of disciplines. The patient writes a statement of why they are requesting a healing circle and their physical, emotional, and spiritual autobiography. The patient also meets with a health guide or navigator in advance to determine which medical and health disciplines should be invited and each panelist reviews the patient’s statements in advance.
-The Healing Circle meets in person with the patient, health guide, and invited practitioners for approximately two hours in a private setting. After introductions, the patient describes why she has requested a circle and what her goals are. The practitioners address the patient directly about her health concerns, offering ideas about treatment strategies from his expertise. The health guide facilitates the discussion. The responsibility to help the patient is shared with all members of the panel and no one practitioner is responsible for finding a solution.
-After the circle is completed, the health guide writes a summary of the practitioner’s recommendations. No action is also an option. The health guide meets with the patient within two weeks of the healing circle to discuss next steps in her treatment plan.
-Benefits from healing circles include
-• Patients receive immediate practical information on resolving their condition from a variety of disciplines.
-• Patients may feel more empowered to explore their psychospiritual problems and the meaning and root of their illness.
-• Profound healing can occur in the circle from group interconnectedness. The relationship between the patient and practitioner, and between the practitioners, can deepen and be healing in itself.
-Few integrative clinics offer healing circles. Typically the practitioners are not compensated for their time. <ref>Saputo, L. & Belitsos, B. (2009). A return to healing: Radical health care reform and the future of medicine. San Rafael: Origin Press. </ref>
-==Notes==
-<references />