Holism at the National Intrepid Center of Excellence (NICoE)

Foote, Frederick O.; Schwartz, Lauren

doi:10.1016/j.explore.2012.06.006

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…Based on this review, specific, effective interventions to address the polytrauma triad include mindfulness (which may include breathing techniques), CBT, acupuncture, chiropractic, and yoga. These are among the modalities practiced by innovative residential programs such as those at the National Intrepid Center for Excellence (NICoE) [ 123 ] and the Cincinnati VA Medical Center [ 124 ]. Notably, chiropractic and acupuncture are among the most widely provided integrative modalities at MTFs [ 4 , 19 ], which is consistent with a focus on the relief of chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Use of Integrative Medicine in the United States Military Health System

Madsen

Vaughan

Koehlmoos

2017

Evidence-Based Complementary and Alternative Medicine

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Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a “whole person” approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature “polytrauma triad” of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS). These modalities range from conventional nondrug, nonsurgical options such as cognitive-behavioral therapy to nonconventional options such as acupuncture, chiropractic, and mind-body techniques. These are of particular interest for their potential to relieve symptoms without relying on opiates, which impair performance and show high potential for abuse while often failing to provide full relief. This review describes the use of IM in the MHS, including definitions of the model, common therapies and potential for use, and controversy surrounding the practice. More research is needed to build a comprehensive usage analysis, which in turn will inform sound clinical and financial practice for the MHS and its beneficiaries.

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Section: Discussionmentioning

confidence: 99%

Use of Integrative Medicine in the United States Military Health System

Madsen

Vaughan

Koehlmoos

2017

Evidence-Based Complementary and Alternative Medicine

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“…Family intervention follows an 8-session model called Families Overcoming Under Stress (FOCUS), a well validated program of family strengthening and education. 34 Families also receive intensive wellness training. NICoE Wellness program staff members (including full-time employees in nutrition, exercise/recreation, CAM, and arts therapy, as well as a chaplain and an integrative medicine program manager) produce detailed wellness plans for each patient and family.…”

Section: The Epidaurus Projectmentioning

confidence: 99%

“…In addition to general “healing environment” features, the NICoE building is specifically tailored to facilitate these program components. 35 Dr Foote and other Epidaurus Project members were heavily involved in the design and care programming of the NICoE. 34 – 36 …”

Section: The Epidaurus Projectmentioning

confidence: 99%

“…35 Dr Foote and other Epidaurus Project members were heavily involved in the design and care programming of the NICoE. [34][35][36] A research program as ambitious as NICoE's takes time to develop, and the facility has been operating for only about a year. Significant improvements already have been shown in TBI/PTSD symptom scores and in patient self-reports over the 4-week NICoE stay (J. Reed, MD, oral communication).…”

Section: Featurementioning

confidence: 99%

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Holistic Care in the Us Military I—-The Epidaurus Project: An Initiative in Holistic Medicine for the Military Health System, 2001—2012

Foote

Bulger

Frampton

et al. 2012

Glob Adv Health Med

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This article describes the history and findings of the Epidaurus Project, a Uniformed Services University–affiliated project to bring holistic care and evidence-based design into the Military Health System (MHS). A distinguished group of civilian thought leaders contributed. The 2005 Base Realignment and Closure process offered a chance to implement the Epidaurus agenda. A new integrated healthcare delivery system, centered around the Walter Reed National Military Medical Center at Bethesda, Maryland, was the result. These facilities will be templates for a new generation of MHS “healing environments” and a model for innovative systems of healthcare nationwide. The Epidaurus Project represents a significant collaboration between civilian medicine and the military in times of war.

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