Disclosures All planners, presenters have disclosed relevant relationships with commercial interests and have no conflicts of interest to report. MNHPC 28 th Annual Conference April 8-10, 2018 www.mnhpcconference.org
Pathways to Healing: Person-Centered Outcomes of Complementary Services 2 Minnesota Hospice & Palliative Care Conference Tuesday, April 10, 2018
Time for Some Energy! 4
Three Questions to ponder as we talk about the Pathways model and our supporting research Is our health care system looking at the right data?? Is active participation in ones healing process cost effective?? What is the value of a Pathways in every community??
The greatest discovery of our generation is that human beings, by changing the inner attitudes of their minds, can change the outer aspects of their lives. William James
Who is Pathways A healing center in Minneapolis (formerly health crisis resource center ): -Provides complementary therapies, care, services and resources to people in lifethreatening or severe chronic health crisis, and their families- and caregivers. -Offer services for free at center, for fee in the community. 7
We see ourselves as part of Integrative Healthcare Pathways is a place to Explore a wide variety of educational programs, support groups, and complementary therapies Reflect on opportunities for self healing, connections with others, spiritual renewal, and empowerment Engage in creating social and spiritual capital volunteering and participating through Integrate new perspectives into a person s healing process
Who We Serve Participants with: Life Threatening Illness Severe Chronic Illness or Pain Emotionally-based concerns 10,796 Pathways Participants in 2017: 2625 Individual Pathways sessions 7098 Participants in Pathways group sessions 1073 served outside in the community Plus workshops and special events 9
Complementary healing practices are offered as adjuncts to standard medical treatments, including Creative Therapy Practices Writing, art, music, dance Body-Based Practices Massage, Reflexology, Yoga, Tai Chi, Nutrition Transformation through Grief, Loss, or Change Sandtray, Grief Support for Participants, Caregivers 10 Mind-Body-Spirit, Energy Healing Practices Meditation, Guided Imagery, Healing touch, Reiki, Qi Gong
Who Provides Pathways Services? Over 160 Volunteer Providers Licensed, certified in respective fields Peer training in psycho-educational curriculum 11
Participant profile 12
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Evaluative Research What are the benefits? 16
NYT article: How Measurement Fails US We suffer from measurement fatigue!! Data gathering and mining take more time and resources than patient care with little effect on outcomes. We need to determine and appreciate all the factors that contribute to outcomes.
Initial Research Projects at Pathways Objectives: -To describe the expectations, experiences and perceived benefits of educational offerings, group events and one-on-one sessions provided at Pathways as perceived by participants. -To determine the extent to which Pathways participants share their use of complementary therapies with their physicians.
Results 90% agreement: I have a resource to use when I need it; I feel more hopeful, more positive about my situation; I have more control over my life; My quality of life is enhanced; I am more at peace; 80% Felt More spiritually connected, More supported, More connected with others, Less anxious Over 65% of participants discussed their participation in complementary services at Pathways with their physicians. 61% of physicians were supportive 10% somewhat negative; 4% very negative
Healing is not the same thing as curing. It is not getting rid of disease, but the balancing, integrating, and expanding of ones way of being regardless (but often because) of the experience of a disease.
Volunteering at Pathways: Spiritual Intelligence in Action Objective: Describe the demographics and motivations of those who volunteer at Pathways. Results: A belief in Pathways mission A belief in a holistic approach to illness An opportunity to give back and make a difference
Provider Research Impact of Volunteering Bowling Alone by Robert Putnum Social Capital altruism, volunteering and philanthropy is decreasing in the US Spiritual Intelligence by Dana Zohar Spiritual Capital a vision and model for organizational and cultural sustainability; Capital amassed through serving, reflecting our shared values, vision, and purpose in life Immune Power Personality by Henry Dreher Increase in immunity and resistance to disease from: 1) personal 2)regular basis 3) strangers 4) let go of the outcome
Pathways To Healing: Person-Centered Responses to Complementary Services Most recent research study, we asked: What are the perceived changes in quality of life measures related to participation in complementary services at Pathways? 23
Self Assessment of Change Scale Examples of how to fill out the scale: B (before) N (now) a. No Energy Full of Energy b. Scattered Focused c. Hopeless Hopeful a. Stuck Letting Go b. Overwhelmed Empowered 24
100 millimeter Analog scale Pathways Participants Self Assessment: Shifting Towards Well-being 80 Within each set of indicators, participants showed improved shifts in quality of life measures 70 60 50 40 30 20 10 0 25 Before Coming to Pathways Ritenbaugh et al, BMC Complement Altern Med. 2011 Dec 29;11:135. Thompson et al, BMC Complement Altern Med. 2011 Dec 29;11(1):136 After Coming to Pathways
Harvard Team Finds 43% Reduction in Use of Health Care Services via Mind-Body Intervention * Total utilization of H C services 43.0% Clinical encounters 41.9% Imaging 50.3% Lab encounters 43.5% Procedures 21.4% Estimated Savings - $2360/patient/year!!!! *Integrative Medicine: A Clinician s Journal Dec.2015/Jan.2016
Partnerships to Provide Non-Clinical Support Services
Pathways Outreach and Community Service Cancer/ Funding Insurer Art Komen UCare Mpls Institute of Arts Nursing Education St Cate s/ St Mary s/ N.C.C. Northwest Health Science University Specialized Education Pathways Building relationships in the local, regional and national Spiritual communities 28 Mt Olivet, Beth El, Grace Veterans V.A. MDH/ MN Girls not 4Sale At-Risk Youth University of Arizona Fairview (Ebenezer) Research Seniors/ Aging
The Program With a focus on body/mind/spirit, Renewing Life introduces participants to a variety of effective complementary healing tools, techniques, and concepts including self reflective exercises, meditation, affirmations, guided meditations, and sharing of life stories. More than a stopgap measure or coping mechanism during a time for difficulty, Renewing Life is a catalyst for changing the way one lives life! History University of Wisconsin Medical Clinic- 1989-25 years Pathways- 1991 23 years 1994-1996- research conducted by UW Medical School. August 1996- results presented at Grand Rounds to UW Hospital Oncologists. Significant increase in the quality of life. 29
Pathways Renewing Life Program- Before to After Movement From Stuck to Letting Go From Depressed to Joyful From Hopeless to Hopeful From Blaming to Forgiving From Anxious to Calm From Overwhelmed to Empowered From Isolated to Connected From Defined by Illness to Not Defined by Illness From Closed-hearted to Open-hearted From No Energy to Full of Energy From Not Sleeping Well to Sleeping Well From Exhausted to Energized 0 5 10 15 20 25 30 35 40 45 Participants who took Renewing Life Participants who did not take Renewing Life 30
Outside Locations have included: Allina Health Systems Park Nicollet/ Frauenshuh Cancer Minnesota Oncology Well Within- Minnesota Beacon House- Wisconsin Baton Rouge, LA. Cancer Center 31
Customized curriculum versions and strong pilots, ongoing with: Expressive Arts Equine Guided Therapy Older Adults Breast Cancer Groups Renewing Life Veterans 32
I often compare getting a serious diagnosis to landing in a foreign country needing to learn the language and learn it well because your life may depend on it. Pathways is the map - the dictionary - the guidebook to the language whatever your new language may be. It s the place where you re accepted - comforted - touched - listened to. It is peaceful. It is caring. It is hope. Pathways Participant 33
A Healing Center Healing Within. Renewing Life. Tim@pathwaysmpls.org www.pathwaysminneapolis.org 34