2013 Conference Presentations

Acupuncture Laboratory

Refine and Refresh your Technical Skills!

Open to qualified providers interested in further technical practice and participants interested in receiving acupuncture and learning more about clinical applications in public health.

This interactive hands on workshop is designed to give participants qualified to provide acupuncture treatment a much needed opportunity to practice and refine their technical skills, and interested conference attendees the experience of observing and receiving acupuncture in an educational setting.

Our primary focus will be the further development of practical needling techniques while deepening related relationship and communication skills.

Working together in small groups, short discussions about the experience of giving and receiving acupuncture will focus on reciprocal communication and building trust. Noting differences in sensation and experience, palpation, needle insertion and manipulation, point selection, use of breath, and visualization, participants will be encouraged to explore and cultivate collaboration and awareness.

A sample menu of several basic point combinations that treat common conditions applicable in busy clinical settings will be demonstrated and practiced. Easily accessible TCM theory, including common tongue presentations and related diagnoses will be included with the above point prescriptions.

A small seated group format will be emphasized, with a discussion of how to adapt individual table treatment protocals, and when table, or individual treatments may be preferred.

Specialities including scalp and auricular acupuncture, and specific techniques for different types of body points, anatomical locations and conditions, will be included as permitted by available presenters and participants.

A brief review of Clean Needle Technique, thoughts on best practices for needle location and count documentation, needle removal and disposal, and ways of managing safety issues will be included. Contraindications, cautions, and considerations related to needle phobia, fainting, and hypersensitivity and other possible adverse responses will be addressed.

Attendees are asked to wear comfortable loose clothing, have eaten a protein rich meal, and be well rested. Pregnant women may participate as observers only unless otherwise discussed with instructor.

Open to up to 20 active participants including attendees receiving acupuncture.
We will work in small groups of 4-6, with 1 facilitator or more per group.
Additional observers as space permits.

Cancer Survivors

Integrative Medicine as a patient centered approach to cancer prevention and treatment

Patricia Lebensohn MD
and Leila Ali-Akbarian, MD

Integrative primary care physicians are prepared to address how lifestyle behaviors play a major role in prevention of cancer, including diet, physical activity, smoking and alcohol use, stress management and decision-making regarding screenings and genetic testing. At diagnosis and during treatment integrative medicine provides supportive, patient centered care, helping patients adopt mind-body approaches, a healthy diet, use of botanicals and nutritional supplements and working with CAM providers. Five years ago the U of A Department of Family and Community Medicine, the Arizona Center for Integrative Medicine and the U of A Cancer Center started a collaborative project creating a cancer survivorship consult service at the cancer center. IM faculty and IM fellows joined the supportive services team (psychiatry, social work, nutrition, acupuncture, healing touch, reiki, and massage, yoga, tai chi and others). The cancer survivorship clinic provided consults and follow-up visits for patients referred by oncologists at any time after cancer diagnosis. The presentation will review the needs of cancer survivors for care and how integrative medicine providers could fill that role. A description of the program, assessment methodologies and resources for treatment plans as well as opportunities and challenges to work with oncology providers will also be presented.

The Charlotte Maxwell Complementary Clinic

The Charlotte Maxwell Complementary Clinic started as a group of integrative medicine practitioners who wanted to take holistic medicine out of the boutique 25 years ago and into a section of the population who had no access. We have been providing free holistic medicine including acupuncture and chinese herbs, 30 different styles of bodywork, guided imagery, exercise classes, homeopathy, social services and various educational workshops to hundreds of clients a year in Oakland and San Francisco. Almost all our services are provided in Cantonese, Mandarin, English and Spanish. All direct services are provided by experienced practitioner volunteers.

Chiropractic and Acupuncture Services for the Underserved

A Success Story

According to the recent National Health Interview Survey (NHIS), about 8% of adult population had received chiropractic and about 1.2% received acupuncture in the last twelve months. It was also noted that by far chiropractic was the most commonly used therapy for back pain among all the complementary and integrative health practices. Acupuncture was sought primarily for different types of chronic pain including back pain. The survey also reports that the users perceived "great benefit" from their treatments. Despite, their growing use and effectiveness based on many rigorous trials, these treatment methods are for the most part available to only those who can afford to pay out-of-pocket. It is regretful that both acupuncture and chiropractic are either not easily accessible or affordable by the underserved in the United States. In order to meet the specific need of providing accessibility to both chiropractic and acupuncture services to the underserved, a student club, Healing Hands for Humanity was formed at our institution with the intention of providing free Chiropractic and/or Acupuncture services to underserved populations. Its specific goal is to provide CONSISTENT care to underserved populations. Additionally, the activities of the club are also intended to provide necessary community service experience to the students in these programs. Healing Hands for Humanity or H3 is a student club with faculty advisors and clinicians guiding the treating interns. Each month, the club organizes two community outreach activities at local churches. Besides the H3 club, the institution is actively involved in providing chiropractic and acupuncture services to the underserved as part of its internship and community outreach programs. For example, at the Orange County Rescue Mission, the county's largest privately funded human service agency for the poor and homeless, chiropractic services are provided on a weekly basis. Similar community based services are also provided at the Siddle Clinic, LA City Dream Center, Being Alive Clinic, and at Stand Down for Homeless Veterans. The treatments are provided to the needy at no cost once a month at each center. In the last five years approximately, over 1000 deserving people were provided with chiropractic and acupuncture services. Our presentation will focus on the successful development, implementation of these services for the underserved in Southern California region. Furthermore, the presentation will also include the lessons learned in the process of setting up these services.

Culturally Appropriate Dietary Recommendations Recipes and Screening Tools

Preconference Workshop

This class will support participants in how to communicate with patients and clients about how to use culturally appropriate recipes to benefit their health. The class will introduce background information on harmful foods commonly consumed in different cultures and offer screening process to identify whether or not such offending foods are complicating the patient in question. Several culturally appropriate menu options will then be presented that can not only remove offending agents, but also assist in achieving health goals. This course will not be limited to identifying ethnic cuisine, but also identifying risks and accessible healthy food available to individuals of different economic strata.
This class will attempt to provide participants with a variety of resources for directing patients and clients to healthy dietary habits based on food they are already accustomed to and derive satisfaction from. We will explore several different cultures present in the San Francisco Bay Area that may have a traditional discourse on the application of therapeutic foods, and discuss how to reconnect the patient to such practices.

The class will also attempt to identify commonly used culinary herbs and emphasize their inclusion in traditional culinary practices. Most culinary herbs possess properties that not only provide flavor to food but also support digestive function, reduce microbes, and influence the mood.

Demystifying Homeopathy

The Under-Used Modality for Under-Served Populations


Quick – what form of medicine is . . .
- fast-acting and often more effective than conventional meds
- yet gentle enough for kids
- non-addictive
- so safe it’s impossible to overdose
- so pleasant tasting that clients enjoy taking it
- easy enough to train community health educators to dispense
- approved by the FDA as over-the-counter meds
- will not interfere with conventional meds
- at a cost of pennies per dose?

Homeopathic medicines have a 200 year track record of safety. They are effective for common household ailments, allergy prevention, flu epidemics, drug and alcohol detox, PTSD, suicide prevention, domestic violence and rape survivors, and many more public health issues. A clinic can be equipped with a year’s supply for about $500.
Burke Lennihan, RN, CCH will give you all the resources you need to start using homeopathic medicines right from your first day back at work after this conference:
- treatment algorithms
- sources of the medicines
- print and online resources for information
- research to bolster homeopathy’s credibility in your institution.
She will address common myths about homeopathy ("there's nothing in it" plus "it's dangerous" and "you have to feel worse before you get better" - none of these are true). She will give you instructions in how to use homeopathy effectively for both personal and professional use and for training community health educators.
Burke will draw on her own experience and that of colleagues in Homeopaths Without Borders. She believes that homeopathy is the perfect modality for our client groups and it deserves to be better known and more widely used.
Participants will receive a complimentary copy of her book, Your Natural Medicine Cabinet: A Practical Guide to Drug-Free Remedies for Common Ailments.

Effective Communication

My name is Jeri LaVigne, Ed.D., and I am an Educational Psychologist in Atlanta, Georgia. I have worked with children and adults for over twenty-five years to assist them in better processing visual and auditory information. I would love to present a workshop on learning and processing styles to help professionals in understanding how the brain processes information using visual, auditory, and kinesthetic modalities. When these are paired with the correct processing channel, conscious, subconscious, and unconscious, then the brain can work more effectively. Poor communication skills, disagreements and misunderstandings can be a source of anger and distance, while effective communication can be a springboard to stronger relationships and a happier future. Effective communication happens when we understand the six unique patterns of perception. Each one determines how an individual with that pattern absorbs, organizes, remembers and expresses information. In this workshop, participants will learn how understanding their own perceptual style can increase their self-esteem and help them relate to others. This process will also aid professionals in determining the processing styles of others. Participants will take the Learning Triad quiz and learn how to administer it to others. They will also be given strategies to help strengthen the auditory, visual and kinesthetic processing channels. These tools include the Irlen Method and Cyma Technologies. The participants will learn their own processing style, how to evaluate others' processing styles and tools to aid in strengthening learn in all arenas. This workshop will give a greater understanding of processing styles and ways of thinking and relating. It is important to understand the processing styles of others if one is asking for a raise, teaching, in a position of leadership, or helping children to step into their own individual power.

Emotional Freedom Technique

A Tool for Healing

EFT is a form of psychological acupressure, based on the same energy meridians used in traditional acupuncture to treat physical and emotional ailments for over five thousand years, but without the invasiveness of needles. Instead, simple tapping with the fingertips is used to input kinetic energy onto specific meridians on the head and chest while you think about your specific problem - whether it is a traumatic event, an addiction, pain, etc. — and voice positive affirmations.

This combination of tapping the energy meridians and voicing positive affirmation works to clear the "short-circuit" - the emotional block — from your body's bioenergy system, thus restoring your mind and body's balance, which is essential for optimal health and the healing of physical disease.

EFT has no side effects, is simple to learn and use on oneself, and is evidence based.

EFT has been researched in more than 10 countries by more than 60 investigators, whose results have been published in more than 20 different peer-reviewed journals.

Energy Medicine at Your Fingertips

Experiencing the Ancient Art of Jin Shin Jyutsu for Self-Help

Although the basic requirements for life (sunlight, air, food, and water) are all sources of energy, individuals understand remarkably little about energy. Since energy fuels all body systems and functions, long term energetic imbalances or blockages are often at the root of emotional disharmony and physical dis-ease.

In this presentation, you will come to know yourself as an energetic being having a human experience, through the ancient art of Jin Shin Jyutsu®. Jin Shin Jyutsu Physio-philosophy®, synthesizes the physical, mental, and spiritual wisdom of many cultures into a simple system for understanding, knowing and healing oneself and others.

An excellent complement to Western medicine, Jin Shin Jyutsu® uses gentle touch over clothing to harmonizes the flow of ch’i, or life energy, restoring the circulation of vital energy and accessing innate wisdom to promote deep healing in body, mind and spirit.

As we practice Jin Shin Jyutsu® together, using our hands as “jumper cables,” I will share the story of its origin, and basic philosophy, principles, and terminology, still handed down through oral tradition.

You will learn the relationships between energy and emotion while holding fingers to harmonize attitudes. We will experience the physiology while practicing the Main Central Vertical Flow, a connector with source energy.

Techniques and tips will get you started on this practice, as we clear the front and back of the body, and connect the left and right of the body, balancing and energizing the whole person.

Handouts will help you continue Jin Shin Jyutsu® at home and enable you to teach what you have learned to others. Leave this presentation feeling calm, relaxed, energized, and empowered with Energy Medicine at your fingertips.

Family Health and Birth Center in DC

This birth center serves primarily underserved moms and families. It is a beloved and valuable part of the community in Ward 5. Lisa Uncles CNM will present the history, cost-savings and outcomes.

Fertility & Fecundity

A Naturopathic & Integrative Approach

We live in an age where 40 is considered the new 30. We live in an age where medical science can compensate for any short-comings of the body. And yet, we live in an age where fertility and fecundity rates are lower in the US than they have ever been. Did you ever stop and ask why? What is it that is causing these lower rates, except for the fact that maybe women are choosing to start families later and later in life. And, supermodels are modeling the possibility of pregnancy at 50 or 55. As glamorous as this may be, women are not actually seeing or understanding the impact of these approaches on their bodies, nor their child’s body. Although modern science has been able to increase fertility for those that really want to have families, at what cost? The average cycle of IVF costs $15,000 and success rates are based on 6 cycles. So, couples may often need 6 cycles of IVF before conceiving a child—and there is no guarantee that that child will be carried to term.

Is there another way? Are there more feasible options that patients do not need to spend over $100,000 in order to have a child in the current medical system?

This talk will cover the potential causes and treatment options for fertility and fecundity from a naturopathic perspective.

Functional Medicine for the Underserved

Preconference Workshop

Chronic disease has exploded in epidemic proportions across the developed and now developing world. Disease states labeled as diabetes, hypertension, depression, ADHD, chronic fatigue, fibromyalgia and autoimmune diseases, to name a few, have increased exponentially in the last century. The current conventional medical model of medicine does not provide the tools needed to treat, reverse and heal disease.
Functional medicine provides a conceptual paradigm which both subsumes and enhances our current system of disease classification and understanding. It is a cognitive approach which emphasizes identification of underlying imbalances and their correction as opposed to conventional medicine’s emphasis on symptom suppression. Often seen as requiring numerous expensive and esoteric laboratory tests and supplements, in fact the tools of functional medicine are very applicable to underserved populations, who often gain tremendous benefits from fairly simple interventions. In the long run, identifying and correcting underlying issues is much less expensive than trying to control their downstream sequelae.
Tools which will be reviewed include:
• Sidney Baker’s Rules of Tacks
• The Antecedents, Triggers, and Mediators Model
• The Functional Medicine Timeline
• The Functional Medicine Matrix
• Food First and lifestyle approaches to addressing imbalances in digestion, inflammation, detoxification, and energy production
• Low cost and accessible “kitchen herbs” and strategies for obtaining lower-cost dietary supplements for your patients
• Group medical visits as a strategy to facilitate the patient education required for this approach
Concrete patient cases will be used to demonstrate this approach. Bring a laptop to upload resources (recipes, handouts, intake forms) from a thumb drive; a CD with these materials can be provided to participants without laptops.

Integrative Addiction Recovery from East to West

Marcia Tanur MD, Alex Zaphiris, MD

Part 1: Growin’ ACU detoxes: from the Bronx to Boston to Mayaguez (PR)

Addictions: the Latin derivation implies a strong inclination which has evolved into something that includes surrendering. “We’re all addicted to something that takes the pain away” quote by unknown.. Perhaps, we all have them.
Coping with addictions strains and plagues so many of our patients , families, and communities. Whether it’s a fixation with on –line gaming or an obsession with opioids, these addictions ransack relationships. Empowering and partnering with those affected challenge seasoned healers of every type. Over the past decades in North America, man canons have professed to hold a singular panacea. Integrative approaches to addiction however currently offer sustainable ( and sometimes evidence based) management and survival.
Inner city Boston: its struggle and response to polysubstance misuse is central to this workshop. We will analyze the rise and subsequent disappearance of the city hospital’s , free walk in acupuncture detox along side it s refashioned, Project Assert which is connected to the Emergency department. This workshop will elucidate the growth and development of a complementary AIDS care project into a Community Acupuncture site linked to a community health center. Embedded in Boston’s LGBT center, a FQHC , is another longstanding drop in ACU detox which is linked to its Behavioral Health Department.
With a brief historical trip to Lincoln hospital in the South Bronx, we will survey the rise of the NADA (National Acupuncture Detoxification Association) five point auricular acupuncture protocol for recovery and the creation of acupuncture technicians. Our focus will then turn to recent combinations of this NADA protocol and prescribed pharmacological treatments for opioid and alcohol misuse. Our North American survey will conclude with urban programs which utilize Shiatsu and Acupuncture to increase harm reduction – indirectly decreasing the spread of HIV and Hepatitis C.
Workshop attendees will then ‘group on’ i.e- provide suggestions and feedback on the following two mini- community ‘cases’:
A. Planning a free, walk-in acup detox on the Southern side of Boston
B. Sowing the seeds for an integrative medicine service which will complement the special services center which houses HIV, Homeless, Women’s, and LGBT outreach and care in Mayaguez, PR

Part 2: Integrative Opiate Addiction Recovery in San Francisco

Opiate addiction is a growing problem and a hidden epidemic. In 2008, 1 in 20 people in the US (age 12 or older) reported using prescription painkillers for non-medical reasons in the past year. It’s estimated that nearly 2 million Americans are opioid dependent. In 2008, there were 14,800 prescription painkiller deaths, more than from cocaine and heroin combined. Standard of care medical treatment is therapy/12-step and medication (methadone or more recently buprenorphine). In my practice, I use an integrative approach to opiate addiction along with buprenorphine. We’ll discuss a patient case of opiate addiction using an integrative model for recovery.

Many patients get stuck and are unable to taper because they haven't learned other ways of coping with stress, anxiety, and depression besides using opiates. We’ll discuss a 3 month online program that I developed for my patients on buprenorphine who are stable and would like to taper off. The program is based on a patient self-management approach with patient education and peer to peer support and focuses on what patients can do to help their brain heal and recover. Topics include: What your brain needs for an opiate-free life, how to reduce anxiety and sleep better, what foods support your brain, body and recovery best, tools for dealing with cravings and withdrawal, and ways to manage pain without opiates. We’ll discuss successes, challenges and next steps.

Healers from Within

Integration of Community Members in Healthcare

CCRMC Integrative Health Program (IHP) was founded 14 years ago by Dr. Karen Burt, and then 4 years ago, she was appointed the Coordinator of Group Medical Visits. Since the merger of the two programs, both are now rapidly growing. (60+ Group Medical Visit series now roll out each year, as well as Acupuncture and OMT services, Meditation / Stress Management services, and Volunteer Doula program. IHP also collaborates with multidivisional efforts to educate staff and develop services, infusing them with Integrative Health approaches). There has been another significant merger as well: the IHP mission of Individual and Community Empowerment, together with a new CCRMC vision of "Co-Production" - to include patients, family members, and community advocates at the tables of ALL organizational teams – administrative as well as front-line change /improvement projects. The IHP has been working with the Reducing Health Disparities Unit's cadre of Promotoras and Health Conductors - community members trained to be group co-facilitators, cultural brokers, health/wellness coaches, and system navigators - who are now not only enlivening co-facilitators of many Group Medical visits, but leading voices in creating curriculum, the guidelines for respectful and successful teamwork, and new kinds of groups . Additionally, the IHP has collaborated with Partnerships, multi-divisional Networks, and clinical improvement teams which have included patients and family members from the communities we serve, and which are seeking to increase the presence of peer-counselors in our healthcare. Steadily, the momentum is gathering in the CCRMC healthcare institution and its IHP - for the authentic voices of the Communities we serve to become automatically integral to planning, developing and implementing services and improvements. Inclusion of the Community Voice strengthens, invigorates , and authenticates. And community (peer) presence on a clinical team modeling respect, is found to be a powerful invitation - inspiring confidence and motivation in the patients toward self-care and interest in Integrative Health. Our experience is that the Community members in healthcare are a healing presence, whether they are in the clinical setting, or at an administrative table generating vision, mission, and/or making policy decisions. This will be a joint presentation among Dr. Burt and community people / staff - a sharing of our experiences from our various perspectives - successes and challenges, with the intention of inspiring conference participants to begin or expand their own efforts to manifest real partnership. Conference participants will also be invited into this presentation utilizing interactive format to engage all voices.

High Yield Manual Therapy and Therapeutic Exercise for Low Back Pain

Practical Hands-On Workshop

Mechanical low back pain is the second most common symptom-related reason for seeing a physician in the United States. The conventional medical approach of anti-inflammatories, muscle relaxants and tincture of time leaves many patients wanting a more integrative approach to getting to the root of their problem. Manual therapy offers a safe, non-invasive, and effective treatment for low back pain. In this hands-on workshop, you will learn how to assess your patient for the most common structural dysfunctions present in lower back pain and perform counterstrain manual therapy as a treatment. You will learn to perform and prescribe therapeutic exercise for patients with low back pain. You will be able to use these new skills on Monday with your next patient.

Hypnosis for the Treatment of Stress-related Illness

Jeffrey Geller, MD
Director of Integrative Medicine and Group Programming, Director of HIP Fellowship for the underserved.
This highly interactive presentation reviews the efficacy of hypnosis and provides insights into how hypnosis and the brain work. There is a brief review of the uses of hypnosis (and subsets of hypnosis such as metaphoric speech and guided imagery) in practice, multiple participatory experiments to review visual centers of the brain and how that applies to practice. We will review hypnotizability and testing for this in your patients to make appropriate identification of those who will be helped most. The session will conclude with optional group hypnosis.

Integrated health care teams

in remote, post-disaster and inner-city environments

The infrastructure of an integrative health care team is paramount to the success of a clinic in a remote, post-disaster or inner-city environment. Sam Coffman has developed a methodology that borrows from his background as a former Green Beret medic, and tests these concepts in the field together with his non-profit organization "Herbal Medics." These concepts are proven and improved consistently through field experience from remote areas of Nicaragua to slums along the border of Texas and Mexico & inner city clinics. This integrated clinical infrastructure mirrors the specialties taught in his survival school: 1) Herbal & Functional medicine (Combat Medic) 2) Advance party information gathering (Scout) 3) Off-grid engineering (Primitive Engineer) and 4) Sustainable food and water procurement (Primitive and Urban Hunter Gatherer). At the heart of this infrastructure are 3 general concepts: 1) Positive teamwork & attitude training through realistic scenario "bridges" to real world clinical situations 2) Teaching every concept to the locals rather than simply running a clinic and leaving 3) Understanding and linking local needs with sustainable lifestyle and environmental concepts. One of the primary goals of proving out a teamwork-based infrastructure to provide holistic health care and education to remote post-disaster and other underserved areas is to create a safe secure and repeatable process that not only provides holistic health care to the underserved but also educates them and teaches them to become more self-sustainable.
For example: In addition to herbally treating parasitic infections and kidney disease stemming from poor water quality, teams also teach the local people about water-borne diseases, create slow-sand or other water filtration together with the locals using salvage and sustainable resources and teach the medicinal plants and other natural health modalities that work to alleviate the water-quality related health issues. In order to run a successful clinic it is necessary to have advance information as to the actual issues and needs of the community. Additionally it is necessary to be aware of any strategic team or clinic security concerns, routes in and out, liaison with follow-up allopathic referrals, special needs of the community or team liaison with community leaders and more (Scout).
It is necessary to ensure the herbal medics team has clean water and healthy food while also teaching food and water self-sustainability to the locals (Primitive and Urban Hunter-Gatherers).
It is necessary to provide education and construction of off-grid self-sustainable engineering projects from water purification and pumping to power (12V or otherwise) to logistics and transportation to communication to sanitation and more (Primitive Engineers).
Finally it is necessary to set up and run an herbal clinic and pharmacy, understand clinical security issues, integrate with other natural health care modalities and allopathic and/or surgical care when necessary, educate the locals on natural and self-sustainable health care solutions and more (Herbal Medics).
Using this infrastructure is not only an extremely successful method to provide provide sustainable health care in remote and post-disaster areas but also to provide sustainable safe and integrated health care solutions in domestic (USA) underserved communities.

Integrative Medicine Curriculum for Medical School and Interprofessional Education

Panel conversation addressing the introduction of Integrative Medicine to the curriculum at USC and introduction of proposed Inter- professional team based education in Integrative Medicine at USC KSOM, as well as the introduction of Integrative Medicine curriculum to multiple levels of medical education at the University of Arizona.

The Integrative Treatment of ADHD for the Underserved

The diagnosis of ADHD continues to increase rapidly. The most recent CDC statistics show an overall prevalence of 11%, with 20% of high school boys having been diagnosed. There is evidence that the underserved are not only being diagnosed and treated more frequently, but are often being treated with more powerful and dangerous medications than other groups.
The purpose of this lecture is first to discuss the reasons for the skyrocketing rate of ADHD diagnosis, especially as it relates to the underserved population. Secondly, to outline an effective, evidence based integrative treatment program. This would include work with diet, supplements, exercise, and school and behavioral interventions.
Special consideration will be given to the significant challenges involved in an integrative program for the underserved, who often do not have the financial, time, or emotional resources to implement what might be recommended for more affluent families.

Introduction to Healing Touch

Healing Touch is a non-invasive energy therapy that assists in balancing the physical, mental, and emotional aspects of health and well-being. Healing Touch works with the body's energy system restoring balance and harmony on an energetic level to support the natural healing process in all aspects of health. It is safe for all ages and works in harmony with traditional medical care and other complementary modalities to support and enhance patient and self care. Offered at an increasing number of hospitals across the country, Healing Touch therapy is practiced in many areas of health care ranging from stress and pain management, medical/surgical care, hospice, pediatric and geriatric care, labor and delivery, and cancer treatment. This gentle therapy helps restore balance refreshing the body, mind and spirit.

The Lolo Way Making Integrative Health Affordable

Lolo Health is revolutionizing primary care: making health care more affordable, more accessible, and more effective. We're doing it by pioneering a radically different model for both the clinical and the business sides of primary care health services. Our unique membership model gives members access to doctors and therapists for as little as $14 a visit. We're taking big insurance out of primary care, empowering patients, and freeing doctors to do what they do best. Lolo is one of the largest integrative health clinics in California (founded 2003), offering a wide range of services,including yoga, acupuncture, massage, chiropractic, psychology, naturopathy, reiki, acupressure, and a lot more. Our unique membership model makes this excellent care affordable: Members pay a monthly fee ($79 - $129) for access to all health services without restriction or limit. Members pay discounted members' rates (80%-90% off) to access all health services. Just $14 to see a chiropractor, $14 for acupuncture, $19 for massage, $39 to see a psychologist - less than an insurance copay for unlimited access to their personal health care team. Lolo Health is making integrative health care affordable to a very wide range of people. Our members are a diverse bunch: everyone from local artists to school teachers to small businesses, even a nationally-known chef and her restaurant team. What they all have in common is a shared desire to make good health a priority in their lives. Lolo Membership is open to everyone, regardless of age, disability, or health status. Lolo has re-imagined primary care - our own grass roots, patient-supported health care reform!We free doctors from the financial and clinical constraints of insurance medicine. Our doctors work directly for our members - patients who are educated, active, and engaged in managing their own health.

The Mediterranean Diet

An approach for teaching low literacy Latinos

Communication and understanding in the provider-patient relationship are dramatically affected by not only language barriers, but by cultural differences. This class will demonstrate how one Latina doctor translates “medicalese” into simple, hopefully understandable language and modifies the Mediterranean Diet for the Mexican kitchen. Dr Villalobos will demonstrate her teaching method for educating low literacy Latinos about blood glucose regulation, the development of impaired fasting glucose, PCOS , hyperlipidemia and diabetes. She will share her power point presentation displaying the Mediterranean diet in pictures. She will also present practical ways to bring a whole foods, Mediterranean style diet into the Mexican kitchen. Recipes and patient handouts are provided in Spanish.


Reconnecting to the Healing Power of Nature

Jacqui McGrath ND
What if most of our modern ills were the result of our lost connection with the Earth's natural rhythms? What if creating optimal health were as simple as remembering that we are part of Nature and tapping into the infinite healing power within ourselves? What if the journey to wellness could be as easy as ENJOYING ourselves?

Most human dis-ease is rooted in our alienation from the earth. We get sick when we allow our busy modern lives to dictate unhealthy choices, when we forget to care for ourselves and the earth as sacred.

Vix Medicatrix Naturae, the Healing power of Nature, is our birthright. We are blessed to have nature as our model and mentor. We can take cues from fellow species who are inherently attuned to the natural rhythms and recover our own innate wisdom that lies buried in our DNA. When obstacles to cure are removed, the body often heals itself. Our first medicines should be air, water, sunshine and the earth’s bounty of delicious foods and healing plants.

In this workshop we will create our own Nature Rx, a personalized wellness prescription designed to help us to reconnect with the Vix, the healing power of nature, in ways that make our heart sing. I’ll also share a template that can be used with patients or clients, helping them get back to the basics on a day to day basis in a way the FEELS good for the body and mind.

Participatory Decision-Making

We will illustrate the value of Participatory Decision-Making using the example of Integrative Medicine for the Underserved (IM4US.)
The field of participatory decision making is a way of evaluating group dynamics and facilitating group decision-making. It is common that difficult choices stress involved groups by bringing out many divergent points of view, producing an often uncomfortable period of disharmony., which can be either defeating or creative. A successful group will manage to reach a convergence of thinking, allowing a good decision to be made. We will explore the 4 participatory values that influence this process: participation, mutual understanding, inclusive solutions, and shared responsibility. We will also give guidance into the facilitation of such groups for management of the creative chaos and producing nurturing environments, with strategies to include those who are quiet, and comfortable ways of quieting those who are loud. Participants will come away with a better understanding of how to make groups work well, and how to engage the most creative solutions.
Seminar attendees will participate in exercises which will demonstrate important points, will learn the principles of Participatory Decision-Making, and be introduced to the IM4US.org website.

Preventing Burnout and Promoting Compassion Satisfaction Among Providers

A course in loving kindness meditation

Provider burnout and compassion fatigue are extraordinarily common and destructive influences in the care of underserved populations. Burned out providers are more likely to have dissatisfied patients, have worse patient outcomes, and are at risk for attrition from practice, depression and even suicide. On the other hand, providers who experience compassion satisfaction and high levels of empathy are more likely to remain in practice and to engender trust, hope, and a positive placebo effect in their patients. While the literature on risk factors for burnout is growing, literature on burnout prevention remains sparse. There is evidence that meditation ameliorates the symptoms associated with burnout and compassion fatigue. Loving-kindness meditation, in particular, has been found to increase optimism, positive affective states, sense of connection, and compassion. In order to learn whether loving-kindness meditation prevents burnout, we studied the impact of a 6 session course in loving-kindness meditation on resident burnout, compassion fatigue, and compassion satisfaction. In addition to reviewing the literature on the impacts of loving-kindness meditation, we will describe the preliminary results of our study.

The Role of Integrative Wellness Coaching

A Community Experience

Maintaining health and wellness and preventing disease are major priorities for integrative medicine. Currently, the majority of our health care dollars are spent after a person is in crisis, when it costs the most to intervene and when the possibilities for full recovery are the slimmest. Scientific evidence shows that lifestyle modifications, changes in diet and nutrition, physical activity and exercise, adopting stress management methods, and strengthening one's social networks lower an individual's risk of specific diseases and improve overall health. Since integrative medicine is founded on the premise that health is a state of physical, emotional, mental, social and spiritual wellness, which enables an engaged relationship with life, it is right to say that the time has come to develop affordable community-outreach integrative health programs. Seeking collaboration and partnership with local community leaders and joining efforts with new professions such as Health and Wellness Coaches offer a great opportunity to bring affordable services to the underserved living in our communities. Building Well-communities provides many opportunities to Integrative Medicine professionals and Wellness Coaching professionals. While we all have a personal responsibility to care for our own health, creating a culture of health and wellbeing in America will require engaged leadership from all sectors of society. We already know that this cannot be accomplished through the health care system alone. The cultivation of health starts at home with the everyday choices we make - how we live, what we eat and the way in which we care for each other. Efforts involve our schools - what food is served to our children and what exercise opportunities they are afforded, the design of our communities, the quality to our air and water, and the cleanliness of our environment all affect our health and the decisions corporations make in what products they choose to offer and how they manufacture them and what our low income communities can afford. This presentation will share the lessons learned by a community collaborative experience when developing affordable integrative health programs and services.

Sleep Debt and Chronic Illness

Sleep debt induces changes in the endocrine, cardiovascular, and immune systems and pharmacological or natural treatments for these conditions, without correcting the underlying sleep debt will fail to resolve the problems. Restoring a natural sleep cycle, on the other hand, may result in resolution of many conditions with little or no cost and without drug side effects. This presentation will offer an overview of the pathophysiology of sleep debt, and suggest various strategies for increasing a patient's hours of bedrest and sleep. A strategy for using mild herbal remedies, without notable side effects or addictive potential, in timing with lifestyle changes, will be offered. Case studies and a patient-education handout will be included.

Survey of documented and observed herb-drug interactions in the treatment of mental health conditions

This session will survey the existing literature on potential drug-herb-nutrient interactions in the treatment of a variety of mental health conditions and support the practitioner in identifying risks and in making choices that may potentially create more favorable outcomes.
Many psychiatric drugs have side effects and dependency profiles that are undesirable to the consumer and there are many documented incidents of herbs ameliorating these side effects. This class will aim to identify numerous documented herb-drug-nutrient interactions that can used supportively to optimize therapeutic outcomes.
Herbs and special nutrients are not able to adequately meet the needs of many psychiatric patients conditions and in some instances may put patients at risk of complications is used indiscriminately along with psychiatric medications or at the exclusion of other necessary interventions. This class will aim to identify numerous documented herb-drug-nutrient interactions that need to be screened for in order to minimize harm to the patients and clients participants are working with.
This class will emphasize an understanding of how to obtain affordable materials to provide to patients who may be interested in using herbal medicine and special nutrients to combine with their psychiatric medication regiment.
This class will both look at the existing literature based on various tiers of evidence. The class will also draw from the experience of the presenter and his 15+ years of supporting individuals with mental health illness and imbalance with herbal medicine.

Teaching Patients Mind-Body Techniques in 15 Minutes or Less

All physicians want their patients to be better able to regulate their moods and reactions to illness or outside event, but often feel that they lack the time or skills to teach this. Many mind-body interventions are effective to maintain or sustain health and wellness. Breathing and relaxation techniques have been shown to help alleviate chronic pain, pain in labor, and in tension headaches. Relaxation techniques used in children have been shown to be beneficial for those with ADHD, reducing test anxiety, and even children with PTSD and depression following trauma in Gaza and wartime Kosovo. In medical students, research has demonstrated that a mind-body skills training program can reduce test anxiety and promote greater self-awareness and reflection.

Journaling or some form of writing about events and emotions has been demonstrated to positively affect symptoms of rheumatoid arthritis, improve immune function , and decrease the number of health center visits. It is clear that many patients stand to gain by using these techniques but it can be challenging to explain and teach these in the limited time available in a standard office visit.

This seminar will teach three different approaches to teaching patients ways to relax and/or reflect on their health: breathing/meditation techniques, body awareness and relaxation, and journaling exercises.


Traditional Complementary and Alternative Medicine among Latina patients at Kaiser Permanente, Oakland

Latinos represent more than one-third of the population of California, and are considered a medically underserved population. Among the many social determinants of health, linguistic and cultural barriers impact health outcomes for Latinos. Understanding their health beliefs, traditional practices, and ways of interacting with Western medical services in the US is critical to enhancing the cultural competency of healthcare services and ultimately improving health outcomes for Latinos. Of particular importance is the high rate of use of complementary and alternative medicine (TCAM) among Latinos, who rarely report TCAM use to physicians. Understanding physicians' knowledge of their patient' health beliefs and TCAM use, as well as their skills for communicating about these topics, is also important in assessing the cultural competency of health services targeting Latino populations, and for developing strategies to improve the quality of care. This mixed-methods study examines health beliefs and TCAM use among Latina patients, as well as the knowledge and communication skills of Latino physicians at a bilingual clinic at Kaiser Permanente Medical Center in Oakland, CA. Areas of exploration include the use of traditional and alternative practices (herbs, non-prescribed medications, folk healers, and alternative practitioners); beliefs about folk illnesses; and the quality of provider-patient communication about TCAM.

Transforming Primary Care Practice to "Treat the Cause"

Chronic diseases such as cardio vascular disease, cancer, diabetes, and osteoarthritis are among the most common, costly, and preventable of all health problems in the U.S. Many chronic diseases are either caused or exacerbated by issues such as poor nutrition, lack of exercise, excess stress, alcohol abuse, and tobacco use. The practice of Lifestyle Medicine is specifically geared toward working with patients to address these issues in a clinical setting. As stated by the American College of Lifestyle Medicine, "although the practice of Lifestyle Medicine incorporates many public health approaches, it remains primarily a clinical discipline". A growing body of scientific evidence has demonstrated that lifestyle intervention is an essential component in the treatment of chronic disease that can be as effective as medication, but without the risks and unwanted side effects.(www.lifestylemedicine.org)Health care practitioners are well versed on the impact that lifestyle choices have on health care and yet often find themselves challenged to address these issues in the typical clinical setting. Family HealthCare Center, a Federally-Qualified Community Health Center in Fargo, ND, has accepted this challenge and is actively engaged in incorporating Lifestyle Medicine into their primary care services. This effort has been spearheaded by Dr. Mary Larson, a licensed registered dietician, clinical diabetes educator and community health education specialist. As a result of the ongoing effort to incorporate Lifestyle Medicine into primary care, Dr. Larson received a 2011 Bush Fellowship. The Bush Fellowship provides an opportunity for individuals to increase their leadership capacity to more effectively work with others to solve tough problems in their communities. Dr. Larson is particularly interested in bringing the practice of Lifestyle Medicine to people who have few economic resources. While she recognizes that lifestyle health concerns should be addressed with all patients regardless of age, race, or gender, individuals who have lower levels of education and fewer economic resources often have limited access to health care and therefore suffer the consequences of lifestyle health conditions at significantly higher rates than their counterparts. At the same time, the healthcare systems provide acute and episodic care to these individuals rather than additionally focusing on the factors that are foundational to good health. Dr. Larson's vision is to serve this particular community by engaging partners within primary health care settings to integrate lifestyle medicine into every visit and to work with individuals and organizations in the community to foster healthy choices by creating healthier living environments.

A Truly Integrated Acupuncture-Primary Care Model

In the community clinic setting, there are many different ways to integrate CAM into primary care. Much of the time, this is with a referral from the primary care provider to a CAM practitioner. Other times, an enlightened PCP may integrate CAM into his or her own practice. It is less common to have a fully integrated team with both a Western-trained MD and a licensed acupuncturist seeing patients together, week after week. Bonney Lynch, a faculty member of the American College of Chinese Medicine, and Melinda Glines, a family physician with Lifelong Medical Care, are doing this collaborative work with an urban underserved population in a high-volume community clinic. They would like to share what they have learned from their work together, and how they have used each of their disciplines to effect therapeutic change in a highly challenged and challenging patient population.