When Oregon announced in 2016 that it would shift its back and neck care for Medicaid clients from opioids toward acupuncture, spinal manipulation, massage, yoga therapy and mind-body methods, it was heralded as a breakthrough for pain treatment nationally. Inside that policy was a mandate many now consider even bigger news. Doctors were required to totally taper patients off opioids. A backlash propelled by a letter signed by over 100 conventional pain academics nationwide – plus with one notable signer from the integrative pain community – stopped Oregon’s planned expansion of the model in its tracks. While there are good reasons for caution on mandatory tapering, the one-sided reactivity missed a chance for practitioners and patients alike to gain more experience with non pharmacologic tools to rein in the known abuses associated with opioids.
From the perspective of research contributions from academic institutions in integrative health, the 7 multidisciplinary universities have been key important contributors. These institutions, with one exception, are products of the last 20 years of advance of complementary, integrative and non-pharmacologic approaches in US health care. Each began as a professional school for chiropractic doctors, naturopathic doctors or acupuncturists then chose to expand its offerings for bird-of-a-feather programs, morphing into universities of integrative, natural health sciences. Part 1 of this series, “The Future of Integrative Health – Interviews with Presidents of 7 Multidisciplinary Universities”, examined the cornucopia of their present offerings. Part 2 offers an examination of the current place of research in these integrative health universities as the nation begins to call on their practices and practitioners in developing a new chronic pain strategy.
The recent global activity featured in the Integrator Blog News and Reports and re-posted by ISCMR, an international society of researchers in traditional, complementary, alternative and integrative medicine and health, has shown an unmistakable pattern: multiple governments are acting to remove recognition of homeopathy and certain of other complementary and integrative practice deemed “psuedo-scientific.” It’s not the only pattern. There hjave been recent positive governmental steps in Switzerland, India, the US and elsewhere. Still, the regulatory integrative ectomies in Spain, France, the UK, Australia, Canada – and here in the USA – are worth a collective heads up.
The past 20 years witnessed the expansion of a new type of institution in academic health care – and specifically in integrative health and medicine: multidisciplinary universities with professional degrees in multiple natural health fields. Variously denominated as universities of “natural health sciences” or “health sciences” or “integrative health” or merely as “university,” these 7 institutions were each founded as single purpose colleges to educate chiropractors, naturopathic doctors or acupuncturists. They expanded to include other disciplines, degrees and certifications. Many have played important roles in the integrative health movement. All sit at the intersection of two fields in turmoil: health care and higher education. I interviewed the presidents of each to access their vantage points. This overview is a first in a two-part series.