First, a familial confession. I recall at sitting at my parents home in the waning hippy era of mid-1970s when a close friend of my elder siblings who had strong back-to-the-land inclinations faced a grilling about her life plans at our pressurized family table. Education? Employment? Contributions to community? The friend must have known she was thumbing her nose at her interrogators when she shared her counter-cultural goal: “I just want to be happy.”
On September 26, 2018, Harvard Medical School announced to its faculty that it is “reassessing” the School’s mission statement. An invitation to comment and provide feedback on a draft of a new mission was sent by microbiology and immunology professor Peter Howley, MD. Howley leads a committee for Medical School Dean George Daley, MD, PhD that is wrestling with a transformational theme that most unifies the diverse parties in the movement for integrative health and medicine. Harvard is bellying up toward reckoning with the need to shift the medical industry toward a system for creating health.
One can easily count the chickens of non-pharmacological approaches highlighted in multiple organizational guidelines and state strategies related to pain and opioids. But one definitely cannot count on them hatching inside each new, significant policy initiative. Regular medicine tends to regress toward a non-inclusive mean in pain treatment. And “mean” may be the operative word – at least from the perspective of individuals who remain unaware of the integrative therapies and practitioners that may help them.
The evolution of the American Congress of Rehabilitation Medicine (ACRM) began in the 1930s with a founding focus on a single emerging modality and now boasts a position as the largest multidisciplinary-centered rehabilitation organization in the country. ACRM was first a medical academy for x-ray therapy, broadened to more physical therapies, then focused in on physical medicine, and finally extended outward again to address both physical and psychological issues. Core disciplines are medicine, physical therapy, occupational therapy, and psychology. The door is not shut. Anyone can join.