Mastercourse Hoenders cip2012

Mastercourse Integrative Psychiatry
19th of April 2012

Rogier Hoenders,
psychiatrist, founder and head
Center Integrated Psychiatry, Lentis

donderdag 26 april 2012

Welcome!


Welcome!

• Who are we?


Welcome!

• Who are we?
• Why are we here today?


Welcome!

• Who are we?

• Meeting, connecting, inspiration, exchanging,
helping each other to bring the field of IP
forward, learning about IP, forming a network


Welcome!

• Who are we?


• New solutions (WM, CAM, lifestyle)


Welcome!

• Who are we?


-> basis for the conferences IP


Welcome!

• Who are we?


-> basis for the conferences IP
-> and for the CIP


Conferences

• 2006: the best of both worlds (1200)
• 2007: in search of new solutions (800)
• 2008: new perspectives on body and mind (900)
• 2010: selfhealing capacity (800)

• 2012: Interconnectedness


Center for Integrative Psychiatry (CIP)



• Founded in 2006: inspired by CAHCIM, WHO, EP,
David Servan Scheiber



• Part of Lentis: community based mental health
institution,



institution,
• province of Groningen (575.000),



institution,
• 5 clinics, 8 outpatient clinics,



institution,
• 5 clinics, 8 outpatient clinics,
• 4300 employees


Center for Integrated Psychiatry


Research group “the Middle Way”

• A. Bartels: senior researcher
• E. Bos; senior researcher
• K. v/d Ploeg, junior researcher
• H. Berkelmans, assistent researcher
• R. Hoenders: psychiatrist / researcher
• B. Hartogs, psychologist
• J. de Jong: Professor of Transcultural Psychiatry
• UMCG: De Jonge, Aleman, Sanderman


Published papers

• Use of CAM
• Review on efficacy CAM for bipolar disorder and
schizophrenia
• Dutch protocol for CAM
• Group studies effects of mindfulness
• N of 1 studies TSA
• ROM, routine outcome monitoring (400)


• Borgemeester S, Appelo MT, Hoenders HJR (2008) Complementaire en alternatieve geneeswijzen in de
huisartsenpraktijk: de mening van huisartsen en patiënten. GGz Wetenschappelijk, 12, 2, 26 – 32.
• Brink, H van de (2006) Naar een integrale benadering van stemmingsstoornissen - voorbij regulier of
alternatief. GGz Wetenschappelijk, 10, 1, p 4- 26
• Hartogs BMA (2009). Hartcoherentietraining en het geluk van motorrijden. Directieve therapie, 29, 161-169.
• Hartogs BMA, Eikmans KM, Bartels-Velthuis AA. (Melting down the Ice Queen: an integrative treatment of Anorexia Nervosa; a case study
(submitted)
• Hoenders HJR, Appelo MT, van den Brink H, Hartogs BMA, Berger CJJ, Tamsma HH (2010). Protocol voor alternatieve geneeswijzen; naar
een verantwoorde toepassing in de GGz. Tijdschrift voor Psychiatrie, 52, 343-348.
• Hoenders HJR, Appelo MT, van den Brink H, Hartogs BMA, de Jong JTVM (2011). The Dutch complementary and alternative medicine
(CAM) protocol. The Journal of Alternative and Complementary Medicine, 17 (12), 1-5.
• Hoenders R, Bos E, de Jong J, de Jonge P (2011). Unraveling the temporal dynamics between symptom and treatment variables in a
lifestyle-oriented approach to anxiety disorder. A time-series analysis. GGzet Wetenschappelijk, 15 (2), 11-30.
• Hoenders HJR, Bos EH, de Jong JTVM, de Jonge P (2011). Temporal dynamics of symptom and treatment variables in a lifestyle-oriented
approach to anxiety disorder: a single-subject time-series analysis. Psychother Psychosom (accepted).
• Hoenders HJR, Appelo MT & JTVM de Jong (2012) Integrative medicine: A solution for the polarisation between
biomedicine and alternative medicine? (submitted)
• Hoenders HJR, Bartels A, Ploeg, K van der, Bruggeman, R, Knechtering, H & JTVM de Jong (2012) Natural medicines for schizophrenia
(in preparation).
• Hoenders HJR, Bos E, Ploeg K van der, Bartels, A, Berkelmans, H & JTVM de Jong (2012) Routine Outcome Assessment of outpatient
treatments in center for integrative psychiatry (in preparation).
• Hoenders HJR, Hartogs BMA & van den Brink H (2008) Gezondheidsbevorderende interventies in de GGz, Tijdschrift voor
Psychiatrie, suppl
• Hoenders, HJR, Willgeroth & Appelo MT (2008) Western Medicine and Alternative Medicine; a comparison of
paradigms and work styles. Journal of Alternative and Complementary Medicine, 14, 8, 894 – 896
• Hoenders HJR, Appelo MT & Milders CFA (2006) Complementaire en alternatieve geneeswijzen en psychiatrie:
meningen van patiënten en psychiaters. Tijdschrift voor Psychiatrie, 9, 733 – 737
• Hoffer C & Hoenders HJR (2010). Complementaire, alternatieve en religieuze geneeswijzen; gebruik betekenis en onderzoek ernaar. In:
Handboek Culturele Psychiatrie en Psychotherapie. De Jong en Colijn (red). De Tijdstroom.
• Rodway M, Vance A, Watters A, Lee H, Bos E, Kaplan BJ. Efficacy and cost-benefit analysis of micronutrient treatment of psychosis: A
literature review and case study (2nd revision).


Information

• www.congressintegratedpsychiatry.com
• Consulting and advising collegues
• Yearly conference “Integrated Psychiatry”
• Giving lectures and workshops on Integrated
Psychiatry and Mindfulness


Training

• Residents psychiatry (officially recognized by the
MSRC); part of the conventional training program
in Lentis
• Students medicine, psychology and nursing
• Nurse practitioners


Outpatient clinic; therapists

• 3 psychiatrists
• 3 psychologists
• 2 MD (residents)
• 6 (specialized) nurses
• 1 nurse practitioner
• 1 physiotherapist
• 1 mindfulness trainer
• 1 creative expression


Outpatient clinic; patients



- Total of 450 outpatients



- Reason for referral: no medication/side effects,
interest in CAM or IP, spirituality, second opinion



- All types of disorders (conventional diagnosis),
mostly mood and anxiety disorders, trauma and
personality disorders



- About 100 new patients a year



- About 100 new patients a year

- Which treatments?


Complementary vs Alternative



Complementary Medicine: treatments with scientific
evidence for the effectiveness, but because of practical,
ideological or social reasons they have not been
integrated with conventional psychiatry (St Johns wort
and massage).



and massage).

Alternative medicine: like Reiki or Healing do not have
the same evidence base and they use different
paradigms to explain health and disease.



and massage).


(Lake 2007)


Treatments in the CIP



• Western psychiatry: medication, CBT,
psychotherapy, specialized nurses (life chart)




• Lifestyle training (nutrition, sport, relaxation,
non-violent communication) and courses in
mindfulness and compassion for patients and
therapists




therapists

• Complementary medicine: supplements, herbal
medicine, mindfulness, HRV training, massage,
yoga and meditation




therapists

• Complementary medicine: supplements, herbal
medicine, mindfulness, HRV training, massage,
yoga and meditation

• Alternative medicine not inside CIP (protocol)


NNIP


NNIP

• Conferences, articles, media:


NNIP

-> Patients from all over the country started
contacting us


NNIP

contacting us

• Need to refer to collegues who work in a similar
way -> NNIP


NNIP

contacting us

way -> NNIP

• Need to have high quality safe working method


NNIP

contacting us

way -> NNIP

• Need to have high quality safe working method
-> CAM protocol


Program

• 10.00 Opening by Rogier Hoenders
• 10.30 Rupert Sheldrake
• 11.15 Lama Gangchen Rinpoche & Lama Michel
Rinpoche
• 12.00 Lunch
• 12.45 Workshops
• 14.00 Feedback workshops
• 14.30 Paul Gilbert
• 15.15 Break
• 15.45 Richard Brown and Patricia Gerbarg
• 17.00 Questions, discussion, closure
• 17.30 Drinks / dinner


Rupert Sheldrake

• Rupert Sheldrake is a biologist and author of
more than 80 technical papers and ten books,
including A New Science of Life. A former
Research Fellow of the Royal Society, he studied
natural sciences at Cambridge University, where
he took a Ph.D. in biochemistry, and philosophy
at Harvard University, where he was a Frank Knox
Fellow. He was a Fellow of Clare College,
Cambridge, and Director of Studies in
biochemistry and cell biology. He is currently a
Fellow of the Institute of Noetic Sciences, near
San Francisco.


Lama Gangchen Rinpoche
and Lama Michel Rinpoche

• Lama Gangchen Rinpoche is a Tibetan Lama
Healer who lives in Italy and who works in
different countries all over the world. He received
many prices and (peace) awards for his work.
• Lama Michel Rinpoche: was born in 1981 in
São Paulo, Brasil, at the age of five he met Lama
Gangchen Rinpoche and started a strong
connection with Buddhism. Later he was
recognized as a ‘Tulku’, the reincarnation of a
Tibetan Buddhist Master. At the age of twelve he
decided to become a monk and went to study at
the Buddhist Monastic University of Sera Mey in
the south of India.

Workshop psychiatrists


Introductions

• Name
• Profession
• Why are you here?
• What would you like to contribute to integrative
mental health in the Netherlands (and the
world)?


This workshop

• 1. CAM protocol
• 2. Netherlands Network Int Psy (NNIP)
• 3. International developments

• 4. Discussion, ideas, plans


1. The CAM protocol


1. The CAM protocol

• Why?


1. The CAM protocol

• Why?
• Based on what?


1. The CAM protocol

• Why?
• Based on what?
• How does it work?


1. The CAM protocol

• Why?
• Based on what?

• Two parts:


1. The CAM protocol

• Why?
• Based on what?

• Two parts:
1. Inside the CIP: WM and complementary
medicine based on principles EBM


1. The CAM protocol

• Why?
• Based on what?

• Two parts:
1. Inside the CIP: WM and complementary
medicine based on principles EBM
2. Outside the CIP: referring to and advising on
alternative medicine



integrated with conventional treatments (St Johns wort
and massage).


(Lake 2007)


2. International


2. International

• CAHCIM


2. International

• CAHCIM
• NCCAM


2. International

• CAHCIM
• NCCAM
• ISCMR


2. International

• CAHCIM
• NCCAM
• ISCMR
• European society for IM


2. International

• CAHCIM
• NCCAM
• ISCMR

• INIMH


2. International

• CAHCIM
• NCCAM
• ISCMR

• INIMH
• Future: “Networking the networks”?


3. Forming a Network

• Why?
– finding like minded colleagues
- finding relevant information
- getting help while starting a center
- forming special interest groups
- referring patients

• How?
1. Networking
2. Advocacy and policy
3. Research
4. Education
5. Clinical
(different subgroups?)


Dutch network IP (NNIP)



• Start: March 2010



• Now: about 40 psychiatrists and 30 psychologists
and 10 family doctors




• What does the CIP have to offer:




- CAM protocol and our experience




- Office: Wieny Kampinga




- Office: Wieny Kampinga
- Website/logistics: Simon Broekema


4. What are your suggestions?
Ideas? Needs?


Ideas? Needs?

• www.congresintegralepsychiatrie.nl/NNIP


Ideas? Needs?


• LinkedIn groep: ‘Integrated psychiatry’


Ideas? Needs?


• http://www.linkedin.com/groups/Integrated-
psychiatry-1460237?
gid=1460237&trk=hb_side_g


Ideas? Needs?


psychiatry-1460237?

• More mastercourses?


Ideas? Needs?


psychiatry-1460237?

• Other kinds of meetings?


Ideas? Needs?


psychiatry-1460237?

• Other kinds of meetings?
• Consultation?


Feedback workshops


Paul Gilbert
• Paul Gilbert is Professor of Clinical Psychology at
the University of Derby and Head of the Mental
Health Research Unit, Derbyshire Mental Health
Services NHS Trust. He is a Fellow of the British
Psychological Society and has written, taught and
researched extensively in the areas of mood
disorders and shame. He is a former President of
the British Association for Behavioural and
Cognitive Psychotherapists. He has published
over 150 academic papers and 20 books. He is a
series editor for the “Compassionate Mind
Approaches” to various psychological difficulties.


Richard Brown & Patricia Gerbarg

• Dr. Richard Brown, Associate Professor of
Psychiatry at Columbia University, graduate of
Columbia University College of Physicians and
Surgeons (1977), gives over 200 lectures and
courses every year. Since 1998, Dr. Brown has
taught full-day courses on complementary and
alternative medicine (CAM) for the American
Psychiatric Association and other conferences. He
coauthored over 90 scientific articles, books and
chapters including, Stop Depression Now (1999),
The Rhodiola Revolution (2004), “Complementary
and Alternative Treatments in Psychiatry,” in
Psychiatry (Wiley & Sons 2003, 2007);
“Alternative Treatments in Brain Injury” in

Integration and closure

• What did we learn today?

• What do we take home?

• How do we continue in the future?


Thank you


Mastercourse Hoenders cip2012

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