Robert A. Roush, PhD Complementary and Alternative Medicine Clinic Design Pre-publication “Asamemberofthealternativemedi- REVIEWS, cal profession, it is rewarding COMMENTARIES, for me to finally see in print a most comprehensive and informative book EVALUATIONS... onthebeneficialandhealthrewardsof alternative medicine. Dr. Roush takes the reader step-by-step on a detailed andthoroughguidethroughtheworld “Dr.Roushhaswrittenanexcellent ofcomplementarymedicine.Fromthe book.Ihighlyrecommenditto basics of vitamins and herbs, through complementary and alternative medi- variousmodalities,therapies,andcase cine(CAM)practitionersaswellasphy- studies, it is a must-read book for ev- sicians.Iespeciallyenjoyedhisreview eryonewhoiscuriousaboutthemind, ofthemanycomplementarymodalities body,andspiritconnection.Ifyouthink anddescriptions.Thesedescriptionsed- yourhealthproblemsareinsurmount- ucatereaderstothealternativetherapy ablebutyouknowlifeisprecious,read choices available today. The clinic de- and experience Complementary and Al- signmodelbringsaholisticviewtocom- ternativeMedicineforultimatehealth.” plementaryandconventionalmedicine.” Dr.RonaldF.Karl,ND RoseSnyder,BS President, Reflexologist, LifesavingEnterprisesInc., Northampton,PA MaplePark,IL Morepre-publication REVIEWS,COMMENTARIES,EVALUATIONS... “Thisbookoffershope.Encourag- “ComplementaryandAlternativeMedi- ingtheintegrationofCAMwith icine is a unique and compre- traditionalmedicine,theauthorstrongly hensivereviewofcomplementarymed- urgesclients’self-awarenessandchoice. icine.Dr.Roush’sapproachofbringing Heplacesboththepatientandthedoc- CAMtogetherwithconventionalmed- torinthedriver’sseatwhendevelop- icineinaclinicalsettingisjustthepre- ingahealthcareplan.Theauthorchal- scriptionfortoday’sailinghealthcare lenges patients to know themselves, system.” seek what they need, and realize that theirbeliefsandchoicescanpositively KenLevin,MD impacttheirhealthandsenseofwell- MedicalDirector, being. A good read for anyone inter- CollegeHeightsImaging, estedinholisticcareanddelivery.” Allentown,PA ReverendNancyAdams,MDiv UnitedChurchofChristClergywoman; BoardCertifiedChaplaininAssociation ofProfessionalChaplains; ChaplainatSt.Luke’sHospital, Bethlehem,PA TheHaworthIntegrativeHealingPress® AnImprintofTheHaworthPress,Inc. NewYork•London•Oxford NOTESFORPROFESSIONALLIBRARIANS ANDLIBRARYUSERS This is an original book title published by The Haworth Integrative HealingPress®,animprintofTheHaworthPress,Inc.Unlessother- wisenotedinspecificchapterswithattribution,materialsinthisbook have not been previously published elsewhere in any format or lan- guage. CONSERVATIONANDPRESERVATIONNOTES AllbookspublishedbyTheHaworthPress,Inc.anditsimprintsare printedoncertifiedpHneutral,acidfreebookgradepaper.Thispaper meetstheminimumrequirementsofAmericanNationalStandardfor Information Sciences-Permanence of Paper for Printed Material, ANSIZ39.48-1984. Complementary and Alternative Medicine Clinic Design THE HAWORTH INTEGRATIVE HEALING PRESS Ethan Russo Editor The Last Sorcerer: Echoes of the Rainforestby Ethan Russo Professionalism and Ethics in Complementary and Alternative Medicineby John Crellin and Fernando Ania Cannabis and Cannabinoids: Pharmacology, Toxicology, and Therapeutic Potentialby Franjo Grotenhermen and Ethan Russo Modern Psychology and Ancient Wisdom: Psychological Healing Practices from the World’s Religious Traditionsedited by Sharon G. Mijares Complementary and Alternative Medicine: Clinic Design by Robert A. Roush Complementary and Alternative Medicine Clinic Design Robert A. Roush, PhD The Haworth Integrative Healing Press® An Imprint of The Haworth Press, Inc. New York • London • Oxford Published by TheHaworthIntegrativeHealingPress®,animprintofTheHaworthPress,Inc.,10AliceStreet, Binghamton, NY 13904-1580. ©2003byTheHaworthPress,Inc.Allrightsreserved.Nopartofthisworkmaybereproducedor utilizedinanyformorbyanymeans,electronicormechanical,includingphotocopying,microfilm, andrecording,orbyanyinformationstorageandretrievalsystem,withoutpermissioninwriting from the publisher. Printed in the United States of America. PUBLISHER’S NOTE Thisbookshouldnotbeusedasasubstitutefortreatmentbyaprofessionalhealthcareprovider. Thereadershouldconsultaphysicianformattersrelatingtosymptomsthatmayrequiremedical attention. Cover design by Jennifer M. Gaska. Cover graphic representing the chakra divisions by Steven H. Olofson. Library of Congress Cataloging-in-Publication Data Roush, Robert A. Complementary and alternative medicine : clinic design / Robert A. Roush. p. cm. Includes bibliographical references and index. ISBN 0-7890-1803-9 (alk. paper) — ISBN 0-7890-1804-7 (soft) 1. Alternative medicine. I. Title. R733 .R677 2003 615.5—dc21 2002068772 CONTENTS Preface ix Chapter 1. Review of Complementary and Alternative Modalities 1 Alternative Medical Systems 3 Mind/Body Interventions 17 Biologically Based Interventions 21 Body-Based Manipulation Therapies 30 Energy/Metaphysical Therapies 35 Conclusion 40 Chapter 2. Research 43 What Health Care Consumers Think 43 Physicians 50 Complementary and Alternative Clinics 53 Conclusion 59 Chapter 3. Choosing Modalities for a Clinic 61 Choosing Modalities 63 Getting the Word Out 69 Qualifications of Practitioners 70 Conclusion: Applying Multiple Criteria to Choosing Modalities 72 Chapter 4. Clinic Design and Structure 75 Traditional Structures 75 Theoretical Model of Illness 77 Clinic Design and Structure 80 Conclusion 93 Chapter 5. Needed Research, Suggestions, and Speculations 95 Further Research 95 Decreasing Litigation 96 Consumer Education 100 Final Speculations 103 Epilogue 104 Appendix A. Patient Raw Data 107 Appendix B. Physician Raw Data 115 Appendix C. CAM Clinic Raw Data 121 Appendix D. Health Assessment Tools 129 Bibliography 143 Index 153