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. 2022 May-Aug;15(2):150-157.
doi: 10.4103/ijoy.ijoy_56_22. Epub 2022 Sep 5.

Yoga and Integrative Healthcare: Lessons from the National Institute of Mental Health and Neurosciences (NIMHANS) in India

Hemant Bhargav  1 , Bharath Holla  1 , Kishore Kumar Ramakrishna  1 , Venkataram Shivakumar  1 , K Gokulakrishnan  2 , Shivarama Varambally  3 , B N Gangadhar  4
Affiliations

Yoga and Integrative Healthcare: Lessons from the National Institute of Mental Health and Neurosciences (NIMHANS) in India

Hemant Bhargav et al. Int J Yoga. 2022 May-Aug.

Abstract

Background: There is growing evidence and increasing interest for systemic integration of medicine (synergistic and evidence-based combination of different systems along with conventional biomedicine). The National Institute of Mental Health and Neurosciences (NIMHANS), an Institute of National Importance and a tertiary mental and neurological healthcare hospital situated in Bengaluru, India, has established one such integrative model. The present manuscript traces the history and describes the important steps followed in this integrative approach.

Methodology: The NIMHANS model followed a stage-wise two-step approach: (1) First stage - Starting with Integration of Yoga: The process began more than a decade ago, with integrating yoga into a clinical department (rather than an exclusive research-based approach) of the institute which had relatively high clinical service load (For example, Department of Psychiatry in NIMHANS). Yoga was gradually formalized into academic and clinical activities (outpatient and inpatient services) by appointing a Yoga faculty with a medical background with an MD/PhD in Yoga. The research was primarily directed by the clinical observations of patients receiving yoga therapy. (2) Second stage: Adding an appropriate and compatible discipline from Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) system (Ayurveda in this case): The center for yoga gradually evolved into the Department of Integrative Medicine with the appointment of faculty from the Ayurveda stream. In this model, specialists from each discipline provide clinical inputs after simultaneous consultation with the patient through systemic integration in clinical, academic, and research domains rather than mere co-location of AYUSH services with mainstream medicine.

Conclusion: The NIMHANS model of integration suggests the application of yoga into mainstream clinical service as the first step toward integration. Yoga should be added as a formalized clinical discipline with systemic integration. Gradually, other feasible systems of traditional medicine from AYUSH can be integrated at a later stage in a step-by-step manner based on clinical practice and evidence.

Keywords: Complementary medicine; conventional medicine; integrative medicine; traditional medicine.

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Conflict of interest statement

Authors declare no conflicts of interest, Dr Gangadhar has given his views in his personal capacity and they may not necessarily reflect views of National Medical Commission.

Figures

Figure 1
Figure 1
Difference between the two models of integration (cafeteria approach vs. integrative approach) followed in india
See this image and copyright information in PMC

References

    1. Shankar D, Patwardhan B. AYUSH for New India: Vision and strategy. J Ayurveda Integr Med. 2017;8:137–9. - PMC - PubMed
    1. Kabir A, Karim MN, Islam RM, Romero L, Billah B. Health system readiness for non-communicable diseases at the primary care level: A systematic review. BMJ Open. 2022;12:e060387. - PMC - PubMed
    1. Report of the Udupa K.N. Committee on Ayurveda Research Evaluation. 1959. [Last accessed on 2022 Mar 30]. Available from: https://ruralindiaonline.org/en/library/resource/report-of-the-udupa-kn-...
    1. National Education Policy 2020. 2020. [Last accessed on 2022 Mar 30]. Available from: https://ruralindiaonline.org/en/library/resource/national-education-poli... .
    1. WHO Traditional Medicine Strategy: 2014-2023. [Last accessed on 2022 Mar 30]. Available from: https://www.who.int/publications-detail-redirect/9789241506096 .