title: An investigation of multidisciplinary complex health care interventions--steps towards an integrative treatment model in the rehabilitation of people with multiple sclerosis.
abstract: BACKGROUND
  The Danish Multiple Sclerosis Society initiated a large-scale bridge building and integrative treatment project to take place from 2004-2010 at a specialized Multiple Sclerosis (MS) hospital. In this project, a team of five conventional health care practitioners and five alternative practitioners was set up to work together in developing and offering individualized treatments to 200 people with MS. The purpose of this paper is to present results from the six year treatment collaboration process regarding the development of an integrative treatment model.
  
  
  CONCLUSIONS
  The collaborative work towards an integrative treatment model for people with MS, involved six steps: 1) Working with an initial model 2) Unfolding the different treatment philosophies 3) Discussing the elements of the Intervention-Mechanism-Context-Outcome-scheme (the IMCO-scheme) 4) Phrasing the common assumptions for an integrative MS program theory 5) Developing the integrative MS program theory 6) Building the integrative MS treatment model. The model includes important elements of the different treatment philosophies represented in the team and thereby describes a common understanding of the complexity of the courses of treatment.
  
  
  CONCLUSIONS
  An integrative team of practitioners has developed an integrative model for combined treatments of People with Multiple Sclerosis. The model unites different treatment philosophies and focuses on process-oriented factors and the strengthening of the patients' resources and competences on a physical, an emotional and a cognitive level.
authors.affiliation: The Danish MS Society, Valby, Denmark. lsk@scleroseforeningen.dk
authors.forename: Lasse
authors.initials: L
authors.lastname: Skovgaard
authors.forename: Liv
authors.initials: L
authors.lastname: Bjerre
authors.forename: Niels
authors.initials: N
authors.lastname: Haahr
authors.forename: Charlotte
authors.initials: C
authors.lastname: Paterson
authors.forename: Laila
authors.initials: L
authors.lastname: Launsø
authors.forename: Finn
authors.initials: F
authors.lastname: Boesen
authors.forename: Michael
authors.initials: M
authors.lastname: Nissen
authors.forename: Mai-Britt
authors.initials: MB
authors.lastname: Ottesen
authors.forename: Christina
authors.initials: C
authors.lastname: Mortensen
authors.forename: Anette
authors.initials: A
authors.lastname: Olsen
authors.forename: Søren
authors.initials: S
authors.lastname: Borch
authors.forename: Birthe K
authors.initials: BK
authors.lastname: Mortensen
authors.forename: Gudrun Aa
authors.initials: GA
authors.lastname: Rasmussen
authors.forename: Kirsten
authors.initials: K
authors.lastname: Sietam
authors.forename: Frank
authors.initials: F
authors.lastname: Staalkjær
authors.forename: Karin
authors.initials: K
authors.lastname: Pedersen
authors.forename: Kirsten
authors.initials: K
authors.lastname: Søndermark
mesh_terms: D003131:Combined Modality Therapy; D000529:Complementary Therapies / Q000458:organization & administration; D003661:Decision Support Techniques; D003695:Delivery of Health Care / Q000458:organization & administration; D006801:Humans; D055048:Integrative Medicine / Q000458:organization & administration; D009103:Multiple Sclerosis / Q000534:rehabilitation / Q000628:therapy*; D057285:Precision Medicine; D000078329:Workforce