THRIVE (Transforming Health & Resilience through Integration of Values-based Experience) is a 15- week evidence-based program founded on Whole Health, Positive Psychology, Integrative Medicine, and Acceptance and Commitment Therapy. Jacklyn Paykel, M.D., is the author of the THRIVE program and is currently the Director of the Whole Health Service Line, at the Tampa, VA. The program is founded on a whole health approach to care that is designed to empower and equip Veterans to improve their health, enhance their quality of life, and achieve greater happiness. The program is intended to improve the Veteran experience, increase access to care, and reduce utilization of traditional healthcare resources, such as Emergency Department visits, and hospital admissions. The program is known to improve the VA employee experience and leads to community healing.The first cohort at the Tampa, VA consisted of fifteen Women Veterans who were requesting an Integrative (holistic) approach to healthcare, in life transition, who were seeking assistance with balancing life stressors, and those open to group support.All the women made a commitment at the beginning of the course to attend group appointments designed to teach the six core domains of an Optimal Healing Environment.The program itself is delivered in 2-hour sessions, by a multidisciplinary team of professionals.The THRIVE team works closely together with Veteran participants through an exploration of health and self, didactic instruction, sharing of evidence-based information, use of creative projects, conversation, values and action planning homework.Topics include:Sleep and Restoration, Nutrition, Mental Health & Happiness, Financial Health, Stress Reduction & Movement, Environmental Health, Healthy Relationships, Expanding Your Creativity, Sexual Health, Mindfulness & Intuition, Spiritual Health, and Work/Life Purpose. During the course quality improvement data is collected from the participants at 1, 7, 14 weeks, and 6 months after completion of the course.Tools include the Pain Rating Scale, PHQ9, for Depression, GAD7, for Anxiety, LSS, for Life Satisfaction, and the Acceptance and Action Questionnaire-II (AAQ-II) for measure of psychological inflexibility and experiential avoidance.Based on the outstanding results of the data collected at the Tampa VA, Bay Pines, VA chose to replicate the program in 2018.
Take Away Notes:
• Identify the basic tenets of THRIVE
• Describe the impact the THRIVE program has on Veteran health and wellness outcomes
• Explain the positive organizational outcomes associated with the implementation of an integrated holistic program