Abstract
The Pathways Model was developed by Angele McGrady and Donald Moss (Pathways to illness, pathways to health, Springer, New York, NY, 2013), as an integrative model for improving health and remediating illness. The Pathways Model utilizes a coaching-based approach to assess the individual’s readiness for health-supportive changes and articulates a three-level plan for enhancing health and wellness. The Pathways Model begins with the formation of an “alliance for health” with each prospective patient. The Pathways self-care plan is a personally forged and committed program for self-directed changes, in coordination with professional support.
The Pathways Level One plan includes self-directed lifestyle changes and behavioral change to restore the body’s biological rhythms. Level One activities are simple and practical, reflecting the individual’s life experience and choices. The Level Two plan involves acquiring specific skills for improved coping and self-regulation. Level Two activities can be supported by educational resources and community programs, such as a relaxation training CD, community-based mindfulness or meditation classes, or instruction at a yoga or wellness center. The Pathways Level Three plan consists of interventions delivered by a trained health care professional, including health psychologists, psychotherapists, physicians, physical therapists, nutritionists, herbalists, naturopaths, acupuncturists, and others.
This chapter promotes the inclusion of religious and spiritual practices at each Level in the Pathways Model, and advocates for including complementary therapies in the Pathways Model.
Portions of this chapter are adapted with permission from D. Moss (2015), integration of mindfulness training into a comprehensive “Pathways Model” treatment program: The case of Jorge, Biofeedback, 43(3), 137–141.
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Notes
- 1.
Sagner et al. (2014) used the term “morbidogenic environments,” indicating that the environment can be conducive to illness.
- 2.
Of great concern, a report from the National Center for Health Statistics in December 2016 reported the first reduction in US population life expectancy in many years. Life expectancy in 2015 was 78.8, a decrease of 0.1 since 2014 (National Center for Health Statistics, 2016).
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McGrady, A., Moss, D. (2018). The Pathways Model for Improved Health and Wellness. In: Integrative Pathways. Springer, Cham. https://doi.org/10.1007/978-3-319-89313-6_2
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