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Acupuncturist
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Massachusetts Model: Description of Primary Care Approach 1. OVERVIEW, DESCRIPTION, AND RATIONALE 1.1 General Description of Approach Punyamurtula S. Kishore, M.D., M.P.H. served as the Acting Medical Director at the Washingtonian Center for Addictions situated in Jamaica Plain Massachusetts before it closed in 1980. This experience with one of the few remaing vestiges of the Washingtonian Movement changed his entire medical career plan. Dr. Benjamin Rush's concept of a therapeutic approach to addiction had influenced the Movement's founders and attracted Dr. Kishore to the field of Addiction Medicine. Over the next decade, he worked in most of the major addiction programs in Massachusetts. He had experience in every phase of treatment whether inpatient, outpatient, or residential and a variety of philosophies from sobriety based to maintenance or twelve step to therapeutic community based. In 1990 while the Associate Medical Director for the Department of Corrections at Bridgewater State Hospital he founded "Home Free" a pilot home detoxification program in cooperation with the local Visiting Nurses Association. This innovative model was recognized in 1994 by an award from AMERSA (Association of Medical Education and Research on Substance Abuse). In 1996, he opened the first office of Preventive Medicine Associates (PMA) a private medical practice focused on Addiction Medicine. It was a quaint one-room office in Brighton Massachusetts with a small library in another room to host community meetings. The practice was built around a model of primary care rather than an addiction treatment program using the construct of community oriented primary care (COPC) as the model for the office. He chose this model based on his fellowship at Carney Hospital in the early 1990s. He found early on that using this model made it possible to survive as a private practice but require continual modifications of the practice to meet the frequently changing demands of the current health care system. The practice was successful and required additional office space after a few years. As the practice grew it became apparent that additional sites were necessary to provide easier access for patients traveling long distances to reach the office. Request came from community members, physicians, or the political structure of various communities requesting additional sites be developed in their community. The current network of sites developed by Preventive Medicine Associates is based on the principles of Preventive Medicine and Community Responsive Care (CRC) and focuses on the health of individuals, communities, and defined populations. Its goal is to protect, promote, and maintain health and wellbeing and to prevent disease, disability, and death. The emphasis is on how communities can work collaboratively with the healthcare sector, such as physicians, public health officials, insurers, and providers to develop cooperative strategies that promote health. It provides the link between defining the community, health care needs, and program development. The practice has become a statewide network of sites offering a full spectrum of services, available to all patients at all sites. In addition, by providing access to sober housing in all areas of the Commonwealth, the network enhanced the continuity of care. Each practice location consists of a multi-disciplinary team, which typically includes a mix of physicians, psychiatrists, nurse practitioners, physician assistants, counselors, office managers and medical assistants. From this experience he developed a model of care which he called the Massachusetts Model of Addiction Recovery. The Massachusetts Model approach is characterized by a thorough and ongoing medical assessment of patients and of multimodal therapeutic approaches. It may include full and comprehensive physical examinations, laboratory testing, toxicology, cardiac, neurological and pulmonary evaluations, education and support, and other methods. A multidisciplinary team of professionals (e.g., nurse practitioners, physicians, physician assistants, psychologists, nurses, peer group counselors) plan and assist in the treatment process. The physician or nurse practitioner meets individually with the patient to conduct an interview, review the client's test results, and plan medical goals and objectives. The assumption is that abstinence is ideal. Treatment provides tools and a context for the client to learn new ways of living without alcohol and other drugs. This type of treatment can be employed on an outpatient basis.
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General Preventive Medicine Punyamurtula Kishore Punyamurtula S. Kishore is the founder of Preventive Medicine Associates, Addiction Medicine Associates, and the National Library of Addiction. Kishore has been a practicing public health scientist for over 30 years. He began his medical career as a primary care / family practice physician and then moved into a position as the Medical Director of the Washingtonian Center for Addictions, the first organization in the U.S. to recognize addiction as a disease. Their philosophy was an early precursor to the AA or 12-step program movement. Kishore has been a member of the American Society of Addiction Medicine since 1986 and has helped treat more than 200,000 addicts. Dr. Kishore treats addicts with his sobriety maintenance method. This unique health model stresses the prescription of non-toxic substances, provides patients with coping skills they need to remain sober and tailors treatment to specific medical conditions. Kishore also administers de-addiction treatment, a process that treats emotional addiction as well as the physical addiction. Patients have access to home detoxification, an inexpensive and more effective option to in-patient care which allows them to maintain their dignity while learning how to cope with the temptations found in their own environments. In 1993, Kishore founded National Library of Addictions in Brookline, Massachusetts. To support work in addictions treatment, the Library is designed to provide a non-profit structure for addiction professionals to exchanges ideas and to further the development of treatment methodologies. He was honored by the Boston Celtics with a Heroes Among Us award, given to those who make a significant impact on the lives of others. Kishore is also the recipient of a national Compassionate Caregiver Award, Honorable Mention, from the Schwartz Foundation. Kishore served as a faculty member of Harvard and as an Assistant Professor of Medicine at the University of Massachusetts. Currently, he serves as the Assistant Professor of Business Administration at Fitchburg State University. He holds his Masters Degree in Public Health from Harvard School of Public Health, in addition to Certificates in Addiction Studies and Forensic Psychology from Bridgewater State University.
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Brigham-Faulkner Hospital Beth Israel Deaconess Hospital
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Andhra Med Coll, Univ Hlth Sci, Visakhapatnam, Ap, India
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Caritas Carney Hosp, General Preventive Medicine91-94 -Residency in Preventive Medicine -Fellowship in Community Oriented Primary Care King George Hospital,73-74 - Internship All India Institute of Medical Sciences, 75-76 -Residency in General Surgery
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