What is the Vocal Health Education ethos?
- The Biopsychosocial (BPS) Model is the creation of George Engel (1977), who said, “We are now faced with the necessity and the challenge to broaden the approach to disease to include the psychosocial without sacrificing the enormous advantages of the biomedical approach”. Whilst an Evidence Based Medicine diagram compartmentalises medicine into three constituent parts; the patient’s wishes, fears, preferences are only seen as one third of the importance of any given interaction.
- The BPS model however looks at the biology, psychology and sociology of any given whole interaction with a patient. This means taking into account such things as social status, living conditions, criminal record, schooling, locations growing up, mental health, anxieties and stressors in day to day life, as well as the drug effects, genetic predispositions and biomechanical issues that may befall a patient.
- Since 1977, there have been consistent calls to action to relight the fire of the BPS model in healthcare and medicine, including high quality meta analysis, systematic Cochrane reviews.
- We believe that aligning to this philosophy gives power to understanding the complexity of any given voice. Sure, someone may come into the clinic with hoarseness from mucosal pathology, but how do they feel about that? How does that worry impact oedemitus cycles in the vocal folds? How does all of that worry manifest itself within muscle tension in the neck? The breathing apparatus…?
- The interdigitation is endless but also informs where one might begin with mindfulness and meditation before any exercises with a ‘mechanism of action’ are given.
- Or, perhaps even considering their story of abuse as a child that Manual Therapy in the neck region might be triggering or psychologically dangerous.
It’s all about the story which leads work alongside a biomedical diagnosis. It’s something that many of us do quite well anyway, it’s just nice to know it has a name!
PS it’s easy to say “I do this anyway” without truly reflecting on the complexity of any given person. In fact, Walt Fritz PT, Dr Rani Lill Anjum (who wrote the book on Causation) and Stephen have a chat about this very subject through CauseHealth here.
Who works for Vocal Health Education?
Above all, VHE values the personal relationships and individuality each member of the team brings to this organisation. Being your authentic self helps us all understand each other, and feel greater levels of congruence and transparency within the the work we share. Our Staff Handbook is here.
What is the financial foundation of our ‘Not For Profit’ policy?
What is your agreement with your tutors, and how is it a not for profit contract with your academic contributors?
We respect all of them equally. Each presenter has ownership of their content – they can present the same material anywhere. We have a licensed agreement to use their film for one year. At the end of that, they can either withdraw it, let us keep using it, or update the content and receive a further fee.
If excess profit is left in the company, the money is reinvested into creating new course content, or providing expert outreach work. It is the intention of VHE to pursue bursaries and grants to provide education for those without unearned advantage.
“Not-for-profit organisation” is a broad term for all independent organisations whose purpose is something other than to make private profit for directors, members or shareholders. Many different types of organisation can be “not-for-profit”. It is not a legal structure in and of itself. Not-for-profit organisations choose a legal structure based on a variety of factors, including:
- How the organisation will be funded
- Whether the organisation will be controlled by voting members
- Whether the organisation will be incorporated
- Whether the organisation will be charitable