The HOPE Note

A TOOL FOR ADDING INTEGRATIVE
HEALTH CARE TO A ROUTINE OFFICE VISIT

HOPE VISIT

The HOPE note addresses the social, behavioral, environmental, and spiritual components required for managing complex, chronic diseases. Working through the questions with the patient helps engage them in shared decision-making about their health and healing, putting them front and center in the care plan. Best of all, it brings out the patient’s own intuition about what they most need to heal and combines that with your knowledge of the evidence for what heals.

The goal is to reframe the patient/physician orientation from one of disease treatment to one that emphasizes health promotion and self-healing while integrating evidence-based complementary and lifestyle approaches into conventional medical care.

Resources

THE HOPE NOTE QUESTIONS

The following questions are used to guide the conversation between you and the patient during the HOPE consultation. Download both the patient questions and the provider guide.

PROVIDER GUIDEPATIENT QUESTIONS

THE HOPE NOTE QUESTIONS WITH SOCIAL DETERMINANTS

The following questions are used to guide the conversation between you and the patient during the HOPE consultation. This version includes questions that address the social determinants of health.

PROVIDER GUIDEPATIENT QUESTIONS


A SAMPLE VISIT

The following video shows you how to address certain topics with a patient in a sample visit. See Dr. Jonas ask about trauma, nutrition, activity and stress management.