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Chaplain Tom Kilts on a Planetree model of spiritual care

An Atmosphere Where the Spirit is Free to Heal

In the mid 70s, Angelica Thieriot realized that the focus on separating the body from mind and spirit in healthcare was too dysfunctional. She decided to take action and from that motivation came what is known as the “patient-centered approach,” or the Planetree model of healthcare. The Planetree model has three essential elements for the patient experience; to personalize, demystify and humanize healthcare. To bring these elements to life means taking into consideration all elements of the healing process, of body, mind and spirit. Planetree facilities are attractive to the senses; with beautiful fountains, aroma therapy, rooms that look like hotel suites, it is impossible to not notice a Planetree facility. However, the focus is always about enhancing the healthcare experience by what I call “empowering” patients to take part in their healing processes.

The Planetree model invites family members into patient conferences and encourages patients to read their own charts. They strive to make sure that procedures are thoroughly explained and that patients know their right to decline any treatment. Planetree facilities also strive to have the most up to date technologies and equipment. Having state of the art technologies, beautiful facilities and a patient-centered approach is a wonderful way to honor both the body and the mind in this modern age, but the question remains, what about the spirit?

At Griffin Hospital we strive to promote what I call a Planetree model of spiritual care. This model is concerned with making the human connection to each patient and being open to how the spirit can help them in their healing. To establish the connection needed to help others find meaning in their spiritual journeys, we develop the skill of making visits dialogical. Inquiry in spiritual care is a process in which the patient is invited to explore their “theologies” or their symbols of the divine. The focus is also on “empowering”patients to use their spirituality as a part of their healing process by:

• connecting patients with their religious resources or clergy
• affirming patients in their search for meaning
• being a listening presence
• inviting patients or family members to say a prayer and praying with them
• helping patients tap into their emotional worlds

Chaplains in a Planetree model of spiritual care are focused on the spiritual needs of the patient. It’s about creating an atmosphere where the spirit is free to do its part in the healing process, not confined in representation to any one form. It’s the Chaplain’s job in this setting to create an open and inviting environment where the spirit can be talked about, reflected upon and prayed to, with respect to difference and patient-centered needs. At Griffin Hospital we utilize our Clinical Pastoral Education program as a way to convey this model of spiritual care providing. As other pieces of the Planetree model have influenced other settings, my hope is that this style of chaplaincy can and will do the same.


Chaplain Tom Kilts, Director of Pastoral Care and Education at Griffin Hospital, a HealthCare Chaplaincy partner institution, in Derby, CT, is a minister of the Nyingmapa lineage of Tibetan Buddhism. He is an Associate Supervisor with ACPE, and has been working in the field of spiritual care for ten years. Tom has worked in two different Planetree facilities, his current position at Griffin and at California Pacific Medical Center in San Francisco, CA. He currently lives in Connecticut with his wife and daughter

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10/20/2004 Vol. 1, No. 18 - The Rev. Larry Austin: contextual spiritual issues in the medical treatment
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3/17/2004 Vol. 1, No. 4 - The Rev. Dr. Andrew Weaver: Research shows that a relationship with God
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12/1/2004 Vol. 1, No. 21
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Education & Research
Chaplain Tom Kilts: A Planetree Model of Spiritual Care
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The Rev. Dale E. Wratchford:  Being a  Pastor, a Chaplain, and a         Human Being
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