Open Source Chaplaincy Care

An Integrative Approach to Healing

Open Source is a way of focusing on our interdependence as the foundation for how we live. There is no one way to experience this and no one approach that works for everyone. Open Source Chaplaincy Care begins with this recognition in supporting individuals, families, organizations, and communities to meet whatever is encountered with a sense of meaning and purpose.

Spirituality is an aspect of humanity by which we make meaning of our lives. How we do this is wide open. Many people find strength and inspiration in multiple sources of meaning and purpose.  My name is Judy. I am a Board Certified Chaplain who offers an integrative approach to healing. Please feel free to explore this site as well as our companion site for growing caring community,

To learn more about this approach to healing, here are talks, slideshow research presentations, and articles by Open Source Chaplaincy Care founder, Judy Fleischman.

Open Source Chaplaincy Care is a member of HealthCare Chaplaincy Network (HCCN).

Judy Fleischman provides care as a clinical consultant to HCCN and has partnered with its leadership to establish its Chat with a Chaplain / ChaplainsOnHand program, which provides FREE chaplaincy care services by phone, email, and video. She has developed "Best practice" protocols and researched the benefit and integration of this community-based initiative in telehealth care. This vision of inclusive spiritual care serves people from all walks of life through the use of emerging and traditional forms of communication media.

Talks on Inclusive Spiritual Care

Mandala as a Model of Whole Person Care (Panel Discussion at Baruch College, NYC, 9/4/12)

"What makes this a wonderful world is all the people who care."

              Judy's talk: 32:30-42:10 minutes into the video

              During Q&A, Judy responds to a veteran's question on how to care for himself (47:1--50:46)

What is Chaplaincy Care? - An In-Service on Whole Person Care (Hospital for Special Surgery, NYC, 12/10/12)

                    Audio 12min

                    "Spirituality is a vital sign, Spiritual distress should be a diagnosis." 

                           - quoting Christina Puchalski, M.D., founder of GWISH (GW Institute for Spirituality & Health)

Attuned Breath Centering - activating hope with mindfulness-based practice


Attuned Breath Centering - Introduction (5min.)

     Attuned Breath Centering (ABC) is a mindfulness-based practice developed by Judy Fleischman to relieve spiritual distress. This is a method of paying attention to intention, which expresses one's sense of meaning and purpose while centered in the present moment with the breath. Typically, the in-breath is associated with, "what keeps me going?" and the out-breath with, "right now, what's important?" These include a present-moment activation of hope and purpose, which are common resources for relieving spiritual distress.  Also, this intervention relieves spiritual distress by productively interrupting distressing thought patterns while activating a present moment experience of meaning and purpose. This is consistent with cognitive defusion (in Cognitive Behavioral Therapy terminology). The effects of this are increased with repetition and by customizing the words (or imagery, music) of intention to include how a person names these, usually responding to these questions of "what keeps you going?" and "what's important right now?" This practice can be adapted to non-verbal forms of expression. These are consistent with methods of expressive arts therapies. For further info, please see Judy's slideshow presentation below.

Attuning to Happiness (5min.)

     An Attuned Breath Centering (ABC) practice for activating a present moment experiencing of "happiness" in terms of the listener's sensing of meaning and purpose. For further info, please see slideshow presentation below.

Clinical Chaplaincy Presentations

Telechaplaincy: Expanding the Reach of Patient-Centered Care (3/15/2017)

    This workshop built on the Telechaplaincy Best Practices presentation at the 2016 conference about HCCN's telehealth chaplaincy care services by phone, email and video. Case studies explored types of spiritual distress and interventions as well as in partnership opportunities for patient‐centered care. (presented at HCCN's 2017 Caring for the Human Spirit Conference - Integrating Spiritual Care in Health Care)

Telechaplaincy: Best Practices for Telehealth Chaplaincy Care (4/13/2016)

    As telehealth continues to emerge and develop as a means of delivering health-related services, this workshop presented research findings of telechaplaincy—outcome oriented chaplaincy care by phone, email and video. In January, 2014, HealthCare Chaplaincy Network introduced a service to provide free chaplaincy care by phone, email, and video, referring to this as, “telechaplaincy.” The workshop presented case studies that demonstrated the efficacy and specific applicability of telechaplaincy as telehealth chaplaincy care inclusive of single encounters as well as ongoing care. It also demonstrated its integration with expressive arts therapy and cognitive behavioral therapy methods. (presented at HCCN's 2016 Caring for the Human Spirit Conference - Integrating Spiritual Care in Health Care)

Chaplaincy Care Best Practices for 'Spiritual Not Religious' Persons (6/22/14)

     A growing number of people identify as "none" or "non religious." This slideshow served as a jumping off point for interactive learning during a four-hour "Professional Development Intensive" workshop, which Judy offered at the 2014 Conference of the Association of Professional Chaplains.          

Attuned Breath Centering: integrating Psychology and Spirituality to Activate Well-Being   (4/10)

     90-minute workshop presentation at the 2010 Conference of the Association of Professional Chaplains.   Judy Fleischman developed the clinical method of Attuned Breath Centering in response to hundreds of patients’ assessments that indicated the need for spiritually-adaptive, behavioral coping tools.  The workshop goal was to teach attendees about the imperative for integrating Cognitive Behavioral Therapy and spirituality in patient care as well as to experience Attuned Breath Centering as a method (“practice”) of integration.  It explored applications of Attuned Breath Centering for different clinical contexts and forms of spiritual distress. It is a mindfulness-based intervention, which relieves spiritual distress and is adaptable to non-verbal expression such as those of expressive arts therapies.


Writings on an Integrative Approach to Healing

A Tibetan Buddhist Sand Mandala Teaches About Spirituality and Chaplaincy

       On September 4th, 2012, the Baruch College-Rubin Museum of Art Project in New York City hosted the creation of a sand mandala by a group of Tibetan monks from the Namdroling Monastery in South India. Judy participated in a panel discussion on the theme of mandalas in people’s lives. This accompanied the construction of the mandala. The event was organized and moderated by Stan Altman, Ph.D., the director of the Project, which encourages Baruch College students’ exposure and participation in the arts to enrich their college experience and enhance their ability to learn, understand and function throughout their lives.

Healing Community: Transforming Trauma in Relationship: Compassionate care in an integrative health center for people living with HIV/AIDS

      Published July, 2008 in Plainviews, a publication of the Healthcare Chaplaincy (now Network), a leading multifaith, not-for-profit center for pastoral care, education, research, and consulting.

God and the Alzheimer's Patient: How Chaplains and Community Clergy Provide Spiritual and Emotional Care to Alzheimer's Patients and Their Families

        Published 2006 in The Beacon a publication of the Healthcare Chaplaincy (now Network), a leading multifaith, not-for-profit center for pastoral care, education, research, and consulting.