In addition to our educational programs and research projects, GWish works directly in the clinical setting and has made innovations integrating spirituality into healthcare settings.

FICA Spiritual History Tool ©

The FICA Spiritual History Tool was developed by Dr. Puchalski and a group of primary care physicians to equip physicians and other healthcare professionals with a tool to address spiritual issues with patients. Spiritual histories are taken as part of the regular history during an annual exam or new patient visit, but can also be taken as part of follow-up visits, as appropriate. The FICA tool serves as a guide for conversations in the clinical setting.
Learn more about the FICA tool

FICA Spiritual Assessment in Clinical Practice

To learn more about the importance of and how to conduct a spiritual history in clinical practice, please view this multimedia guide. Learn more about FICA Spiritual History in Clinical Practice.

Integrating spirituality as an essential element of palliative care

In 2009 GWish partnered with the City of Hope and the Archstone Foundation to develop practical tools and recommendations for the integration of spirituality as an essential element of palliative care. Over forty experts in palliative and spiritual care met to review the state of the art in spirituality and health and develop guidelines for healthcare professionals and institutions to ensure that spirituality is fully integrated into the care of patients nationally.
Learn more about this project and the recommendations.


The INSPIR project seeks to integrate spirituality and health to create more compassionate and patient centered healthcare. INSPIR builds on a 2006 pilot study to refine and test a model for working with teams and developing more standardized and replicable projects to integrate spirituality and health into the healthcare setting. The model will be tested for its effectiveness in patient outcomes, specifically to increase compassion and patient-centered care, as well as staff outcomes, such as team effectiveness, satisfaction, and retention. Funded by the Arthur Vining Davis Foundation, the project currently has seven participating hospitals that have developed interventions with their patients and staff.
Read an article in Health Progress about the pilot study. (PDF)