It is used by acupuncturists as well as massage and Shiatsu therapists. A person may seek the assistance of traditional healers, such as herbalists, masseurs, and acupuncturists. Recovery was lengthy, involving "chiropractors and acupuncturists". Many such events are not inherent to acupuncture but are due to malpractice of acupuncturists. To reduce the risk of serious adverse events after acupuncture, acupuncturists should be trained sufficiently. It was renamed to the Traditional Acupuncture Institute in 1978 to train acupuncturists. In 1985 Black received his Diploma in Acupuncture with the National Certification of Acupuncturists. At this point, Sanyu clinic hosts 9 doctors, 1 chiropractor, 4 acupuncturists and 6 nurses. The Association of British Veterinary Acupuncturists was formed in 1987. Acupuncturists are not a nationally regulated profession in the United Kingdom. The acupuncturists can get SIPT and participate on health care facilities. At least 28 countries in Europe have professional associations for acupuncturists. It is also an institutional member of the Texas Association of Acupuncturists (TAOA).