Presentation on theme: "The Mind-Body Team: Mindfulness in College Health American College Health Association June 2, 2010 Robin Boudette, Ph.D. Shefalika Gandhi, LCSW Deanna."— Presentation transcript:
The Mind-Body Team: Mindfulness in College Health American College Health Association June 2, 2010 Robin Boudette, Ph.D. Shefalika Gandhi, LCSW Deanna Nobleza, MD Victoria Rosenfeld, RD, CSSD Laura Rubinstein, Health Educator
Today’s Objectives Introduction to mindfulness Overview of mindfulness based interventions Mindfulness in college health, why? Evolution the Mind-Body Team at Princeton Case Study Applications for college counseling centers Best practices in bringing mindfulness to college health settings
Definitions Introduction to mindfulness Overview of mindfulness based interventions Mindfulness in college health, why? Evolution the Mind-Body Team at Princeton Case Study Applications for college counseling centers Best practices in bringing mindfulness to college health settings
Mindfulness Based Interventions Dialectical Behavior Therapy Acceptance and Commitment Therapy Integrating mindfulness in individual therapy Mindfulness-Based Stress Reduction ▫MBCT ▫MBRP ▫MB-EAT ▫MBRE ▫MBAT
MBSR: John Kabat-Zinn Developed in 1979 at U Mass Most researched mindfulness intervention Involves 8 week psycho-education program Participants learn and practice mindfulness meditation and mindfulness in a variety of activities Suggested practice: meditation 40 minutes 6 times per week Program appropriate for all stress-related conditions
Does Mindfulness Change the Brain: Findings in Neuroscience
The Impact of Mindfulness: Domains of Possibility Physical Cognitive Psychological Behavioral Social Spiritual
Mindfulness in College Health: Why? Chronic stress in college students is implicated in: ▫Physical Illness: sleep disturbance, colds, headaches ▫Psychological disorders: anxiety and depression ▫Unhealthy behaviors: substance use, suicidal ideation ▫Declining academic performance
National College Health Association Survey: Students reported the following factors affected their academic performance National results Princeton results 2006 N=543 2008 N=752 2009 N=641 Stress29.3%31.1%29.5% Sleep21.6%22%20% Cold & Flu26%31.1%16.7% 2006 N=94,806 2008 N=80,121 2009 N=87,105 Stress 32.0%33.9%27.8% Sleep 23.9%25.6%20.o% Cold & Flu 26.0%28.8%19.0%
Mindfulness in College Health: Research Shapiro, et al. (1998) RWLC Medical students reported decreased levels of stress and depression with reductions maintained during exams; findings replicated with WL group. Rosenzweig et al. (2003) Medical students reported significant reduction in negative mood and increased ability to cope with stress. Jain et al. (2007) RWLC Pre-med undergrads students reported significant reduction in psychological distress and increased empathy.
Integrated Approach at UHS Comprehensive Health Service ▫Medical Services ▫Counseling and Psychological Services ▫Employee Health Services ▫Health Promotion and Wellness Services ▫Inpatient Service Multidisciplinary Team Approach ▫Eating Disorders Team ▫Alcohol and Other Drugs Team ▫Mind/Body Health Team ▫Integrative Case Conference
Evolution of the Mind Body Team Partner with Student Life and Student Groups, offer Drop-in groups Outreach Programs, Education for UHS Staff, Clinical Services UHS Training and Treatment Team
UHS Mind Body Team: Mission Create a culture that supports use of mind/body interventions in the treatment of stress related problems. Give treatment providers the education, skills and materials to inform students about the effectiveness of mind/body interventions and resources available on campus. Develop a multidisciplinary team within UHS that specializes in behavioral medicine and provides medical, psychological and nutritional services to students with stress-related problems. Liaison with campus groups that provide mind/body services to create a network of resources for students beyond UHS.
Mind Body Interventions Psycho-education on mind body connection Relaxation Response Mindfulness Attuned Eating Healthy Exercise Mental Imagery Cognitive Behavioral Therapy
Mind Body Team: Clinical Take a holistic approach to treating physical illness and psychological disorders. Educate staff and students about the mind/body connection and the effectiveness of mind/body interventions in healing physical and psychological concerns. Use mind/body interventions such as meditation and relaxation to address psychological and physical concerns. Refer staff and students to campus activities for mind/body health. Provide prevention services for staff and students. Support the Peer Health Educators.
Team Members Counseling Medical Psychiatry Nutrition Health Education Athletic Trainer
Team Members: Counseling Mindfulness-Based Therapy o Acceptance o Patience and Compassion o Mindfulness Meditation Practice Applications o Stress, Management o Depression and anxiety o Interpersonal issues o Medical issues Psycho-education/ Interpretation o Triangle of Awareness o Reacting vs. Responding to Stress o Mind’s Conditioning o Holding on vs. Letting go Therapeutic Effects o Present Moment Awareness o Tolerance of Rumination/ Worry o Ability to Disengage o Shift Perspective o Cultivate Positive Emotions Mindfulness Training o Mindfulness and Psychotherapy conferences o MBSR o MBCT o MB EAT o MBRP
Mindfulness Groups Clinical ▫Mindfulness Skills Training for Graduate Students ▫Mindfulness for Undergraduates ▫Mindfulness for Health and Healing ▫Mindfulness-Based Performance Enhancement for Athletes ▫Mindfulness- Based Graduate Women’s Therapy group Outreach ▫Lunch Time Stress Management ▫Mindful Food Group ▫Meditation for Staff ▫Monthly Series at the Graduate School Mindful Time Management Mindful Interpersonal Skills Mindfulness Skills for Job Search Mindfulness and Happiness
Mindfulness Skills Training for Graduate Students: Outcomes 42 participants over 6 semesters Formal mindfulness practice ▫71% of students found it “very helpful” ▫64% would continue to practice Mindful activities ▫57% of students found it “very helpful” ▫62% would continue to practice Weekly group ▫86% of students found it “very helpful” ▫75% of students expressed an interest in participating in another group in the future
Mindfulness Skills Training Group: Student Feedback “My stress level went down. My awareness of my moods went up. I learned to be more accepting of myself.” “I feel happier somehow. I use the methods to ground myself when I run away from problems.” “Thoughts are not facts” “I’m more attentive to thoughts, feelings, at least some of the time. I meditate more regularly.” “Group participants made me realize that I am not alone with feeling anxieties about graduate school, my work, etc.” “Helped me very much with dealing with my depression.”
Team Members: Psychiatry Evaluations with an ear to… o Medical comorbidities o Somatic symptomatology o Openness (or not) to psychotropic medications o Self care Psychoeducation o Exercise o Mind/Body Interventions o Sleep Hygiene o Light therapy o Herbals/Supplements Referrals o Individual o Groups o Nutrition o Massage Therapy o Medical o Herbalist/CAM specialist Mindfulness Training o Nutritional and Complementary Approaches to Mental Health Disorders o Herbal Medications in Psychiatry o Orthomolecular Psychiatry
Team Members: Medicine Evaluations with an ear to… Illnesses that have a Med/Psych and/or Stress Component o Chronic pain o IBS o Headaches o Insomnia Role of stress and lack of self-care on presenting problem(s) Psychoeducation o Students o Medical Staff Referrals o Mind/Body Interventions o Mind/Body Team o Nutrition o Counseling Mindfulness Training o UHS Wide training o Mindfulness Based Stress Reduction for HealthCare Providers
Team Members: Nutrition Nutrition assessment including: o Spiritual practice o Current or past use of mind body modalities- meditation, guided imagery, yoga o Stress o Sleep o Coping skills Presenting problems o BED o IBS o Ulcerative Colitis o Weight worried o HTN Approach: o Integrate M/B practices into treatment plan o Mindful eating/Intuitive eating o Mindful awareness o Correct sleep and stress management early in process o Refer to other team members, groups, written and online resources Mindfulness Training o UHS Wide training o Mindfulness Based Stress Reduction for HealthCare Providers Future directions: o Additional training o Intuitive eating groups o Integration of structured HAES/Intuitive eating process
Team Members: Health Promotion and Wellness Outreach o Team Marketing o Mindfulness Workshops o Eating Mindfully at the holidays o Graduate Mindfulness Series Peer Advisor Training o Healthy Minds o Eating Concerns Advisors o Student Athlete Wellness Leaders Infusing into “Traditional” Content o Smoking Cessation o “Healthy Eating” o Eating Disorders o Depression o Stress o Order in’s Educational Resources: o Online information o Audio Downloads o Books and DVDs at the UHS lending library
Mindfulness Initiatives in University Settings Mindfulness Centers: ▫Teach mindfulness through programs, courses, workshops ▫Engage in research that furthers the understanding of mindfulness and its benefits ▫Serve campus community through special events, publications, and other activities Groups and online resources: ▫Mindfulness Programs for students, staff and faculty ▫For credit MBSR classes ▫Extensive educational materials, audio downloads
Mindfulness At Other Universities Training in mindfulness for post-doctoral clinicians Campus-wide initiatives: ▫Centers, departments and groups partner to support and offer education and training in mindfulness Mind-Body Lab: ▫Self-paced environment designed to help students explore various resources for improving their emotional and physical health ▫Features self-directed audio and video instructions on mind-body practices, biofeedback equipment and other interactive tools Integrated health services- Medical and counseling within one service department
Mindfulness in College Health BenefitsChallenges Holistic approach to healthcare Evidenced-based, short-term clinical interventions Effectively and efficiently offered in large group settings Attracts diverse student groups to services Appropriate for prevention and treatment Encourages participants to take and active role in healthcare Fosters health of campus community Competing clinical demands within health services Barriers to engaging students in stress management Motivating students for groups and home practices Competing interests for students’ time
Future Directions What ideas or experience do you have in bringing mindfulness into college health? What are some “best practices” in bringing mindfulness into college health?
Best Practices for Mindfulness in College Health Professional training for designated staff members in the Health Services Department An integrative, multi-disciplinary team approach In-service trainings across disciplines Diversity of services for students Clinical interventions Outreach activities Monitor outcomes Partner with student groups Partner with other student life departments Opportunities for staff and faculty to learn and practice