Losing and finding your mind at Her Majesty s Pleasure. Deborah Murphy Lead OT/ Wellbeing Centre manager HMP Pentonville - London

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1 Losing and finding your mind at Her Majesty s Pleasure Deborah Murphy Lead OT/ Wellbeing Centre manager HMP Pentonville - London

2 An introduction Losing ourselves? Perfectionist workaholic Ausetrity Staffing crisis Burnout

3 A place to find myself

4 Quieting the mind...the rural idyll

5 You can t always get (know) what you want?

6 Wherever you go, there you are

7 The Conditions for losing your mind 2/3 rd s of prisons overcrowded 21,000 (1/4) share cells designed for one Most spend 30 minutes a day outside > 1/3 people are unoccupied during the working day 42% of prisons rated of concern or of serious concern HMPPS inspection reports

8 Losing our minds, losing control Safety rapidly deteriorated last 6 years Assaults on staff up 143% in 4 years Serious assaults on prisoners - highest level ever recorded Sexual assaults up > 2 ½ times in 5 years ,579 fires set 48% prisoners felt unsafe in custody

9 Trying to find control 1 st 9 months of 2017:- National Tactical Response Group responded to 386 incidents Tornado teams responded to 20 incidents (riots)

10 Losing our minds Traumatic backgrounds 66% of remand, 39% of sentenced population have a mental health difficulty, (NAO)

11 Losing the will to live DSH highest level recorded Self-inflicted deaths 8.6 times more likely in prison 12% male remand - contemplated suicide in past week

12 How do we bear it?

13

14 A Mindful Nation Health Education Workplace Criminal Justice system

15 Meeting Mark Mindfulness Embodied Professor Mark Willams One of pioneers in development & dissemination Founding Director of OMC Oxford university Co founder of MBCT One of primary researchers in mindfulness worldwide Author of bestselling mindfulness books

16 Where is mindfulness from? Ancient Buddhist Roots Pali Sati - Awareness/ Possibility Sanskrit Smirti Non-forgetfulness Kabat Zinn coming out of the monastries A mental health matter MBCT Modern science - EBP

17 Mindful Myth busters What mindfulness is not Clearing your mind Relaxation A fad! A cure all panacea Contraindicated in trauma Something you can learn or teach without direct experience

18 What mindfulness is Bringing attention to the patterns of our minds Being aware of our internal weather Being aware of what we are doing whilst we are doing it Being present to internal and external experience Being with whatever is there Lucid appreciative awareness

19 The Pentonville Mindfulness Project staff - 8 week "Peace in a frantic world course 2. 2 taster sessions of MBCT for prisoners with MH needs Staff - 5 London prisons - 8 week MBCT course 4. 2 courses for prisoners with MH need and 1 to prisoners with significant roles in supporting other prisoners 5. Teacher training (level one) 20 staff - June 2018

20 Staff Outcomes - Mindfulness scores

21 Staff Outcomes - Mental Well-being

22 Staff Outcomes - Stress

23 Staff outcomes - Size of effect (D score) in 11 previous studies on MBSR and our study

24 Bill Afganistan veteran 39 years old PTSD Alcohol and violence DSH

25 Bill A cure for insomnia & better relations

26 Bill Meditation, bonding with his cell mate

27 Bill Mindful eating

28 Bill - Managing DSH and suicide

29 Lemal So why would you want to be aware in a prison?

30 James A Case Study History - Abuse, care, Borstal, YOI Homelessness, alcoholism 30/52 years in Prison Significant violence

31 James Thoughts are not facts

32 James - Mindful eating

33 James - A focus on the senses

34 James - Mindfulness as Inspiration for life

35 James Freedom inside

36 James - The journey forward

37 A mindful future? A new way of coping with the challenges of life A new interest/ new companion/ a mindful mentor A new Buddhist community A new role/ vocation teacher training A sense of mastery A new sense of efficacy and self esteem

38 Occupational Therapy in mind Occupational deprivation -Enhancing what you have when you don t have much Learning to be whilst we do Suicide prevention - Engendering hope - Nothing external changes, something internal can Mind the gap impulse management improved relationships, anger management, managing violence Managing responses - Increased sense of power and efficacy Reclaiming time every step counts Self compassion self care

39 Going forward A daily practice MBCT 8 week course Peace in a frantic world book Mindfulness4OT Facebook group OMC website for research EBP/ Brain Science - YouTube - Mark Williams/ JKZ Prison Mindfulness

40 Questions?

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