Losing and finding your mind at Her Majesty s Pleasure Deborah Murphy Lead OT/ Wellbeing Centre manager HMP Pentonville - London
An introduction Losing ourselves? Perfectionist workaholic Ausetrity Staffing crisis Burnout
A place to find myself
Quieting the mind...the rural idyll
You can t always get (know) what you want?
Wherever you go, there you are
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 2016 2017 HMPPS inspection reports
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 2016-2,579 fires set 48% prisoners felt unsafe in custody
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)
Losing our minds Traumatic backgrounds 66% of remand, 39% of sentenced population have a mental health difficulty, (NAO)
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
How do we bear it?
A Mindful Nation - 2015 Health Education Workplace Criminal Justice system
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
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
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
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
The Pentonville Mindfulness Project 1. 25 staff - 8 week "Peace in a frantic world course 2. 2 taster sessions of MBCT for prisoners with MH needs 3. 21 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
Staff Outcomes - Mindfulness scores
Staff Outcomes - Mental Well-being
Staff Outcomes - Stress
Staff outcomes - Size of effect (D score) in 11 previous studies on MBSR and our study
Bill Afganistan veteran 39 years old PTSD Alcohol and violence DSH
Bill A cure for insomnia & better relations
Bill Meditation, bonding with his cell mate
Bill Mindful eating
Bill - Managing DSH and suicide
Lemal So why would you want to be aware in a prison?
James A Case Study History - Abuse, care, Borstal, YOI Homelessness, alcoholism 30/52 years in Prison Significant violence
James Thoughts are not facts
James - Mindful eating
James - A focus on the senses
James - Mindfulness as Inspiration for life
James Freedom inside
James - The journey forward
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
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
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 institute @murphlemurph
Questions?