Yoga in the Yard.
Yoga in the Yard.
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院子里的瑜伽。
DOI：
10.1176/appi.ps.68901
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Salloum,IhsanM
中科院分区：
文献类型：
--
作者：
Cisse,Aminata;Giles,Candace;Salloum,IhsanM
Although yoga practice has widespread acceptance in the general population, its utility for hospitalized patients with severe psychiatric conditions has received limited attention. In late 2014, the Mental Health Hospital Center (MHHC) in the University of Miami–affiliated Jackson Memorial Medical Center was undergoing the transition to a nonsmoking facility. Traditionally, during an inpatient hospital stay, individuals look forward to designated “smoke breaks” as a means of relaxation and fresh air. However, with the looming end of this practice, we sought to identify a replacement activity for “unwinding” during the hospitalization. As longtime practitioners of yoga, we began brainstorming and surmised that incorporating yoga into our patients’ daily activities could reap positive results with few potential risks. In turn, we applied for and were awarded a quality improvement project grant from the Committee of Residents and Interns. Our project,“Yoga in the Yard,” aimed to examine the feasibility and potential benefits of implementing therapist-guided yoga sessions within usual care on an acute inpatient substance abuse psychiatric unit. Over the course of several weeks, we met with MHHC’s leadership staff to determine how to implement Yoga in the Yard. Surprisingly, from the beginning, everyone was supportive of its implementation and the opportunity to offer what would most likely be a novel activity for a predominantly indigent patient population. However, we anticipated difficulty contracting with a certified instructor to provide yoga on an inpatient psychiatric unit, due to limited funding, time constraints, and patient privacy laws. We therefore decided to use 70% of the grant funding to train three activity therapists via their participation in a “Yoga for Therapeutic Rehabilitation” training session facilitated by Cross Country Education. Trained inpatient staff were then able to incorporate the yoga sessions within the framework of scheduled group activities for the unit. After morning rounds, the activity therapists described the yoga sessions and recruited interested patients. Before and after the yoga session, participants completed two rating scales, the Hamilton Anxiety Inventory (HAI) and theDrug Craving Scale (DCS). The sessions were offered three times per week and lasted about 30 minutes each. They comprised simple breathing exercises, basic stretches, lowimpact yoga poses, and guided meditation. The participation rate varied from day to day depending on the milieu on the unit. On any given afternoon, the inpatient unit, typically a place of chaos, would be almost serene, with individuals outfitted in jeans and loose-fitting shirts and assuming meditative poses.
