Gawande Richa, Rosario Felipe Kalatauma, Santiago Carlos, Thomas Jeffrey, Naganuma-Carreras Julia, Blot Tori, Aviles Keyona, Gardiner Paula, Schuman-Olivier Zev
Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
Cambridge Health Alliance, Center for Mindfulness and Compassion, Cambridge, MA, United States.
Front Public Health. 2025 May 9;13:1514946. doi: 10.3389/fpubh.2025.1514946. eCollection 2025.
Disparities in substance use treatment access and outcomes between communities with racially, economically, linguistically, and mentally/physically marginalized identities and more privileged populations are staggering. Communities of color lack access to culturally resonant treatment options that incorporate the role of racial oppression, address the chronic effects of stress on the nervous system, provide culturally-and linguistically-matched community support in substance use recovery, and contend with social determinants of health. Mandela Yoga, a community-based peer-led mindfulness intervention, was created to address disparities in health and substance use treatment access among communities of color. Mandela Yoga was co-developed by Black and Brown yoga teachers, therapists, and community leaders with lived experienced of recovery, incarceration, chronic illness, and racism. A Mandela Yoga community reentry services implementation was funded by a Massachusetts Department of Public Health Bureau of Substance Abuse Services grant for overdose risk reduction for people recently released from incarceration.
In this community case study, we present a qualitative analysis of a 12-week Mandela Yoga implementation as part of a Federally Qualified Health Center reentry program focused on post-incarceration opioid overdose risk reduction among men of color. Through a community-based participatory approach, we feature the voices and lived experiences of the peer facilitator and a reentry services participant, who are co-authors and shaped the qualitative analysis.
We documented attendance and conducted interviews with the Mandela Yoga peer facilitator and one participant. Together we conducted a thematic analysis of the interviews to explore key elements that most impacted recovery and healing.
We report on the delivery and attendance of the implementation. We present excerpts illustrating four key themes that emerged from the interviews: (1) Breath and Mind-Body Connection Leads to Presence; (2) Consistency; (3) Peer Connection; (4) Agency and Positive Action.
We explore how Mandela Yoga may build recovery capital and the mechanisms by which it may support healing from addiction and trauma in communities of color. We discuss study limitations and considerations for future implementations.
Mandela Yoga shows promise as a mind-body-community intervention for communities of color in recovery and post-incarceration.
在种族、经济、语言以及身心方面处于边缘化的社区与更具优势的人群之间，在物质使用治疗的可及性和治疗效果方面存在着惊人的差距。有色人种社区难以获得具有文化共鸣的治疗方案，这些方案应纳入种族压迫的作用、解决压力对神经系统的长期影响、在物质使用康复过程中提供文化和语言匹配的社区支持，并应对健康的社会决定因素。曼德拉瑜伽是一种基于社区的同伴主导的正念干预措施，旨在解决有色人种社区在健康和物质使用治疗可及性方面的差距。曼德拉瑜伽是由黑人及棕色人种的瑜伽教师、治疗师和社区领袖共同开发的，他们都有康复、监禁、慢性病和种族主义的亲身经历。一项曼德拉瑜伽社区重返社会服务实施项目由马萨诸塞州公共卫生部药物滥用服务局提供资金，用于降低刚从监禁中释放的人员的过量用药风险。
在本社区案例研究中，我们对一项为期12周的曼德拉瑜伽实施情况进行了定性分析，该实施是联邦合格健康中心重返社会项目的一部分，重点是降低有色人种男性出狱后阿片类药物过量用药的风险。通过基于社区的参与式方法，我们突出了同伴促进者和一名重返社会服务参与者的声音和亲身经历，他们是共同作者并塑造了定性分析。
我们记录了出勤情况，并对曼德拉瑜伽同伴促进者和一名参与者进行了访谈。我们共同对访谈进行了主题分析，以探索对康复和治愈影响最大的关键要素。
我们报告了实施的开展情况和出勤情况。我们展示了访谈中出现的四个关键主题的摘录：（1）呼吸与身心连接带来专注；（2）一致性；（3）同伴联系；（4）能动性与积极行动。
我们探讨了曼德拉瑜伽如何建立康复资本以及它可能支持有色人种社区从成瘾和创伤中康复的机制。我们讨论了研究局限性以及对未来实施的考虑因素。
曼德拉瑜伽有望成为一种针对康复中和出狱后的有色人种社区的身心社区干预措施。
