Mindfulness at a National Level

Root Definition

Provides mindfulness training to different cohorts, including train-the-trainer, by providing mindfulness-based interventions in order to improve the health and general wellbeing of citizens.

Customers

Members of the public, organisations and their employees, health providers and patients, social care services and users, schools and other education establishments and their users, the criminal justice service and users.

Actors

Education and training establishments. Individual trainers.

Transformations

Educates individuals in mindfulness.
Undertakes research to develop evidence of utility and effectiveness of MBIs.

Weltenshauung

Mindfulness is being viewed in this model as a set of interventions (MBIs) that have or intend to have some evidence-based utility in health, education, criminal justice, workplace and wellbeing. Those interventions are deemed to include interventions where mindfulness is a component (e.g. individual therapy with mindfulness, as well as those interventions such as MBCT that are specifically mindfulness. These interventions are proven to a greater or lesser extent for particular cohorts. The majority of the evidence base is from controlled trials. Although there is strong therapeutic evidence and even national recommendations on adoption, little is known about the uptake of these interventions and how to monitor the development of them. Although there is a substantial national data on established interventions, particularly in health, there is negligible data for MBIs and there are deficiencies in the underlying standards that make accurate and comprehensive recording difficult. Consequently, there is little national evidence of use and effectiveness, and there will need to be some changes to national informatics to accommodate that.

Owner

At this stage there is no individual organisation that can be said to own mindfulness. Various agencies exist that own part of the system. The Mindfulness Network, for example, is establishing itself in a leadership position for quality-assured education and training.

Environment

Mindfulness is working within a tight financial situation, with little available money for research and development. To fund development, a strong evidence base is needed that includes economics.
Stress is growing as a factor in national wellbeing, and clinical episodes arising from that, such as depression, are creating a huge potential market for MBIs.
Media interest has driven up general interest in the population, though not always in an informed way.
Some healthcare providers are promoting MBIs.
Some significant employers are adopting mindfulness as part of employee wellbeing.

Contribution to the problem situation

There is no national register of MBI instructors, though one is in development.
There is no national register or other recording mechanism for individuals who have undertaken an MBI.
There are no record-keeping standards for MBIs.
There is no regulation on the profession, and anyone can advertise as an MBI teacher.