abstract: 'Mindfulness-based interventions (MBIs; e.g., MBSR, MBCT, ACT) have been

  widely used and disseminated for treat-ment of myriad physical and

  psychological problems. However, most MBIs have primarily been used with

  middle-or upper-class White populations, with some instances where they

  have been adapted for use with diverse populations (e.g.,

  Burnett-Zeigler et al., 2016; Roth \& Robbins, 2004). However, even when

  adapted, most MBIs have not explicitly addressed unique factors faced by

  the target population, such as racial discrimination, unemployment, lack

  of financial means, and other stressors. We developed and used an

  iterative approach to refine a MBI group based on MBSR and MBCT, for a

  racially and ethnically diverse population in the Bronx, considered by

  the U.S. census to be the most diverse in the country. Based on a

  trauma-informed care and centering people of color approach, we

  developed a longer than usual (16 weeks) mindfulness-based group, where

  core skills were broken down into smaller chunks to facilitate easier

  incorpo-ration into daily life. We also used a longer duration and

  1-hour weekly meeting time keeping in mind needs of the indi-viduals,

  who often had limited time to participate due to work limitations and

  other comorbid physical conditions. While acknowledging that the

  individuals this group was catering to had experienced multiple

  traumatic events, we sought to also highlight and further develop the

  resilience and courage people in the Bronx community bring to the table.

  We review two clinically rich case vignettes, and also discuss

  recommendations for working with racially and economically marginal-ized

  people, and include a call to action for health care providers and

  organizations to engage in activism.'
affiliation: 'Bhambhani, Y (Corresponding Author), Montefiore Med Ctr, Moses Adult
  Outpatient Psychiat Dept, PhD Off K24, 111 E 210th St, Bronx, NY 10467 USA.

  Bhambhani, Yash; Gallo, Laurie, Montefiore Med Ctr, Bronx, NY USA.'
author: Bhambhani, Yash and Gallo, Laurie
author-email: yashnpbhambhani@gmail.com
author_list:
- family: Bhambhani
  given: Yash
- family: Gallo
  given: Laurie
da: '2023-09-28'
eissn: 1878-187X
files: []
issn: 1077-7229
journal: COGNITIVE AND BEHAVIORAL PRACTICE
keywords: 'mindfulness; people of color; race; ethnicity; low income;

  implementation'
keywords-plus: 'STRESS REDUCTION; ETHNIC DISPARITIES; STRUCTURAL RACISM; HEALTH

  INEQUITIES; MEDITATION; THERAPY; TRAUMA; PERSPECTIVES; PERCEPTIONS;

  SYMPTOMS'
language: English
month: NOV
number: '4'
number-of-cited-references: '86'
pages: 771-786
papis_id: 08982a4e957e37c399422c8276da7cf3
ref: Bhambhani2022developingadapting
times-cited: '1'
title: Developing and Adapting a Mindfulness-Based Group Intervention for Racially
  and Economically Marginalized Patients in the Bronx br
type: Article
unique-id: WOS:000886529700004
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '29'
web-of-science-categories: Psychology, Clinical
year: '2022'