yogaHOPE’s focus is on the implementation of its Trauma Informed Mind Body (TIMBo) program. TIMBo is a person cenered multidimintional defined peer to peer intervention which offers a deliverable, research-based curriculum addressing the ways in which mind-body practices allow for long-term resilience through emotional regulation and a reduction of stress, chronic stress and traumatic stress. TIMBo offers individuals the tools needed to address the social, emotional, and physiological root causes of myriad mental health issues, and enables them to heal and to improve emotional regulation for themselves and their children and families. The program is evidence-based, trauma-informed, and gender-responsive, utilizing the strengths that already are present in women, and leaves participants with tools to address their habituated patterns and symptoms that lead to relapse and entrapment in the cycle of stress and trauma. TIMBo is simple, accessible, measurable and scalable and at the cutting edge of mental and behavioral health intervention.
TIMBo's effectiveness lies in it's simplicity, accessibility and scalability. The (proven successful) model allows for participants to gain interoceptive awareness, social behavioral awareness and cognitive behavioral awareness through simple discussion and mindfulness practices. Research show that the practices themselves (therefore the program) increase molecular materials needed for learning in particular in regions of the brain governing emotional regulation, conciousness, and willpower. The person centered approach of the model has seen participants self-actualize in a manner in which is safe and contained, and the ingenuity is seen in the "unconditional altruistic love" (see Kass, 2014) that develops by way of the program. This phenomenon has been seen in especially in countries where there is little option for mental health treatment. Non specialized individuals can learn to deliver the program to their peers and as a facilitator delivers the program they continue to benefit from the program.
The TIMBo program achieves the concept of task shifting in mental health by training individuals within the disenfranchised communities. Once trained, facilitators bring the TIMBo program to their own community members. TIMBo successfully accomplishes task shifting in all four areas: simplicity, ease of implementation, bringing the program directly into underserved communities from their peers. The simplicity and ease of TIMBo’s implementation makes training organizations who are directly working with communities of underserved individuals as the most sustainable and efficient way to empower and heal women. The TIMBo program aims to reduce treatment gaps and improve health outcomes in mental health care; as well as to empower individuals to bring about positive change and resilience in their own lives.
Sustainability will be ensured through (1) training and certification of program staff for facilitation, and (2) training and certification of program participants once they have completed programming. Training both staff and program participants will allow for ongoing implementation of the TIMBo curriculum in a variety of capacities and settings. The TIMBo training model is set up so that the facilitators from the partner organization and the selected participants that are trained through the award will be able to continue to deliver the program to their respective client bases and community. The concept of task shifting is the forefront of yogaHOPE’s training model, which allows TIMBo to be dispersed to many more disenfranchised communities. Approximately 500 Haitian women have been through TIMBo in two regions of the country (see film). We are set to replicate this project at N Street Village in Washington DC and OMID Foundation in Tehran , Iran.
TIMBo is a low cost, complementary model of care, it can be delivered repeatedly with limited resources, and adapted to be contextually relevant and appropriate. The trained organization will have a cohort of TIMBo Facilitators who will continue to offer mentorship to the TIMBo groups being delivered to their client base. The TIMBo program is a 16 session curriculum that leaves participants with tools to address their habituated patterns and symptoms that lead to relapse and entrapment in the cycle of traumatic stress. Each session consists of the same structure: (1) group mindfulness discussion, (2) a focused breath exercise, (3) yoga (physical postures) and meditation. This structure was designed to allow for a feeling of safety and predictability for the participants as they learn to become aware of their body responses in the context of social connection and feelings of vulnerability. Facilitators lead with, and participants utilize, a program workbook.
Monitoring and evaluation will follow the model currently implemented for all yogaHOPE programming. This model includes a pre-test, post-test, and six month follow-up assessment. Each assessment includes a survey incorporating standardized and validated scales in addition to program specific details and open-ended qualitative questions. In addition, pre-tests include important demographic and baseline questions. The assessment tools include validated measures of depression, anxiety, PTSD symptoms, self-compassion, and self-care. Utilization of validated measures will allow evaluation to demonstrate statically significant differences in outcomes post-program implementation.
Based on prior program implementation, it is predicted that TIMBo implementation will result in a variety of measurable outcomes. It is expected that following implementation, participants will experience a statistically significant difference in the following ways:
•Decreased symptoms of depression
•Decreased symptoms of anxiety
•Decreased symptoms of traumatic stress
• Resilient world-view
•Increased utilization of self-care and positive coping strategies