(Session held at the 2014 SharpBrains Virtual Summit; October 28-30th, 2014) 12:30-2pm. Scal­ing up med­i­ta­tion and mind­ful­ness via well­ness pro­grams and biofeed­back sensors - Dr. Dou­glass Ziedo­nis, Pro­fes­sor and Chair of the Depart­ment of Psy­chi­a­try at UMass Med­ical School - Dr. Dharma Singh Khalsa, Pres­i­dent of the Alzheimer’s Research and Pre­ven­tion Foundation - Ariel Garten, CEO of InteraXon - Dr. Evian Gor­don, Exec­u­tive Chair­man of Brain Resource - Chair: Rajiv Pant, Chief Tech­nol­ogy Offi­cer of The New York Times Learn more here: http://sharpbrains.com/summit-2014/agenda/

1. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors

2. Sponsors
Welcome!

3. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors
Chaired by: Rajiv Pant,
Chief Technology Officer of
The New York Times
Dr. Douglas Ziedonis,
Professor and Chair of the Dept. of
Psychiatry at UMass Medical School
Dr. Dharma Singh Khalsa,
President of the Alzheimer’s
Research and Prevention Foundation
Ariel Garten,
CEO of InteraXon Dr. Evian Gordon,
Executive Chairman of
Brain Resource

4. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors
Dr. Douglas Ziedonis,
Professor and Chair of the Dept. of
Psychiatry at UMass Medical School

5. Douglas Ziedonis, M.D., M.P.H.
Professor and Chairman
Department of Psychiatry
UMass Memorial Medical Center/
University of Massachusetts Medical School
Douglas.Ziedonis@umassmemorial.org
Tuesday, October 29th, 2014

6. Mindfulness: What is it?
 “The awareness that emerges through paying
attention on purpose, in the present moment,
and non-judgmentally to the unfolding of
experience moment to moment”
– Jon Kabat-Zinn, UMass Medical School’s
Center for Mindfulness

7. Two Component Definition
of Mindfulness
1) Self-regulation of attention so that it is
maintained on immediate experience, thereby
allowing for increased recognition of mental
events in the present moment.
 Body sensations, Feelings, & Thoughts
2) Adopting a particular orientation toward one’s
experiences in the present moment, characterized
by curiosity, openness, and acceptance.
 Compassion Bishop 2004

8. Purposeful Pause @ Virtual Summit

9. Why?
Why Mindfulness?
 Why Scale up Mindfulness?
Why Care?
 Mission, purpose, cause ….. inspiration
What outcomes intended?
 For Individual
 For Organization
 For Community

10. Outcome to Bring to Scale: Developing the
Capacity for Mindful Practice Amongst
Ourselves & in Organizations
 Being present
 Attentiveness
 Situational awareness
 Mindful communication
 Team work
 Self-awareness and monitoring

11. Incorporating Mindfulness & Mindful Leadership
Attributes & Practices into our work activities,
organization and daily life
THREE EXAMPLES:
1. Mindfulness in Psychiatry – UMass Department of Psychiatry
•Over 360 faculty supported by 2000 staff
•Leading by example – own “practice”
2. Mindfulness in Wellness Initiative & Leadership - UMass
Memorial Health Care
* Targeting 34,000 employees and family members
3. Mindful Physician Leadership Program
* Massachusetts State Wide Initiative

12. How Scale Up?
Link to Mission & Personal Goals
Leadership & Engagement
Strategic Planning / Prioritization
Customers & Staff – Added Value
Organizational Change Approach
Process for Why, How & What

13. Addressing Why Through Organizational
Change (AWTOC)
 Identify the “Why” which links the “Identified
Problem” to the Culture’s Mission and Desired Change
 What problems lead one to mindfulness as solution?
 Use AWTOC to structure the process of change
 3 Phases & 10 Steps
 Leadership: Roles & Responsibilities
 Importance of Communication
 People & Technology
 Training, Apps, websites, MP3s, etc
 Tracking and Sustaining Change
 EX: http://umassmed.edu/psychiatry/resources/Tobacco/attoc/

14. Mindfulness in Psychiatry
 Strategic Plan & Organizational Change
 Leadership & Engagement
 Collaborations with Center for Mindfulness
 Mindfulness as Platform for Wellness Initiative
 All Mission Areas
 Embed in Clinical Practices
 Training Opportunities for All – many versions
 Research activities
 Leadership Development
 Community Support Groups
 Academic Interest Groups, Research Groups, Mindfulness Practice Get-togethers
 Website & Apps

15. Mindfulness practices
Formal
meditation
practices
Awareness of everyday activities

16. Formal Practices
 Meditation & Gentle Yoga Exercises
 Specific Exercises:
 MEDITATIONS:
• Awareness of Breathing
• Sitting Meditation
• Slow Walking Meditation
• Body-scan
• Raisin Exercise (mindful eating)
• Gentle Yoga Exercises
• Mountain / Lake Meditation
• , Loving-kindness Meditation
• Forgiveness Meditations
• Home Practice

17. Informal Practice
 Many opportunities in the everyday living to bring
enhanced awareness:
 Any moment – perhaps when you catch yourself being
mindless
 Thoughts, Feelings, & Body Sensations
 How the weather affects us physically
 Pleasant experiences & Unpleasant experiences
 Reactivity to stressful situations or events
 While communicating with others
 Consider journal / log of your experiences.
 PURPOSEFUL PAUSES – Routine Activities or When
notice swirling of mind in tension

18. Integrating Mindfulness into Clinical Practice
 Enhanced Presence & Listening
 Brief 5 minute Moments
 Mindfulness Based Stress Reduction (MBSR)
 Acceptance and Commitment Therapy (ACT)
 Mindfulness-Based Cognitive Therapy (MBCT)
 Dual Recovery Therapy (DRT)
 Dialectical Behavior Therapy (DBT)
 “what” and “how” skills
 Mindfulness Based Addiction Treatments
 12-Step Facilitation
 Apps & websites & mp3s

19. Mindfulness Apps & Websites
•Which Apps work for whom?
•Craving to Quit – Jud Brewer,
UMass Medical School
•Ease of Use
•How Use – short term
help versus long term?
•Training clinicians and other
leaders on use of apps to scale
up mindfulness

20. Mindfulness integrated in Wellness Initiative &
Leadership Program: UMass Memorial Health Care
Employee Wellness Initiative
On-Site support
MBSR – UMass Center for Mindfulness
 Internet Portal – On-line with coaching
 Executive Leadership – Mindfulness Practice
 Leadership Training

21. Mindful Physician Leadership Program
 Thanks to Janice Marturano, Co-PI
 Physicians Foundation grant
 AAMC & Massachusetts Medical Society
 Mindfulness creates space to be more focused, clear,
creative and compassionate leader
 Three practices of the mindful leader:
 Reflections
 Purposeful pauses
 Mindful meditation
 One day retreat, 6 ninety minute webinars, and 10
monthly ninety minute community meetings

22. Possible Small Steps for Leaders
 Breath and Sound Meditation – 10 to 20 minutes / day
 Google search – “Free MP3 Mindful Breathing Meditations”
 Plan 2 purposeful pauses in the day
 Live life, moments of joy, being present fully
 Do a Reflective Exercise
 Ex. Look at Calendar – reflect on how spending time
 Look around you - who could be supportive & give input
 Attend a Mindfulness Academic Interest Group or
Mindfulness Practice Support Group
 Read about mindfulness

23. Resources
 UMass Psychiatry Wellness Initiative
 http://umassmed.edu/psychiatry/resources/wellness/
 Center for Mindfulness in Medicine, Healthcare, and
Society – UMass Medical School
 http://www.umassmed.edu/cfm/
 Finding the Space to Lead: A Practical Guide to
Mindful Leadership. Janice Marturano
 http://instituteformindfulleadership.org/
 UCLA Mindful Awareness Research Center
 http://marc.ucla.edu/body.cfm?id=22
 Mindful Physician Leadership Program
 http://www.umassmed.edu/psychiatry/MindfulLeadership/

24. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors
Dr. Dharma Singh Khalsa,
President of the Alzheimer’s
Research and Prevention Foundation

25. www.alzheimersprevention.org
Stress,
Meditation and
Memory:
A Now Dimension in Prevention
Dharma Singh Khalsa, M.D.
President/Medical Director
Alzheimer’s Research and Prevention Foundation
drdharma@alzheimersprevention.org

26. From ISIS to Ebola
Stress Got Your Nerves on Edge?

27. How Stress Kills Your Memory
Creates Risk Factors:
1. Cortisol  Inflammation,  Brain Chemistry,
Kills Brain Cells (all badness)
2. Stress  Anxiety, Depression, Anger, Insomnia
(all badness)
3. Stress  Unhealthy Behavior- Diet, Smoking,
Lack of Exercise  DM, Heart Disease, Brain
Blood Vessel Disease  (all badness)
4. All Increase Risk for AD & other issues
5. Optimally healthy employees are better for
business

28. Walter Hess, M.D., Ph.D.
The Nobel Prize in Physiology and
Medicine 1949

29. THE 4 STEPS
1. Comfort
2. Quiet
3. Tool
4. Attitude
THE 4 STATES
1. Awake
2. Asleep
3. Dream
4. 4th State
Herbert Benson, M.D.

30. Many Published Studies
Reveal Multiple Benefits of
Meditation:
From Better Memory to
Improved Cellular & Genetic
Health and PSWB
(all goodness)

31. Basic Meditation:
RR 10-20 min 2x a day
TM 20 min 2x a day
MBSR 30-40 min/day +
But Wait, there’s more…
BEME Moves Beyond the Basics
How?
BEME  KK 12 min a day

32. How to Move from
Information to
Experience

33. 1. The key to incorporate the many
cognitive-enhancing benefits of
meditation into your corporation,
business, or environment is to first
and foremost have your own
consistent practice.
2. Become familiar with ongoing
research

34. 3. Create innovative ways to
incorporate your experience and
knowledge to make positive
changes at the organizational,
community and national levels
4. If you are an entrepreneur, get
endorsements from reputable
organizations or researchers and
create alliances with distribution
channels.

35. Conclusion:
Meditate More
A Sharp Brain, Psychological
Wellbeing and Spiritual Fitness
are the Now Dimension
To Be Experienced on Oct 30th….
www.alzheimersprevention.org
drdharma@alzheimersprevention.org

36. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors
Ariel Garten,
CEO of InteraXon

37. Ariel Garten, CEO ariel@interaxon.ca @arielgarten www.choosemuse.com

38. S e n s o r R e v o l u t i o n

40. F e a t u r e s o f M u s e

41. C l i n i c a l G r a d e E E G
in Consumer Form
Muse ($299 MSRP) Actichamp ($36,000 MSRP)

43. ADHD
9% of kids diagnosed w
ADHD. 90% prescribed
drugs
no sleep
worry
retirement
Amount of time
spent with wandering
mind 75%
Brain Health
2 Billion people suffer
from brain based health
and productivity challenges
23%
#1
Most anxious country
46.9% in the world: US
Doctors visits
from stress
Car crashes involve
mobile phones
Addiction
Costs
$600B annually
fear stress
low self
esteem
PTSD
sick
health
tired
bills
anxiety
Distraction
Anxiety
Stress

44. Barriers to Scaling Meditation
• Stigma towards meditation
• Don’t know if they’re doing it right
• Can’t do it – mind is always racing
• Hard to remain motivated esp. when not getting
immediate feedback
• Hard to sit “that long”

45. C A L M a p p -
F o c u s e d A t t e n t i o n
T r a i n i n g
1
2
3
4
5
6

46. Muse: the brain sensing headband

47. O v e r c o m i n g
B a r r i e r s
“I had tried for a long time to regularly
meditate. While I am early in my
adoption of Muse Calm, I have already
meditated more frequently and for
longer than any previous attempt.
I love the immediate feedback.”
-Muser P332
“Great way to get geeks
to practice mindfulness /
meditation.” – Muser P151
“I love it. Immediate feedback,
I feel like I finally "get" meditation
after trying for over 5 years now.”
InteraXon Inc –
CONFIDENTIAL
- Muser P131
“Just one week's training and
I have already experienced
improved absorption in regular
meditation when not using
the Muse.” – Muser P162
“It works! It helps my anxiety
go away and makes me feel better”
– Muser P474
Muse: the brain sensing headband
“It's great and now I can sleep at night
like a real person” – Muser P802

48. Muse: the brain sensing headband
C u r r e n t R e s e a r c h P a r t n e r s

49. Scaling up meditation and mindfulness via
wellness programs and biofeedback sensors
Dr. Evian Gordon,
Executive Chairman of
Brain Resource

50.  To learn more, visit SharpBrains.com