How Yoga Might Save the U.S. Trillions of Dollars, And A Lot of Lives
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Find a comfortable nook to settle in to folks, because this article via Forbes.com is a big one.
Scientific evidence is mounting daily for what many have long sensed: that practices like mindfulness, meditation, and yoga can help us address certain intractable individual and societal problems.
Prominent companies – Google, General Mills, Target, Apple, Nike, AOL, and Procter & Gamble among them – and prominent individuals have already embraced this possibility. Tim Ryan, the Ohio congressman who wrote the book A Mindful Nation, has been a big proponent of bringing mindfulness to the masses. He, along with others, believes that mindfulness should be a part of everyone’s day, to help wire our brains to deal with our many modern stressors.
And, perhaps more importantly for our global health, for kids dealing with extreme stressors, traumas and abuse, putting these practices into schools could be the difference between failure and success.
Last month, a group of American and Canadian scholars, researchers, businesspeople, and yoga teachers came together for a weekend at Omega Institute to discuss how this group of practices that helps us self-regulate as individuals could, quite possibly, help us regulate on a society level. The issues the country is facing – the massive dropout rate of school kids, substance abuse among all age groups, PTSD among veterans, the staggeringly high incarceration and recidivism rates – cost the country volumes in human potential, not to mention trillions in dollars. There are no single solutions, but the evidence suggests that some or all of these problems may be amenable to the practices that have been shown to redirect attention, improve concentration, increase self-control, and endow people with reliable and healthy coping mechanisms in the face of stress and trauma.
Some of the faculty at Omega’s conference have been key players in making this happen. BK Bose, PhD, of the Niroga Institute, a former Silicon Valley engineer who grew up practicing yoga, now works to make mindfulness/meditation/yoga the game-changer that many believe it can be. Rob Schware, PhD, who heads the Give Back Yoga Foundation and the Yoga Service Council, and writes for the Huffington Post, brought his two decades of management experience with World Bank to help grow the movement as a second career. Many, including Bose and Schware, say that the “school-to-prison pipeline,” a famously insidious and costly problem in lives lost and money wasted, is one of several that could be altered by a little mindfulness training early on in life.
In terms of economic cost alone, Cecelia Rouse at Princeton estimates that one high school dropout “costs” about $260,000 in lost earnings over his or her lifetime. Given the fact that at least a million kids drop out of school every year, the annual cost of school failure alone is estimated at $260 billion. As Bose points out, “Over ten years, the cost is upwards of 3 trillion dollars. And this is just for dropping out alone.”
If you continue the trajectory a little further, he says, based on the relatively common course that can include juvenile hall and prison, the numbers grow. “The school-to-prison pipeline is incredibly costly,” says Bose. It can cost upwards of $250,000 per year to keep an inmate in prison, if you factor in all the direct and indirect costs that tend to come with it, like loss in productivity, damage to the family, the escalated health and mental health costs. “Folks have been looking at career criminals – and estimates over their lifetimes are between $4-7 million. If you apply this to all those who land in jail over and over again, the numbers become stratospheric.”
One approach is to increase school retention; the national dropout rate is between 25% and 35%, and up to 50% in inner city schools. But if you go back a necessary step, Bose argues, the real culprits are enormous stresses and traumas that are so often present in the kids’ lives. “The single common denominator is stress: Chronic stress, toxic stress, traumatic stress, primary and secondary post-traumatic stress. Trauma is endemic. The tentacles of stress and trauma run right through – domestic abuse, substances abuse, poverty, racism. And once a kid drops out, homelessness, substance abuse, juvenile delinquency, crime, violence are just waiting to pounce. Not to mention the boatload of chronic disease, metabolic syndrome, hypertension, diabetes… You start to see this powerful trajectory between school failure and adult outcomes.”
And this is where the capacity to cope becomes highly relevant. Methods that train the brain attend differently, self-regulate, and respond to stressors are one part. “If you look to neuroscience,” says Bose, “it tells us that stress, among other things, disrupts brain functioning, especially in the prefrontal cortex. And the same neuroscience is also saying there’s also class of practices that mitigate all of this: Mindfulness.”
There’s some good evidence for the idea. In 2011, a Harvard study showed that mindfulness is linked to increased gray matter density in certain cortical areas, including the prefrontal cortex and regions involved in self-referential thoughts and emotion regulation. There seems to be a strong connection between mindfulness and the brain machinery involved in self-regulation. Other work has shown mindfulness to be linked to relative de-activation of the default mode network (DMN), the brain system that’s active during mind-wandering and self-referential “worry” thoughts, which are generally stressful in nature. Indeed Jon Kabat-Zinn, MD at UMass has developed his career to developing the mindfulness-based stress reduction program (MBSR) to helping people learn to change the stress response. (For nice reviews of the application of the practices in early childhood education, see this 2012 piece and this 2011 piece.)
This is all well and good, Bose adds, but there’s an obvious caveat. When they’re in the midst of stress and trauma, few kids have the ability to sit still enough to take part in a sitting practice. “If you’re not ready to sit in classroom,” says Bose, “you’re not ready to do sitting meditation. If you have drugs and gangs and violence all around you, you simply can’t sit still. Teachers tell us that they often yell at kids 100 times a day to sit and pay attention. It doesn’t work. And to ask them to do this in the context of meditation can have a worse-than-neutral effect – it could be disastrous.”
So, you have to go beyond the neuroscience-of-meditation field and look to the trauma research, which tells us that physical activity can help the brain deal with stress and trauma. “Trauma research tell us that we hold trauma in our bodies… The dorsolateral prefrontal cortex doesn’t even talk to the amygdala. Neuroscience says mindfulness; trauma research says movement. All of the sudden you’ve got moving meditation or mindfulness in motion. Mindfulness alone isn’t going to cut it for these kids.” One theory is that because the executive areas of the brain can be affected by stress and trauma, “getting in” through another avenue is key. Indeed, some studies have shown that physical activity can enhance cognitive control via the prefrontal cortex in children, and exercise is well known to enhance neurogenesis in brain regions like the hippocampus, in you and old alike, which can be affected by stress (for a brief review, see here).
Therefore, Bose and his colleagues have done what are also beginning to, combining movement and mindfulness into one program, called Transformative Life Skills (TLS), which incorporates elements of movement, attention training and relaxation skills. The 18-week program can be introduced to schools relatively cheaply. The research so far has shown that it can be extremely helpful in helping kids reduce levels of negative thinking, negative affect, revenge motivation, depression, emotional arousal, physical arousal, rumination, perceived-stress, attitudes toward violence; and it’s been associated with greater levels of self-control, tolerance for distress, and school engagement.
The return-on-investment seems to speak for itself. The cost of training and coaching 50 teachers in TLS is $5,000. And if they work with 1,000 students, works out to be about $5 per kid. If even one kid took a different path in life, the program would be worth the investment many times over.
And similar programs, like the one run by the Holistic Life Foundation, Inc. (HLF) serving inner city schools in Baltimore, have found just this. Ali Smith, Executive Director, who founded the program along with his brother and college friend as a way to bring meditation to “at-risk” kids, has seen the results firsthand. So has the early research. Smith and his brother grew up in this hectic environment, but his parents had them mediate every day before school. He says he didn’t understand its purpose so much back then, but it made a difference on some level, and sparked his and his brother’s desire to give back in the same way as they got older. He hopes that mindfulness will be a part of every school day in the future: “Even just to give kids a moment of stillness in their day, so that they stop, and can have inner and outer silence… That would be amazing.”
One problem with this type of service at this juncture is the relatively small size of the operations. Though service programs are growing, many are still local in reach, and affect people only on the order of tens or hundreds per year. “What I see happening,” says Schware, “is a lot of very fired up yoga teachers who want to serve; so they go work in drug rehabs or jails.” After a year or two, though, many realize they can’t pay their bills while doing this work, so find themselves in a difficult position. “And if you’ve set up a nonprofit,” adds Schware, “it’s even harder financially.” The Yoga Service Council helps many of these small non-profits become sustainable, but it’s unclear where the future of the industry really lies here, or in a larger domain.
“The math is pretty simple and clear,” says Schware. “We’re going to get our money back many, many times over. There’s a huge potential return on investments, if we’re going to implement these things systematically.” Policy-level initiatives would, of course, be ideal, and they may come in time. Hopefully the right people will see the connection sooner than later.
“This is about more than just mindfulness,” says Bose. “It’s about the integration of these modalities. This is not some feel good, foo-foo practice from the Himalayas. This is based in cutting edge neuroscience, trauma research, and in somatic psychology. This is vital to ensure our well-being, and to our economy. Let’s come together under the banner of transformative practices, and put forward the essence of yoga, not the hype. This is simple. Anyone can do this, anytime, anywhere. If you can move, if you can breathe, then you can do the practice.”