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Mindfulness-based interventions in secure settings: challenges and opportunities

  • Dumindu Witharana and Gwen Adshead


Psychological treatments in secure settings have traditionally been based on psychodynamic and cognitive–behavioural approaches. Recent developments, supported by an emerging evidence base, have generated a significant amount of interest in mindfulness-based psychological therapies and their utility in diverse areas of mental healthcare. In this article we analyse the current evidence base and describe possible mechanisms of action of mindfulness-based psychological approaches. On the basis of the evidence, we advocate a cautious but positive approach to using mindfulness-based interventions in secure services.

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Corresponding author

Dr Dumindu Witharana, Priory Hospital, Longcroft Lane, Felden HP3 0BN, UK. Email:


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For an introduction to this topic in Advances, see Mace C (2007) Mindfulness in psychotherapy: an introduction, 13: 147–154. Ed.

Declaration of Interest




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Mindfulness-based interventions in secure settings: challenges and opportunities

  • Dumindu Witharana and Gwen Adshead


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