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Unaddressed occupational stress and trauma contribute to elevated rates of mental illness and suicide in policing, and to violent and aggressive behavior that disproportionately impacts communities of color. Emerging evidence suggests mindfulness training with police may reduce stress and aggression and improve mental health, but there is limited evidence for changes in biological outcomes or the lasting benefits of mindfulness training. We conducted a randomized controlled trial (RCT) of 114 police officers from three Midwestern U.S. law enforcement agencies. We assessed stress-related physical and mental health symptoms, blood-based inflammatory markers, and hair and salivary cortisol. Participants were then randomized to an 8-week mindfulness intervention or waitlist control (WLC), and the same assessments were repeated post-intervention and at 3-month follow-up. Relative to waitlist control, the mindfulness group had greater improvements in psychological distress, mental health symptoms, and sleep quality post-training, gains that were maintained at 3-month follow-up. Intervention participants also had a significantly lower cortisol awakening response (CAR) at 3-month follow-up relative to waitlist control. Contrary to hypotheses, there were no intervention effects on hair cortisol, diurnal cortisol slope, or inflammatory markers. In summary, an 8-week mindfulness intervention for police officers led to self-reported improvements in distress, mental health, and sleep, and a lower CAR. These benefits persisted (or emerged) at 3-month follow-up, suggesting that this training may buffer against the long-term consequences of chronic stress. Future research should assess the persistence of these benefits over a longer period while expanding the scope of outcomes to consider the broader community of mindfulness training for police.Clinical Trial Registration: ClinicalTrials.gov#NCT03488875.

The introduction of mindfulness practices into law enforcement has the potential for broad benefits for police officers and community members alike, but the impact of this work depends on careful consideration of contextual factors specific to conducting research and training in this population and environment. This chapter provides an overview of the authors' experiences over the past five years adapting, delivering, and studying the impact of mindfulness training in a Midwestern U.S. police agency. The authors detail strategies and practices that have proved beneficial in the implementation and uptake of this training. Themes that are addressed include developing diverse and meaningful partnerships, preparing outside researchers and trainers to work in a police context, adapting mindfulness for policing, and logistical issues. Key considerations for the future of mindfulness in policing include the challenge of widespread implementation and expanding the focus of research and training to encompass community well-being.

BACKGROUND. Police officers are exposed daily to high levels of organizational and operational stressors that have a negative impact on health and well-being outcomes. This population has elevated rates of cardiovascular disease, sleep disorders, symptoms of depression and post-traumatic stress disorder (PTSD), and suicide. Although there are few empirically supported effective stress reduction interventions in police officers, recent evidence suggests that an 8-week training program in mindfulness meditation, specifically tailored for this group, has promise in reducing perceived stress and improving stress-related physical and mental health outcomes including sleep disturbances, anxiety, depression, and burnout. The primary aims of the current study were to 1) demonstrate the feasibility, acceptability, and adherence of a similar mindfulness training program in a new population of police officers; 2) replicate previously demonstrated improvements in perceived stress and stress-related health outcomes, and 3) provide novel evidence of hypothesized reductions in symptoms of PTSD.METHODS. We enrolled 30 sworn law enforcement personnel from a mid-sized, Midwestern U.S. police department in an 8-week, group-based mindfulness training program. We conducted in-person assessments immediately before and after the training program, consisting of self-report measures of perceived stress, sleep quality, physical and mental health symptoms, and burnout and the assessment of high-sensitivity C-reactive protein (hs-CRP) and other physical health measures. An abbreviated remote assessment at 5-month follow-up included self-report measures only.RESULTS. All 30 officers completed the 8-week program and both in-person assessments, with high rates of class attendance, substantial out-of-class practice time, and uniformly positive evaluations of the training program and instructors. Replicating previous studies, we identified post-training reductions in perceived organizational and operational stress, global sleep disturbances, anxiety, and burnout, with significant reductions in anxiety and perceived stress observed at 5-month follow-up. We also identified novel evidence for reduced PTSD hyperarousal symptoms that persisted at 5-month follow-up, and reduced re-experiencing PTSD symptoms at 5-month follow-up only. There was no evidence for changes in self-reported physical health symptoms or hs-CRP.CONCLUSIONS. Successful adaptation, delivery, and acceptance of this mindfulness-based intervention demonstrates the generalizability of mindfulness training across law enforcement populations. The replication of improved stress-related outcomes, and novel evidence for reduced PTSD symptoms, indicate important targets to be further investigated in larger, mechanistic, randomized controlled trials of mindfulness training in police officers.

Objectives Explore the lived experience of individuals managing and/or caregiving for someone with a chronic disease and their perceptions of developing a mindfulness program for stress reduction. Methods Sixteen participants with chronic disease and/or caregivers participated. Participants completed eligibility screening, demographic questionnaires, and semi-structured interviews (30–60 min each) online or by phone. Interviews ( n = 16) were audio recorded, transcribed, and analyzed using thematic analysis and NVivo® 12. Survey data were analyzed using SPSS® 28. Results Four themes emerged: (a) Chronic disease management and stress—perspectives on life's stressors; (b) Stress reduction techniques/perceptions of mindfulness—knowledge and implementation of stress reduction practices and familiarity with mindfulness; (c) Mindfulness program acceptability, barriers, and facilitators—interest, barriers, and facilitators to attending; (d) Mindfulness program structure—logistics to increase access and appeal to diverse audiences. Discussion Mindfulness has the potential for addressing the complexities of stress associated with disease management. Targeting mindfulness programs for populations with chronic disease management and caregiving responsibilities should include: Consideration of group formats with participation limited to this population, structuring programs to overcome barriers (i.e., culturally appropriate location), and equipping members of the community being served as instructors to ensure culturally relevant instruction.