1 1536 119 KETAMINE, TRANSCRANIAL MAGNETIC STIMULATION, AND DEPRESSION SPECIFIC YOGA AND MINDFULNESS BASED COGNITIVE THERAPY IN MANAGEMENT OF TREATMENT RESISTANT DEPRESSION: REVIEW AND SOME DATA ON EFFICACY. DEPRESSION AFFECTS ABOUT 121 MILLION PEOPLE WORLDWIDE AND PREVALENCE OF MAJOR DEPRESSIVE DISORDER (MDD) IN US ADULTS IS 6.4%. TREATMENT RESISTANT DEPRESSION (TRD) ACCOUNTS FOR APPROXIMATELY 12-20% OF ALL DEPRESSION PATIENTS AND COSTS $29-$48 BILLION ANNUALLY. KETAMINE AND REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS) HAVE USEFUL ROLES IN TRD, BUT THEIR UTILITY IN LONG TERM IS UNKNOWN. AS PER THE LATEST LITERATURE, THE INTERVENTIONS USING YOGA AND MEDITATION INCLUDING THE MINDFULNESS BASED COGNITIVE THERAPY (MBCT) HAVE BEEN USEFUL IN TREATMENT OF DEPRESSION AND RELAPSE PREVENTION. WE PRESENT A REVIEW OF RTMS, KETAMINE, AND MBCT AND ALSO REPORT EFFICACY OF A DEPRESSION SPECIFIC, INNOVATIVE, AND TRANSLATIONAL MODEL OF YOGA AND MINDFULNESS BASED COGNITIVE THERAPY (DEPS Y-MBCT), DEVELOPED BY THE FIRST AUTHOR. DEPS Y-MBCT AS AN ADJUNCTIVE TREATMENT SUCCESSFULLY AMELIORATED TRD SYMPTOMS IN 27/32 PATIENTS IN AN OPEN LABEL PILOT TRIAL IN TRD PATIENTS. CONSIDERING THE LIMITATIONS OF EXISTING TREATMENT OPTIONS, INCLUDING THOSE OF KETAMINE AND RTMS WHEN USED AS THE SOLE MODALITY OF TREATMENT, WE SUGGEST A "TIERED APPROACH FOR TRD" BY COMBINING KETAMINE AND RTMS (ALONE OR ALONG WITH ANTIDEPRESSANTS) FOR RAPID REMISSION OF ACUTE DEPRESSION SYMPTOMS AND TO USE DEPS Y-MBCT FOR MAINTAINING REMISSION AND PREVENTING RELAPSE. 2015 2 533 19 COMPARISON OF TWO TAGTEACH ERROR-CORRECTION PROCEDURES TO TEACH BEGINNER YOGA POSES TO ADULTS. TEACHING WITH ACOUSTICAL GUIDANCE INVOLVES AUDITORY FEEDBACK (E.G., A CLICK SOUND WHEN A DESIRED BEHAVIOR OCCURS) AS PART OF A MULTICOMPONENT INTERVENTION KNOWN AS TAGTEACH. TAGTEACH HAS BEEN FOUND TO IMPROVE PERFORMANCE IN SPORT, DANCE, SURGICAL TECHNIQUE, AND WALKING. WE COMPARED THE EFFICACY AND EFFICIENCY OF THE STANDARD TAGTEACH ERROR-CORRECTION PROCEDURE AND A MODIFIED TAGTEACH ERROR-CORRECTION PROCEDURE TO TEACH 4 NOVICE ADULT YOGA PRACTITIONERS BEGINNER YOGA POSES. BOTH ERROR-CORRECTION PROCEDURES WERE EFFECTIVE FOR ALL PARTICIPANTS; HOWEVER, THE RELATIVE EFFICIENCY OF THESE ERROR-CORRECTION PROCEDURES WAS UNCLEAR. RESULTS ARE DISCUSSED IN TERMS OF LIMITATIONS AND CONSIDERATIONS FOR FUTURE RESEARCH. 2020 3 2500 27 YOGA AS THE "NEXT WAVE" OF THERAPEUTIC MODALITIES FOR TREATMENT OF INSOMNIA. INSOMNIA RATES CONTINUE TO RISE, ESPECIALLY AMONG SPECIFIC POPULATIONS. CURRENT NONPHARMACOLOGICAL TREATMENTS RELY PRIMARILY UPON COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBT-I), WHICH WAS INTRODUCED IN THE 1970S. NEWER TREATMENTS HAVE INCORPORATED CBT "THIRD WAVE" TECHNIQUES, INCLUDING MINDFULNESS AND ACCEPTANCE TECHNIQUES. YOGA PRACTICE IS WELL SUITED TO COMPLEMENT EXISTING THERAPIES AND TO ADDRESS SLEEP PROBLEMS IN A MORE HOLISTIC WAY. CURRENT THEORETICAL AND EMPIRICAL APPROACHES TO TREATING INSOMNIA ARE DISCUSSED, WITH AN EMPHASIS ON THE ROLE OF YOGA IN ADDRESSING PRECIPITATING AND PERPETUATING FACTORS IN INSOMNIA THAT HAVE PREVIOUSLY BEEN LARGELY OVERLOOKED.AN ESTIMATED ONE-THIRD OF U.S. ADULTS SUFFER FROM INSOMNIA (CHEN, GELAYE, & WILLIAMS, 2013; MELLINGER, BALTER, & UHLENHUTH, 1985; OHAYON, 2002), AND THE PROBLEM APPEARS TO BE GROWING. WHILE TREATMENT FOR INSOMNIA HAS HELPED TO ALLEVIATE THE PROBLEM FOR SOME (IRWIN, COLE, & NICASSIO, 2006; MORIN ET AL., 2009), PREVALENCE OF INSOMNIA IS ON THE RISE, ESPECIALLY AMONG CERTAIN GROUPS, INCLUDING ELDERLY AND MILITARY POPULATIONS (MORIN, 2009; MYSLIWIEC ET AL., 2013). RISING RATES OF INSOMNIA HAVE BEEN ATTRIBUTED TO CHANGES IN LIFESTYLE AND ENVIRONMENTAL FACTORS, INCLUDING INCREASED RELIANCE ON TECHNOLOGY AND DECREASED SYNCHRONY WITH NATURAL WAKE-SLEEP RHYTHMS (BRAHINSKY, 2013; WALLACE-GUY ET AL., 2002; YUN, BAZAR, GERBER, LEE, & DANIEL, 2005). 2014 4 1432 23 IMPROVING PHYSICAL AND MENTAL HEALTH IN FRONTLINE MENTAL HEALTH CARE PROVIDERS: YOGA-BASED STRESS MANAGEMENT VERSUS COGNITIVE BEHAVIORAL STRESS MANAGEMENT. THE NEED FOR BRIEF, LOW-COST, EASILY DISSEMINABLE AND EFFECTIVE INTERVENTIONS TO PROMOTE HEALTHY LIFESTYLES IS HIGH. THIS IS ESPECIALLY TRUE FOR MENTAL HEALTH PROVIDERS. WE DEVELOPED TWO STUDIES TO COMPARE THE IMPACTS OF COGNITIVE BEHAVIORAL STRESS MANAGEMENT (CBSM) AND YOGA BASED STRESS MANAGEMENT (YBSM) INTERVENTIONS FOR HEALTHCARE PROFESSIONALS. STUDY 1 OFFERED AN 8-WEEK YBSM INTERVENTION TO 37 MENTAL HEALTHCARE PARTICIPANTS AND COLLECTED HEALTH DATA PRE AND POST. STUDY 2 OFFERED YBSM AND CBSM CLASSES TO 40 RANDOMLY ASSIGNED MENTAL HEALTHCARE PROVIDERS AND COLLECTED MENTAL AND PHYSICAL HEALTH DATA AT FOUR TIME POINTS. IN STUDY 1, USING T-TESTS, THE YBSM INTERVENTION AFFECTED A NUMBER OF MENTAL AND PHYSICAL WELLBEING INDICES PRE TO POST. IN STUDY 2, USING LINEAR MIXED MODELING, BOTH YBSM AND CBSM GROUPS IMPROVED SIGNIFICANTLY (P <.05) IN FRUIT AND VEGETABLE INTAKE, HEART RATE, ALCOHOL CONSUMPTION, RELAXATION AND AWARENESS, PROFESSIONAL QUALITY OF LIFE, COMPASSION SATISFACTION, BURNOUT, DEPRESSION, AND STRESS LEVELS. THERE WAS A GROUP BY TIME EFFECT FOR COPING CONFIDENCE (CBSM INCREASED MORE, P<.05, F = 4.34), PHYSICAL ACTIVITY (YBSM INCREASED MORE, P<.05, F = 3.47), OVERALL MENTAL HEALTH (YBSM INCREASED MORE, P<.10, F =5.32), AND SECONDARY TRAUMATIC STRESS (YBSM DECREASED MORE, P<.10, F = 4.89). YBSM AND CBSM APPEAR TO BE USEFUL FOR HEALTHCARE PROFESSIONALS' MENTAL AND PHYSICAL HEALTH. YBSM DEMONSTRATES SOME BENEFIT ABOVE AND BEYOND THE EXTREMELY WELL-STUDIED AND EMPIRICALLY SUPPORTED CBSM, INCLUDING INCREASED PHYSICAL ACTIVITY, OVERALL MENTAL HEALTH, AND DECREASED SECONDARY TRAUMATIC STRESS BENEFITS. 2017 5 2309 11 TRANSFORMING CARE WITH YOGA THERAPY. VERONICA RIERA-GILLEY PARTNERS WITH CERTIFIED YOGA THERAPIST ANGEL BROWNLEE TO DISCUSS THE ADAPTABILITY OF A YOGA PRACTICE TO AN OLDER PERSON'S UNIQUE MOVEMENT NEEDS AS THEY PROGRESS THROUGH LATE-LIFE TO END-OF-LIFE. THE AUTHORS DISCUSS THE BENEFITS OF AND PROVIDE RESOURCES FOR YOGA THERAPY. 2021 6 487 20 CLINICAL STUDY OF AN AYURVEDIC COMPOUND (DIVYADI YOGA) IN THE MANAGEMENT OF SHAYYAMUTRATA (ENURESIS). CHILD HEALTH HAS ASSUMED GREAT SIGNIFICANCE IN ALL OVER WORLD. ITS IMPORTANCE IS BEING REALIZED MORE AND MORE BY PEDIATRICIANS AND GENERAL PUBLIC IN DEVELOPING AS WELL AS DEVELOPED COUNTRIES. ENURESIS IS DEFINED AS THE VOLUNTARY OR INVOLUNTARY REPEATED DISCHARGE OF URINE INTO CLOTHES OR BED AFTER A DEVELOPMENTAL AGE WHEN BLADDER CONTROL SHOULD BE ESTABLISHED. THE PRESENT CLINICAL STUDY WAS PLANNED TO EVALUATE THE EFFECT OF DIVYADI YOGA ALONG WITH COUNSELING IN THE MANAGEMENT OF SHAYYAMUTRA. TOTAL 40 SELECTED CASES WERE DIVIDED INTO TWO GROUPS, I.E. 20 IN EACH GROUP. ONE GROUP OF CHILDREN WERE GIVEN THE TRIAL DRUG DIVYADI YOGA (D(1)) WITH COUNSELING AND OTHER GROUP OF CHILDREN WERE GIVEN PLACEBO DIVYADI YOGA (D(2)) WITH COUNSELING. DIVYADI YOGA WAS GIVEN IN THE DOSE OF 3-6 GMS. TWICE A DAY WITH LUKE WARM WATER. THE RESULT OF THE STUDY SHOWED THAT GROUPS PROVIDED A HIGHLY SIGNIFICANT. 2010 7 1570 30 MANAGEMENT OF ACUTE CALCULUS CHOLECYSTITIS WITH INTEGRATED AYURVEDA AND YOGA INTERVENTION: A CASE REPORT. ACUTE CALCULUS CHOLECYSTITIS (ACC) IS A FREQUENTLY REPORTED MEDICAL CONDITION IN GENERAL PRACTICE. APPROXIMATELY 20% OF PATIENTS WITH GALLBLADDER STONES EXPERIENCE ACC IN THEIR LIFETIME. AYURVEDA AND YOGA ARE ANCIENT TRADITIONAL SYSTEMS OF MEDICINE USED FOR TREATMENT OF DISEASES AND IMPROVING AND MAINTAINING HEALTH. THERE HAS BEEN AN INCREASED USE OF AYURVEDA AND YOGA IN THE MANAGEMENT OF SEVERAL HEALTH CONDITIONS IN INDIA AND WORLDWIDE. THE PRESENT CASE STUDY IS OF 34 YEARS FEMALE PATIENT WHO HAD ACC. POST DIAGNOSIS OF ACC PATIENT WAS ADVISED TO UNDERGO CHOLECYSTECTOMY; HOWEVER, SHE APPROACHED ALTERNATIVE THERAPIES WITH C/O VOMITING, NAUSEA, ABDOMINAL PAIN, JAUNDICE, ITCHING, AND ABDOMINAL BLOATING WITH DERANGED LIVER FUNCTIONS. AYURVEDA AND YOGA INTERVENTION PROTOCOL WAS DESIGNED. AYURVEDA TREATMENT CONSISTED OF MILD PURGATION (MRUDUVIRECHANA) WITH TRIVRITTALEHYAM FOR CONSECUTIVE SEVEN DAYS, FOLLOWED BY ORAL ADMINISTRATION OF TAB LIV 52, BHUNIMBADI KADHA TWICE DAILY, AND AMALAKI RASAYANA IN THE MORNING FOR 45 DAYS. PATIENTS RECEIVED 8 TELEYOGA SESSIONS OVER A PERIOD OF 45 DAYS. A THERAPEUTIC DIET WAS ADVISED DURING TREATMENT PERIOD. AFTER TWO MONTHS PATIENT REPORTED COMPLETE RECOVERY IN SYMPTOMS, AND ALL LABORATORY INVESTIGATIONS REACHED TO NORMAL RANGE. THIS CASE STUDY SUGGESTS THE POSITIVE ROLE OF AYURVEDA AND YOGA INTERVENTION IN THE MANAGEMENT OF ACC. THIS CASE REPORT WARRANTS FUTURE CLINICAL STUDIES ON INTEGRATIVE MEDICINE IN ACC. 2021 8 2498 17 YOGA AS SANCTUARY: A VALUABLE MIND-BODY INTERVENTION FOR THE LESBIAN COMMUNITY. POETIC AUTOETHNOGRAPHY PROVIDES A RESEARCH METHODOLOGY TO EXPLORE YOGA AS A MIND-BODY INTERVENTION THAT CREATES SANCTUARY. USING THIS QUALITATIVE METHOD AND RETRIEVING DATA FROM MY PERSONAL JOURNALS, DAILY WORKOUT JOURNALS, EXPERIENCES AS A LESBIAN-IDENTIFIED PARTICIPANT IN YOGA CLASSES, AND YOGA INSTRUCTOR, I TURN THE RESEARCH LENS ON MYSELF IN ORDER TO EXAMINE MY SOCIOLOGICAL LIFE STORY. AT A CRITICAL TIME IN MY LIFE WHEN I WAS STRUGGLING WITH THE FRAGMENTATION, ANXIETY, AND DESPAIR RESULTING FROM DEALING WITH HOMOPHOBIA IN A HETERONORMATIVE WORLD, YOGA PROVIDED SANCTUARY FOR ME. MY YOGA PRACTICE INCREASED MY SELF-EFFICACY, PROVIDING TRANSFERABLE TECHNIQUES FOR FINDING REFUGE WITHIN MYSELF, IRRESPECTIVE OF THE ADVERSITY I WAS FACING IN MY LIFE. PLACES OF SANCTUARY ARE CRITICAL FOR MEMBERS OF MINORITY GROUPS WHO OFTEN FACE MARGINALIZATION AND OPPRESSION, WHICH COMPROMISE THEIR WELL-BEING. 2017 9 32 37 5-HTTLPR AND MTHFR 677C>T POLYMORPHISMS AND RESPONSE TO YOGA-BASED LIFESTYLE INTERVENTION IN MAJOR DEPRESSIVE DISORDER: A RANDOMIZED ACTIVE-CONTROLLED TRIAL. BACKGROUND: THERE IS GROWING EVIDENCE SUGGESTING THAT BOTH GENETIC AND ENVIRONMENTAL FACTORS MODULATE TREATMENT OUTCOME IN, A HIGHLY HETEROGENEOUS, MAJOR DEPRESSIVE DISORDER (MDD). 5-HTTLPR VARIANT OF THE SEROTONIN TRANSPORTER GENE (SLC6A4) AND MTHFR 677C>T POLYMORPHISMS HAVE BEEN LINKED TO THE PATHOGENESIS OF MDD, AND ANTIDEPRESSANT TREATMENT RESPONSE. THE EVIDENCE IS LACKING ON THE CLINICAL UTILITY OF YOGA IN PATIENTS WITH MDD WHO HAVE 5-HTTLPR AND MTHFR 677C>T POLYMORPHISMS AND LESS LIKELY TO RESPOND TO MEDICATIONS (SSRIS). AIMS: WE AIMED TO EXAMINE THE IMPACT OF YBLI IN THOSE WHO HAVE SUSCEPTIBLE 5-HTTLPR AND MTHFR 677C>T POLYMORPHISMS AND ARE LESS LIKELY TO DRUG THERAPY WITH SSRIS. SETTINGS AND DESIGN: IN A 12 WEEK RANDOMIZED ACTIVE-CONTROLLED TRIAL, MDD PATIENTS (N = 178) WERE RANDOMIZED TO RECEIVE YBLI OR DRUG THERAPY. METHODS: GENOTYPING WAS CONDUCTED USING PCR-BASED METHODS. THE CLINICAL REMISSION WAS DEFINED AS BDI-II SCORE T GENOTYPES SHOWED STATISTICALLY SIGNIFICANT ODDS OF REMISSION IN YOGA ARM VS. DRUG ARM. NEITHER 5-HTTLPR NOR MTHFR 677C>T GENOTYPE SHOWED ANY INFLUENCE ON REMISSION TO YBLI (P = 0.73 AND P = 0.64, RESPECTIVELY). FURTHER ANALYSIS SHOWED CHILDHOOD ADVERSITY INTERACT WITH 5-HTTLPR AND MTHFR 677C>T POLYMORPHISMS TO DECREASE TREATMENT RESPONSE IN DRUG TREATMENT ARM, BUT NOT IN YOGA ARM. CONCLUSIONS: YBLI PROVIDES MDD REMISSION IN THOSE WHO HAVE SUSCEPTIBLE 5-HTTLPR AND MTHFR 677C>T POLYMORPHISMS AND ARE RESISTANT TO SSRIS TREATMENT. YBLI MAY BE THERAPEUTIC FOR MDD INDEPENDENT OF HETEROGENEITY IN ITS ETIOPATHOGENESIS. 2018 10 2327 23 TRENDS IN YOGA, TAI CHI, AND QIGONG USE AMONG US ADULTS, 2002-2017. OBJECTIVES: TO EXAMINE THE CHARACTERISTICS AND TEMPORAL TRENDS OF YOGA, TAI CHI, AND QIGONG (YTQ) USE AMONG US ADULTS. METHODS: USING THE 2002, 2007, 2012, AND 2017 NATIONAL HEALTH INTERVIEW SURVEYS, WE EXAMINED THE PREVALENCE, PATTERNS, AND PREDICTING FACTORS OF YTQ USE BY TAYLOR SERIES LINEAR REGRESSION, THE WALD F CHI(2) TEST, AND MULTIVARIABLE LOGISTIC REGRESSION MODELS (N = 116 404). RESULTS: YTQ USE INCREASED FROM 5.8% IN 2002 TO 14.5% IN 2017 (P 70% (P < 0.001). INCREASES OF >/=20% IN ANANDAMIDE, 2-AG, 1-AG, AND TOTAL AG LEVELS AFTER MEDITATION FROM THE BASELINE HAD WEAK CORRELATIONS WITH CHANGES IN HAPPINESS AND WELL-BEING. CONCLUSIONS: A SHORT MEDITATION EXPERIENCE IMPROVED FOCUS, HAPPINESS, AND POSITIVE WELL-BEING AND REDUCED DEPRESSION AND ANXIETY IN PARTICIPANTS FOR AT LEAST 1 MONTH. PARTICIPANTS HAD INCREASED BLOOD ECBS AND BDNF, SUGGESTING A ROLE FOR THESE BIOMARKERS IN THE UNDERLYING MECHANISM OF MEDITATION. MEDITATION IS A SIMPLE, ORGANIC, AND EFFECTIVE WAY TO IMPROVE WELL-BEING AND REDUCE DEPRESSION AND ANXIETY. 2020 18 1754 9 PLACE OF NUTRITION IN YOGA. NUTRITION PLAYS A VERY VITAL ROLE IN OUR LIFE. YOGA AND AYURVEDA HAD LAID DOWN THE FOUNDATIONS OF DIETETICS. THE VALUABLE GUIDELINES REGARDING VARIOUS FOOD ARTICLES AND DIET FOR YOGA SADHAKA, TO ACHIEVE MAXIMUM BENEFITS, ARE GIVEN IN TRADITIONAL YOGA TEXTS LIKE HATHA PRADIPIKA AND GHERANDA SAMHITHA. NOW IS THE TIME TO EVALUATE THE PLACE OF NUTRITION IN YOGA AND TO STUDY HOW THE DIETETIC PRINCIPLES IN YOGA WILL HELP TO ERADICATE THE NATIONAL PROBLEM OF MAL-NUTRITION AND POVERTY WHICH IS THE PRESSING NEED OF THE MOMENT. 1990 19 1657 17 MUSCULOSKELETAL PAIN AND INTEREST IN MEDITATION AND YOGA IN HOME HEALTH AIDES: EVIDENCE FROM THE HOME HEALTH OCCUPATIONS MUSCULOSKELETAL EXAMINATIONS (HHOME) STUDY. HOME HEALTHCARE AIDES (HHAS) ARE A GROWING U.S. WORKFORCE HIGHLY SUSCEPTIBLE TO WORKPLACE STRESSORS AND MUSCULOSKELETAL PAIN. IN THE PRESENT STUDY WE: 1) EXAMINE THE ASSOCIATION OF MUSCULOSKELETAL PAIN TO LIFE SATISFACTION AND EMOTIONAL EXHAUSTION; AND 2) CHARACTERIZE INTEREST IN MEDITATION AND YOGA IN A SAMPLE OF HHAS. A NONPROBABILISTIC SAMPLE OF HHAS EMPLOYED AT HOME HEALTHCARE AGENCIES IN FLORIDA, MASSACHUSETTS, AND OREGON (N = 285 TOTAL) COMPLETED A SELF-ADMINISTERED QUESTIONNAIRE WITH STANDARD SURVEY MEASURES ON MUSCULOSKELETAL PAIN LOCATION, DURATION, AND SEVERITY; LIFE SATISFACTION; EMOTIONAL EXHAUSTION; AND INTEREST IN MEDITATION TECHNIQUES AND YOGA. AMONG HHAS RESPONDING, 48.4% REPORTED PAIN IN THE LAST 7 DAYS AND 46.6% REPORTED PAIN IN THE LAST 3 MONTHS. HOME HEALTHCARE AIDES WHO REPORTED CURRENT PAIN AND CHRONIC PAIN HAD A SIGNIFICANT (P < .05) DECREASE IN SATISFACTION WITH LIFE SCORE AND A SIGNIFICANT INCREASE IN EMOTIONAL EXHAUSTION SCORE. THE MAJORITY OF HHAS REPORTED AN INTEREST IN LEARNING ABOUT THE BENEFITS (65.6%) AND PRACTICE (66.4%) OF MEDITATION AND A WILLINGNESS TO PARTICIPATE IN A YOGA CLASS (59.2%) OR STRESS MANAGEMENT MEETING (59.1%). THE HHAS REPORTED BOTH ACUTE AND CHRONIC MUSCULOSKELETAL PAIN THAT WAS CORRELATED WITH LOWER LIFE SATISFACTION AND GREATER EMOTIONAL EXHAUSTION. MORE EFFORTS ARE NEEDED TO REDUCE THE SOURCES OF INJURY AND EMOTIONAL EXHAUSTION. 2018 20 2494 15 YOGA AS MEDICINE: UNDERSTANDING BHUTANESE REFUGEE PERSPECTIVES ON HEALTH AND HEALTHCARE. BHUTANESE REFUGEES IN THE U.S. OFTEN STRUGGLE TO ACCESS CULTURALLY COMPETENT HEALTH TREATMENT. ADDRESSING THIS PROBLEM REQUIRES UNDERSTANDING HOW REFUGEES PERCEIVE THEIR HEALTH AND HEALTHCARE NEEDS. SINCE 2015, A COMMUNITY AGENCY HAS IMPLEMENTED COMMUNITY-BASED, PEER-LED SUPPORT GROUPS FOR BHUTANESE REFUGEES, WITH 17 GROUPS IN 2018-2019. THIS STUDY DESCRIBES THE AGENCY'S QUALITY ASSURANCE EVALUATION THROUGH GROUP LEADER FEEDBACK, OBSERVATION REPORTS, AND FOCUS GROUPS. THE RESULTS OF 46 QUALITY ASSURANCE DOCUMENTS SHOW THAT THIS GROUP OF BHUTANESE REFUGEES PERCEIVE THEIR HEALTH THROUGH THE MIND-BODY CONNECTION, VIEWING PHYSICAL AND MENTAL HEALTH AS LINKED AND SUPPORTED BY YOGA, MINDFULNESS, EXERCISE, NUTRITION, AND CREATIVE EXPRESSION. 2021