In this episode, we explore the integration of yoga and holistic practices into public mental health care. We discuss practical strategies to make these tools accessible for clients, the benefits of trauma-informed yoga, breathwork, and mindfulness, and the barriers to implementation. Nina Marie shares her experiences as a peer support specialist, explaining how techniques like resourcing can be beneficial in public mental health settings. Learn about their approaches to making mental health care more compassionate and accessible, complete with a guided resourcing activity for therapists to incorporate into their practices.

MEET Nina Marie Collins

I am a 500-hr yoga teacher, and I also work in the public mental health field as a Peer Support Specialist. I care deeply about bringing holistic practices into mental health care, particularly public mental health care which often serves people with both mental health challenges and poverty. These people may otherwise not get access to holistic practices. I have taught yoga in several of the mental health settings I've worked in. Recently, I am completed a training to be a facilitator of energy work. I am passionate about bringing holistic practices and spirituality into mental health care, particularly in the public system.

Find out more at Spectrum Yoga and connect with Nina on Instagram and Facebook

• Integrating Yoga into Public Mental Health
• Challenges and Strategies in Public Mental Health
• Success Stories and Practical Applications
• Resourcing Practice Demonstration

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Chris McDonald: How can yoga and holistic practices transform public mental health care? What are the barriers to integrating these practices and what are the benefits? Today we explore the power of integrating mind body practices into traditional mental health settings. From trauma informed yoga to breathwork and mindfulness, we discuss practical ways to make these tools accessible for clients and community based care.

Our guest Nina Marie Collins will also be sharing an impactful resourcing activity that you too can learn to integrate into your sessions as well. Tune in to learn how we can create a more compassionate and accessible approach to healing on today's episode of Yoga in the Therapy Room Podcast.

Welcome to Yoga in the Therapy Room, the nontraditional therapist's guide to integrating yoga into your therapy practice. I'm Chris McDonald, licensed therapist and registered yoga teacher. This podcast is here to empower therapists like you with the knowledge and confidence to bring yoga into their practice safely and epically.

So whether you're here to expand your skills, enhance your self care or both, you're in the right place. Join me on this journey. journey to help you be one step closer to bringing yoga into your therapy room.

Welcome to the Yoga in the Therapy Room podcast, the non traditional therapist's guide to integrating yoga into your therapy practice. I'm Chris McDonald, licensed therapist and yogi. Today we're getting into integrating yoga and holistic practices into public mental health care. In many traditional mental health settings, such as agencies, Treatment centers often are focused just on talk therapy and medication, but what if we could expand the tools available to support healing using yoga, asana, breath work, and other holistic practices can offer a more accessible body centered way to help clients regulate their nervous systems to process trauma, as well as cultivate resilience.

In today's episode, we'll be discussing the benefits of these practices into community based settings, the challenges that come with that. and practical strategies for making these yoga practices more accessible to diverse populations. This conversation will inspire you to think outside the box when it comes to mental health care.

And here to guide us on the journey is Nina Marie Collins. She began teaching to students at a residential mental health center in Asheville, North Carolina, fellow North Carolinian, and She was inspired by their dedication and continual progress. She founded Spectrum Yoga to honor the full spectrum of human experiences.

Ina Marie aims to teach to individuals who feel out of place in typical yoga classes. Spectrum Yoga serves those who just beginning their journey with yoga, particularly those who have physical or emotional limitations. And today you'll have a resourcing practice from the Community Resiliency Model.

Welcome to the Yoga in the Therapy Room podcast, Nina Marie. Thanks for having me. How did you first discover yoga?

Nina Marie Collins: Yeah, um, well this actually dovetails nicely into what I'm going to talk about today. So, I am a peer support specialist, which means I have lived experience of mental health recovery. And I first discovered yoga because my therapist, when I was a teenager, Um, is very holistic and she recommended that I started yoga.

So I started at age 14. That's fabulous. Yeah. Taking a class at my local YMCA. Yeah. What was that like for you? It was actually very challenging at first because I, Had had some experiences that disconnected me from my body. So I remember having very little body awareness and then trying to do the poses and, you know, feeling like, Oh, I'm doing it wrong.

It's interesting to think back to that time and definitely helps inform that right. Yeah.

Chris McDonald: But how do you work one on one with clients? Cause that's gotta be a different experience.

Nina Marie Collins: Yeah, yeah, thanks for asking. So I have a business called Spectrum Yoga and I do offer other services. So I, I work with people doing group classes.

I teach one week with class a month, but for one on one yoga coaching, it's kind of a whole system of yoga practice, but also emotional support and goal setting. So when I work with people and then start out by identifying my goals. And then we would check in with them and use my work from the mental health fields to support whatever barriers there might be to success.

And then we work on building a home yoga practice to support the goals.

Chris McDonald: Yeah,

Nina Marie Collins: that's fabulous.

Chris McDonald: So I know you're a big advocate of mental health and reaching out to communities and those that may not have the accessibility to, to engage. So, so what are the biggest gaps with traditional mental health services and how can yoga help with that?

Nina Marie Collins: Yeah, great question. So. One, I have worked as a peer support specialist in public mental health primarily. So I see a big difference between what's available in public services and what's available in private services. So, and having been a recipient of services. So, you know, I noticed even back to that very first therapist that I had that, um, we were able to afford that.

And that was, That was significant to, to, uh, have access to someone who knew about holistic practices, who taught me mindfulness. And as a young person in the public mental health field, where I have worked most of my career so far, there's not so much a focus on holistic practices. It is. More fast paced and I can talk about kind of the structure.

Yeah. Okay. Very good. Yeah. So, like I mentioned, I work as a peer support specialist and appear is something that as far as I understand is unique to the public system. So, for North Carolina, if you are in, you have at least one year, uh, either mental health recovery or recovery from a substance use disorder, you can take a certification and then you get certified to work one on one with individuals who are enrolled in COVID mental health services.

So, this has been a really unique role that I've gotten to play in the last 10 years. One of the things that's. I think he moved to public mental health is that we go directly to the client. So it might be maybe before an idea to think about going out into the community to see the client, but that's how I've always been trained.

And so there are actually even teams in the public mental health system in Carolina that will their structure kind of around the levels of acuity. There's a community support team is one of them, and they're a smaller team. It's a lower level service. It's usually just a therapist, a peer support, and a qualified professional.

It's just someone who's worked in that field for like a couple years and has a bachelor's degree. That's the smallest I know of team. And they all go out to the client. So if there's a member who lives in transitional housing, they'll go visit them there. Or If there's a member who's homeless, they would meet them somewhere in the community at like a day center called AHOPE.

And then there's other types of teams too, so there are support employment teams, and then there's with some working, getting back to work, and then there's the assertive community treatment team. And this one holds a special place in my heart. It's the highest level of service in the, before in push in and community mental health.

And it was my first job. So I worked as a peer support on a, on an act team is the act. And so they call it a hospital without walls. So similarly. It's the again, the highest level of service highest security level and anybody that an individual would go to see at the office. They try to include on this sort of community treatment team.

So there's a psychiatrist on nurses. Therapists, usually multiple therapists, there are qualified professionals, a peer support specialist. And so this is all services that get delivered directly to the client, even if they're inpatient. So I used to. As a peer support, you know, go, go to infusion settings to see me quiet.

So, you know, I say all that to say that sometimes it looks really different here, at least in my experience.

Chris McDonald: Yeah. Cause I think a lot of therapists listening don't necessarily always go to the client and have those supportive teams as well.

Nina Marie Collins: aspect that can present its own challenges for practicing some of these more holistic practices is where we meet.

So we are actually allowed to transport our clients, which is, which might be kind of foreign. One of the first things that I do in my job right now is sign the transportation agreement on that first meeting. And we would then be able to take them to different places in the community. And it provides some opportunities, but also some unique challenges.

So, one thing that I've really noticed that helps is to go to an outdoor space, like a park on a, on a day with good weather. And that can be a great place to, to do some of these voiced caps as well. So

Chris McDonald: are you able to do yoga in the public spaces like that?

Nina Marie Collins: I have, yeah, I have. The practices that I wanted to share today, um, specifically the resourcing practice is more for clients who maybe have limitations with doing practices in a body centric asana practice.

So one of the things that I learned from my yoga teacher training, so I did. You have made in 500 hours. Is that there are stages of yoga for trauma recovery, and this is probably something we have talked about at length on the podcast. In fact, I think I've heard some podcasts where you've talked about this type of thing, but she talks about that some clients might not be ready for kind of breath centric asana practice and that they might.

Benefit from externally oriented work, which includes things that are in the holistic, uh, the sphere practices. So mindfulness or grounding, um, or the practice I was going to talk about today called resourcing. Um, so those are some things that I can practice with my. Mental health clients at my my day job.

Chris McDonald: Yeah, that's the great flexibility with these practices, right? We can keep it simple too. And and sometimes just going to grounding practices is is beneficial We don't we don't always have to go to asana I think people hear the word yoga and they think immediately you're moving but that's not always true

Nina Marie Collins: sure, right and I think kind of speaking to that a little bit with My experience of the clients that I work with right now is there are oftentimes comorbidities.

So a lot of my folks have mobility challenges or chronic back pains, really chronic disease like COPD and diabetes. So I kind of think of it as the body has weathered the strain of their trauma. So they've had experiences and, and then those translate into behaviors that. Or just the experience itself that impacts the body.

So I find that these are people that really need very gentle practices.

Chris McDonald: Yeah. What kind of challenges have you experienced with, with this kind of role with integrating yoga or other practices?

Nina Marie Collins: Yeah. Yeah. So I should be specific that at the beginning of the podcast, what I talked about working with yoga coaching clients is separate.

Right. Exactly. My peer support specialist job. So. So I work as a peer support specialist, yoga coaching happens in between and around those hours. So in my work in the mental health field, I think some of the biggest challenges are that relationship or kind of lack of relationship that a client would have with their body.

I'm thinking of 1 percent in particular. We have our yogis have, you know, practice over time this relationship with our bodies. We have foot of a language and this person. Hopefully. Yeah, but this person's language is more like, Hey, I'm anxious. I'm going to go smoke a cigarette. Or it can elevate and get even to the realm of self harm.

So there was that almost like negative relationship with the body. That I think makes it tough to then, for this person in particular, to like move in the body. So again, that's where Things like simple movements, you know, I learned from Christine that like simple contralateral movements can be helpful.

So you've been like raising one, um, raising the right hand and the left foot, then putting those down. Raising the left hand and the right foot, putting those down, raising both together. As gentle as you can get and she talks about working with the periphery of the body to which I've found hopeful feet and hands are a little bit more approachable.

Maybe then then like the movements. So from that. Actually, true.

Chris McDonald: Has there been any systems issues like that wherever you work that do they not want to have any of these practices or any pushback on using more holistic practices?

Nina Marie Collins: I've been really lucky. So, um, at my 1st agency, where I worked on the assertive community treatment team, I was allowed to do.

Well, I say practices, like I'm describing, and I got to teach classes. So I was able to, yeah, have students, we had therapy groups for our clients. And so I got to teach in many of those, my current job, I think the biggest barrier is that's not what I'm supposed to be doing. So it's, it's. It's a housing program that I worked in, so it is, I work for a company called Via Health and we have a program called Transitions to Community Living.

And I would be okay with anybody hearing this. My supervisor would be fine with knowing what was the plans, but it is a program where there's supported housing for individuals who are in rip homes. If they're interested and they're capable, we help them move out into the independent living. So, it looks like getting one of those teams on board, the Iwakuni Resupport ACT team.

It looks like a lot of financial support that's available for our clients in this program. So, all those pieces. My role is to get paperwork and identification together so that they can be eligible for the program. So the biggest barrier is fitting, fitting these things in, in between the, you know, the requirements.

Chris McDonald: Yeah, because I can tell that you're passionate about it and you see the importance and it is kind of navigating that path, I guess.

Nina Marie Collins: Right. Yeah, exactly. I think once, once I start to get to know a client, In my mental health job, they are more comfortable with kind of, we talk about housing. Maybe they're not ready.

Maybe they're not interested in independent living and that takes us down a different path where I, I do different people work with them, but it also gives us much. So then maybe we have a little bit of extra time to go to the part and. Maybe just do some really gentle movements or practice resourcing.

So just how to work with what I have.

Chris McDonald: Yeah, exactly. Well, you got to be adaptable. That's what I learned in community mental health too. When I worked at some agencies and do what we can when we can, right. That flexible piece of this. So, so have you had any successes with clients with integrating some of these practices?

Nina Marie Collins: Yes. So I wanted to, there was one. It's not really a case study, but I have experience with a client that I've been working with for about six months sitting on the chair, so I can use, use a name that's not his. So how about Keenan? So Keenan is 25 and he's not from here, he was born in New York, so he doesn't have Family supports here, and he struggles with developing those natural supports, like helping friends or forwarders and he did, um, start a job and the job was full time and and he was really struggling with.

Wanting to leave, wanting to quit the job. And one of the things he, he said is I want to have more time so I can do my tissue practice because that's what calms him down. So, so he's already got this like body centric.

Chris McDonald: I love it. That's your in.

Nina Marie Collins: Yes, exactly.

Chris McDonald: I love when I hear clients say that I'm like, yes,

Nina Marie Collins: exactly.

Yeah. And so. So, he, so he has a, a few diagnoses. It's effectively sober bipolar type visit and disorder. And so, again, there's this higher level of acuity and this need to kind of. Work in stages combined with I could only meet with him when he was at work with his those are my worth hours eight eighty to five so we would have to So we started meeting in a restaurant near his job So I didn't necessarily have the space or the time to do asana practice but I I thought if he already has a body centric practice where he knows how to Access sensations in his body that I can do the resourcing with him and so we started, started small, just we'll, we'll practice this, but just identifying one resource.

And then we do, we look at the resource and you talk more about it and then noticing the causative or neutral sensations in his body. And after practicing that for maybe twice a month for a couple of months, he was able to, what the resourcing for it's called shift and stay. So he could identify those positive or pleasant sensations in the body.

And then stay with them so they don't they don't disappear right when he goes back into worry about work and he reported to me most recently that he's been using those skills at work and I love that. Yeah. And then he's still in his job. So I figured that hopefully,

Chris McDonald: yeah, so that's like building on what he already has some of the skills too.

And

Nina Marie Collins: yes,

Chris McDonald: I

Nina Marie Collins: think that's important to the. Um, if there ever is, like you said, it's kind of like a hidden, if there ever is that kind of in with someone,

Chris McDonald: what about clients that you don't have an in with that? How do you introduce these practices if they've never had any experience with any kind of movement or embodying practices,

Nina Marie Collins: you know, going back to the idea of grounding, that's probably a very familiar one for your audience and.

I'm using really simple grounding to start out with, like, uh, physical grounding, like, I can't do this. They don't have access to it. But just an example is holding an ice cube. So, like, I'm holding an ice cube and I'm in the present moment, maybe, like, named to a freak in some space. But if I were doing grounding in my car, I might use, like, the five senses grounding.

Where I asked the person in being, it's one thing you see, hear, smell, feel. Really simple grounding practices. Easing into the idea of anything beyond just you and I are talking about housing. So, so starting really simple. Um, I have had a couple of clients where we've started with grounding practices and that maybe had the opportunity to take them to a more peaceful setting.

Like, I have a group home that I go to it's right near the French broad Roper and there's a. River park down there, which after the hurricane, I haven't taken anybody there, but before the hurricane, I could take people directly from this group down to the river park pretty easily. And so then we've been practicing grounding, maybe in when they're just sitting in their blue phone, maybe practicing mindfulness and then as we kick a little part.

Then maybe I would introduce the resource and practice where there's like less triggers if it's not their house, then there's less than that. They tend to particularly is like, your home settings can be, um, something that my clients. Like to, I don't want to say complain, they, they like to, they're like, just tell me things I don't like about them.

So, yeah, get them away from that environment to, yeah, into a more neutral place than I would want to do some resourcing or maybe even some of this. Contralateral movements, if I feel like the person's receptive. Yeah, they don't have to have the experience, like my own fine. I cheat, but if they're receptive, then maybe we do like a moving mountain is where you will takes a minute and a half, but have been stand and, you know, light on those all the way up.

The front is halfway at, and we can, we can really leave it at that and see if it starts to be internally motivating. And so I've had that, yeah, I've had that happen with a couple of people where they're like, okay, I want to try that again.

Chris McDonald: Yeah, I think that's so powerful too, because I have had people say, can we do that yoga thing again?

Or that movement we did last time. So, but I think it can really stick with people and it is a motivator too. Once they're like, wow, this feels really good after and it's really helping me manage my anxiety or depression much better and seeing they see the results for themselves. Yeah.

Nina Marie Collins: Yeah, and I think the time time is important.

Like, I'm allowed to work with my me. Members actually, I'm required to keep them on my face said, even when they're not interested to consume housing. So I have these long permission to get in this job for a little over 3 years. So I have these long term relationships. So, and trust starts to build so that's also, I think.

An advantage to it, this role in particular.

Chris McDonald: Well, that makes sense. So the longer term with people, the more you develop the relationship, the more that they might trust you to write to do different practices and learn more from you. Yeah,

Nina Marie Collins: I

Chris McDonald: would

Nina Marie Collins: say so.

Chris McDonald: Yeah, it certainly seems something, that connection piece.

Are you a mental health therapist who feels like traditional talk therapy isn't enough? Are you wanting a more somatic approach? You're not alone. Many therapists feel the pull to offer something more, something that helps clients. Connect with their body, regulate their nervous system, and find healing beyond words.

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That's hcpodcast. org forward slash yoga basics today. But I wondered, too, if a lot of clients you see are more detached from their bodies and disconnected, because I know you said sometimes they don't have that relationship, but sometimes they don't know what's going on, is what I found a lot of clients, even not in the public mental health settings, right?

Have you noticed that a lot as well?

Nina Marie Collins: Yeah, I mean, that was. That was my experience when I first started with you, I like, I, you know, when you tell me to do something, I'm like, is it right or is it left, or,

Chris McDonald: you know,

Nina Marie Collins: yeah, and I do notice that with the folks that I work with. And so we, that's kind of why it would take some sense to me.

Chris McDonald: Yeah, for sure. To kind of lead into that. And I wondered, I know you said you bring them to the park. Do you use the external nature to as part of the mindfulness and what you see around you? And I found that to be really powerful. And I've been able to do some outdoor time with clients.

Nina Marie Collins: Oh, yeah, that's a big question.

Um, I think particularly it becomes if we're doing the resourcing practice, it becomes a resource.

Chris McDonald: Yeah, okay, cool. So you have a practice called resourcing that you want to share. I know you've mentioned a few times here that everybody's like, what is she talking about? So she was going to practice this today with me so that this can be accessible for you to learn from and maybe you could use it with your clients as well listeners.

So, so, yeah. Nina Marie, take it away. All

Nina Marie Collins: right. So great. So this is adapted from community resiliency model. Um, and it comes out of the trauma resource Institute. You help bring out and then have, uh, there is it's a model is actually six tools, so resourcing is one of the tools. So a resource is any person, place, thing, memory, or part of yourself that makes you feel calm or pleasant or strong, peaceful.

And so we want to, for this practice today, we're just going to pick one resource. So Chris, if you're willing, if you could pick a resource that we can work with.

Chris McDonald: Yes, I'm just thinking about this tree in my backyard. It's really tall and strong.

Nina Marie Collins: Thanks for sharing that. So, you already gave me a couple details, but let's talk about a few more details of this source.

So, so it's tall and strong. We could maybe talk about colors, when maybe what it looks like in different seasons. What are some more details about it?

Chris McDonald: So I noticed the bark because I've gone up and I hug trees. So I went up and hugged it and was feeling the bark. It was kind of rough under my hands. And yeah, I noticed sensations and it's super tall.

The trees around my house are super tall. So they go, this tree goes way up to the sky. So you can see the branches. There's just, it's not branches all the way, but you can see a lot towards the top of the tree.

Nina Marie Collins: Good. And so we already started this, but let's talk a little bit more about the experience you have with these.

So maybe about going out into the yard and having a tree. Any more details about this memory that you can remember?

Chris McDonald: In the fall, it turns, um, the really pretty orange and red and lots of different fall colors. And it, and I love watching when the leaves kind of fall and float down to the ground.

Nina Marie Collins: So is very much ahead of the game here.

So we, I would ask about what three things that are pleasant for her, but I've heard you say watching the leaves fall the feeling of the bar. Maybe 1 more thing. Let's close it to you.

Chris McDonald: I like to just go in my backyard and just look up at the tree and just be near its presence.

Nina Marie Collins: Good and so as you're describing your research squibs.

Let's bring awareness to the sensations that feel positive or neutral in your total resource. So, some examples, for some people it may be smiling when they talk about their resource. Um, you might feel muscles relax, tingling or warmth, maybe deeper breath. So, um, if there's no positive sensation, we, we can focus on the neutral ones.

Chris McDonald: So more of a settled energy when I think about it.

Nina Marie Collins: Good. Yes. Yes. And, um, even I think when you were talking about how tall it is, I think you made this. Yes.

Chris McDonald: Yes. Yes. I put my arm up in the air for those that can't see us because I think of looking at the tree and it's so tall and so majestic. It's just, it's awe inspiring.

Nina Marie Collins: Yeah. And so, um, for those, Uh, that's, we're going to facilitate resourcing anytime somebody makes a gesture when they're talking about their resource, we want to accentuate that because it, it helps to like, fully access the resource and then they resist. And the idea is that we're actually having physical change happen when we're accessing a resource.

And so we want to accentuate that good good. And so as we start to bring it to a close. Bring your awareness to that settled feeling, that settled sensation. Noticing all the changes that have taken place with that settled sensation. So any changes in heart rate.

Chris McDonald: Breathing. Yeah. I feel like my breathing's getting a little more deep and calmer.

Nina Marie Collins: Yeah. I need to stay without sensation, but just a few moments. Ready? Get two full breath without sensation.

You go all eyes. You're ready. You can come back into the moment. What? Good. Thank you. Thank you. Yeah. Thank you, Chris, for participating.

Chris McDonald: Yeah. I love that. So it was very detailed and I'm very visual. So if I close my eyes, I can picture the tree and picture all the things I've seen, like the leaves falling and, and that's something I find very soothing in the fall is just watching the leaves float down.

What a mindful moment that can be.

Nina Marie Collins: I'd say. Yet. And, and for, for people listening that are new to this skill, it's, it's really great how detailed Chris is being and how, like her body's responding. Sometimes it's not, um, as easy, so yeah, so just being aware of, you might need to ask even more questions, like there's some optional questions about, maybe more details about the resource or memories.

Chris McDonald: Yeah, I appreciate you sharing that. Yeah, that's very, very relaxing experience. I think this could be helpful in therapy sessions. So what advice would you give to therapists who want to bring some yoga into public mental health sessions, but they're not quite sure about it? So what would you tell them?

Nina Marie Collins: I would tell them that they are, they have everything they need to, to do that.

It's really just a question of Building that connection with the client so that we can know really where to start. So, we talked a lot about like taking things slow and levels. So, spending a little bit of time doing what you normally do getting to know that client so you know which skill to bring in, where to start.

You know, I've worked Press on other of the podcast talking about practicing asana movement with your clients and say maybe somebody's ready for that Yeah, no, just build a network for and entrusting yourself

Chris McDonald: trusting yourself. Yeah, so important So what's the best way for listeners to find you to learn more about you?

Nina Marie Collins: You can go to my website. It's www. spectrum yoba. com I also have My social media presence. So the one I'm most active on that you could go to is Instagram. It's at spectrum.

Chris McDonald: And we'll have those in the show notes as well, but thank you so much for coming on the podcast today, Nina Marie, I really appreciate it.

Nina Marie Collins: Thank you so much, Chris. Thanks for the opportunity. And it's, it's a great to practice.

Chris McDonald: Yes, exactly. That brings us to the end of another episode. Be sure to tune in next Wednesday when another episode drops listeners, I need your help. If you have found this episode and this podcast overall helpful. Don't forget to subscribe and leave a review.

These reviews help us to reach more listeners just like you and to build community with other therapists who want to bring yoga into their therapy room. And once again, this is Chris McDonald saying each one of you. Much light and love till next time. Take care. Thanks for listening to today's episode.

The information in this podcast is for general informational and educational purposes only. It is given with the understanding that neither the host, the publisher, or the guests are giving legal, medical, psychological, or any other kind of professional advice. We are not responsible for any losses, damages, or liabilities that may arise from the use of this podcast.

Yoga is not recommended for everyone and is not safe under certain medical conditions. Always check with your doctor to see if it's safe for you. If you need a professional, please find the right one for you.