title: Walking the Labyrinth: Considering Mental Health Consumer Experience, Meaning Making, and the Illumination of the Sacred in a Forensic Mental Health Setting.
abstract: The purpose of this study is to explore the unique meaning and experience associated with walking a unicursal seven circuit outdoor Chartress Labyrinth and 11 circuit indoor Chartress Labyrinth for persons residing at a forensic mental health care facility. Over the past several decades labyrinths have enjoyed something of a renaissance and are often utilized by spiritual care practitioners and health care clinicians in order to support reflection, stress reduction, and the exploration of personal wellness in a sacred setting. Labyrinths are used in many settings including places of worship, hospitals, long-term care facilities, and parks. While labyrinths are becoming more prevalent, an understanding of their impact, particularly in the mental health context, is limited. This qualitative study supports a novel investigation of the meaning associated with participation in walking a labyrinth for persons residing at a forensic mental health care facility. The study design is a qualitative methodology involving transcribed interviews with 12 individuals resident at the Southwest Centre for Forensic Mental Health Care who participated in the 'Walking the Labyrinth' program as facilitated by spiritual care staff. A standardized interview protocol was utilized and the collected data was coded for themes. Several methods were employed to establish trustworthiness including triangulation by analyst and by theory/perspective. Member checking was also utilized in order to further validate the themes. Recommendations related to potential health care applications for labyrinths are identified. These include a focus upon the linkage between mental health care planning and labyrinth participation.
authors.affiliation: Southwest Centre for Forensic Mental Health Care, Ontario, Canada clark.heard@sjhc.london.on.ca.
authors.forename: Clark Patrick
authors.initials: CP
authors.lastname: Heard
authors.affiliation: Southwest Centre for Forensic Mental Health Care, Ontario, Canada.
authors.forename: Jared
authors.initials: J
authors.lastname: Scott
authors.affiliation: Parkwood Institute, Ontario, Canada.
authors.forename: Stephen
authors.initials: S
authors.lastname: Yeo
mesh_terms: D000328:Adult; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D019122:Meditation / Q000379:methods / Q000523:psychology*; D008602:Mental Healing / Q000523:psychology*; D008875:Middle Aged; D019222:Mind-Body Relations, Metaphysical; D011329:Prisoners / Q000523:psychology*; D011330:Prisons; D029181:Spirituality; D016138:Walking / Q000523:psychology*
keywords: consumer experience; forensic; labyrinth; mental health; spirituality