Breathing Space London

mindfulness for health

Apply for free places on MBAR courses

Breathing Space is funded by the London Borough of Tower Hamlets to provide some free places on Mindfulness Based Addiction Recovery (MBAR) for addiction courses for people living on a low income in Tower Hamlets. To be eligible for a free place you need to be:

  • Resident in Tower Hamlets
  • Unemployed, on benefits or low income
  • Adult, aged 18 and over

  • Willing to commit yourself to attending all 6 sessions
  • Able to take part in all monitoring and evaluation

What will we be expecting from you?

MBAR involves making a commitment to coming to all 6 classes as well as home-practice in between times. For the course to help you stay free of your addiction, you will need to feel able to interact and engage with the material. MBAR is not suitable if you are currently using substances as part of your addiction. So if you don't feel ready to do the course, you might want to go on our waiting list or let us know when you feel ready to attend. Please also make sure you read the information about monitoring and evaluation towards the end of this form.

How to apply

You can fill in an online application form here - scroll down this page. The information which you provide on this form will be seen by the teachers on your course, the Breathing Space Director and Manager in order to help us maintain and improve the quality of the courses and to help us secure funding for assisted places. It will also be seen by the monitoring officer who will record some of your answers for statistical purposes for our funders. It will not be possible to identify you by name in those statistics.

If you need help completing the form or if you have any questions, call us on 0845 4584716 and ask for a member of the Breathing Space team, or email info@breathingspacelondon.org.uk

What happens next?

We will let you know if you are eligible for a free place within two weeks of receiving your application. If requests are very high we may need to ask you to go on a waiting list. If you are not eligible, you are still very welcome to attend as a paying participant; we try to keep course fees to the minimum.


Free places on Breathing Space retreats

Breathing Space is also funded by the London Borough of Tower Hamlets to provide up to 15 free places per year on two-day retreats for newcomers to Mindfulness Based Approaches or for people who have completed a Breathing Space course. More info here.

Your Contact Details 
 
Address
Postcode
Phone
Mobile
Email
Date of birth (dd-mm-yyyy)
Next of Kin details
Next of Kin: Name
Next of Kin: Relationship
Next of Kin: Daytime phone number
Next of Kin: Mobile phone number
Income and benefits
Jobseekers allowance yes  no
Disability allowance yes  no
Incapacity benefit yes  no
Living on an income below £15,000 yes  no
Other income - please tell us
 
We would like to know something of your history and experience of addiction
1: What is / was your main addiction?
2: Are you currently abstinent (or not engaging in your addictive behaviour)?
If 'yes', for how long?
3: Have you tried other ways of remaining abstinent (or refraining from your addictive behaviour)? If 'yes', what methods have you tried?
12 Step self-help groups yes  no
Individual counselling yes  no
Medication yes  no
Non-residential group work e.g. day programme yes  no
Residential rehabilitation yes  no
None yes  no
Other - please give details
4: Are you on currently making use of any of these other methods of remaining abstinent (or refraining from your addictive behaviour)? If 'yes', which one(s)?
 
5: How many periods of abstinence / not acting on your addiction would you say you have managed before?
 
6: What is the longest period that you have remained abstinent / not engaged in your addictive behaviour in the past?
 
7: Have you ever consulted your GP to about your addiction?
  yes  no
8: Very briefly would you say why you would like to come on this course?
 
9: How did you find out about free places on this course?
 
If other please give details 
Monitoring and evaluation

As we want to make sure the course is of lasting value to you, we would like to monitor your progress. If you are awarded a free place we will ask that you take part in this.

  • End of course evaluation The leader of your course will give you an evaluation to fill in on the last evening of the course. All our courses are evaluated so everyone will be doing this.
  • Follow-up evaluation We will contact you around 6 months after the end of the course to find out how you are and if you are still able to make use of what you learnt on the course.
What happens now?
We will let you know if you are eligible for a free place within the next two weeks. If requests are very high we may need to ask you to go on a waiting list. If you are not eligible, you are still very welcome to attend as a paying participant — we try to keep course fees to a minimum.

Thank you for filling out this application form.

Do contact the Breathing Space team (numbers above) if you need to know more.


Yours truly,

Jnanavaca
Breathing Space Director (Charity No:255420)

 
The following information is required for statistical purposes and does not form part of the assessment — all the below will be treated anonymously.
Gender
Sexual orientation
Do you consider yourself to have a disability as defined by the Disability Discrimination Act?
("a physical or mental impairment which has a substantial and long-term adverse effect on a person's ability to carry out normal day to day activities")
  Yes – I am a registered disabled person
Yes – I am a non-registered disabled person
No – I have no disability 
Please tick any of the following that apply to you – you can tick more than one:
Hearing impairment
Speech impairment
Visual impairment
Learning difficulties
Dyslexia

Do not wish to disclose
Reduced physical capacity including difficulty with physical co-ordination
Severe disfigurement
Mental illness
Reduced mobility
Progressive condition (e.g. cancer, muscular sclerosis etc)

Other (please specify)
If there are practical ways in which we can assist you (e.g. written materials in large print format, induction loop, assistance during tea breaks, etc) please speak to the course/retreat leader or a member of the team.
Ethnic background
if other or dual please specify  
Religion
if other please specify