Art in Mind: implementation of a community arts initiative to promote mental health

'Dance to Health': an evaluation of health, social and dance interest outcomes of a dance programme for the prevention of falls

Background: Falls and related injuries in the older population are major public health issues requiring more innovative and effective solutions. This paper reports an evaluation of the Dance to Health (DtH) programme which integrates evidence-based physiotherapy falls-prevention exercises into creative dance.Methods: Sixty-seven participants took part in a mixed-methods study that combined focus group discussions and six pre/post-test questionnaires with a focus on dance interest and ability, group identity, loneliness and isolation, general health and mental health.Results: The findings show that the DtH programme can support and enhance physical, mental and social health and levels of interest in dance. The mixed data yielded evidence of positive change, with statistical significance in findings relating to group bonding and improved physical control and coordination.Conclusions: The findings support the case for recommending the Dance to Health programme in falls-prevention services in relation to its ability to promote a wide range of health and wellbeing benefits.

"I now have a life!" Lived experiences of participation in music and theater in a mental health hospital

Participation in activities perceived to be meaningful is of importance in recovery processes among people with mental illness. This qualitative study explored experiences of participation in music and theater among people with long-term mental illness. Data were collected through in-depth interviews with 11 participants in a music and theater workshop carried out in a Norwegian mental health hospital context. Through a hermeneutical-phenomenological analysis, three central themes emerged: (a) engaging in the moment, (b) reclaiming everyday life, and (c) dreaming of a future. The findings indicate that participation in music and theater provided an opportunity to focus on enjoyable mundane activities and demonstrate how arts have the potential to bring meaning and more specifically small positive moments into participants' lives. Despite seeming to be small in nature, these moments appeared to be able to add pleasure and meaning to the lives of those experiencing them. Consequently, there is a need to raise professionals' awareness of these small positive moments of meaning, the power these experiences carry, and how to facilitate arenas which can provide such moments for people with long-term mental illness.

Art and Mental Health Recovery: Evaluating the Impact of a Community-Based Participatory Arts Program Through Artist Voices

This study sought to evaluate the impact of participation in a 6-month community-based participatory arts program on mental health recovery. Using a case study methodology, a total of nine recent graduates from one of five separate groups held during the study period (2012-2015) were interviewed. All but one of the nine participants reported positive personal, emotional, physical and/or mental health changes as a result of her or his participation in the program. Voices of all participants are explored. Analysis of the interviews revealed four key themes: safe space to create, change in identity, biggest impact, and program-related challenges. This study supports community-based arts programming as a positive experience for people living with mental illness. Employing staff and volunteers with lived experience of mental health problems enhanced the overall participant experience.

Acting Out: Enabling Meaningful Participation Among People With Long-Term Mental Health Problems in a Music and Theater Workshop

In this article, we explore what enables meaningful participation in a music and theater workshop from a first person's perspective of people with mental health problems. The study uses a hermeneutical-phenomenological approach. Data were collected from qualitative in-depth interviews with 12 participants in a music and theater workshop located in a Norwegian mental health hospital. Data were analyzed through thematic analysis. Two overarching themes were identified: (a) room for dignity and (b) a creative arena. This study indicates that to enable participation for people with long-term mental health problems, it is important to facilitate activities that are flexible, person centered, and resource oriented, in which participants have the possibility to participate regardless of symptoms, functional ability, or whether they are hospitalized. In addition, having professionals who believe in creative growth and offer an illness-free zone that belongs to the participants in a hospital setting is of great importance.

Arts, health & wellbeing: reflections on a national seminar series and building a UK research network

An account is provided of a UK national seminar series on Arts, Health and Wellbeing funded by the Economic and Social Research Council during 2012–13. Four seminars were organised addressing current issues and challenges facing the field. Details of the programme and its outputs are available online. A central concern of the seminar programme was to provide a foundation for creating a UK national network for researchers in the field to help promote evidence-based policy and practice. With funding from Lankelly Chase Foundation, and the support of the Royal Society for Public Health, a Special interest Group for Arts, Health and Wellbeing was launched in 2015.

Art and wellbeing in a deprived Scottish community

Purpose

This study aimed to evaluate the “Out of the Box” initiative, by investigating any impacts on participants’ wellbeing. Aimed at general population adults, Out of the Box comprised two art‐oriented groups and one social group, led by a community art worker.

Design/methodology/approach

Individual semi‐structured interviews were undertaken with 14 group members (six men, eight women; age range 36‐71 years) from a potential pool of around 30. Data were analysed thematically.

Findings

Dramatic benefits in confidence, outlook and happiness were reported by people who had experienced poor mental or physical health, or adverse life events. Participants believed Out of the Box to have facilitated social contact and friendships. They appreciated the opportunity to get out of the house and take part in activity. They described feeling accepted and encouraged. Artistic skills were developed to the extent that work was exhibited and sold.

Research limitations/implications

The focus on contemporaneous Out of the Box participants, and a level of awareness of funding uncertainty, could have biased findings towards beneficial outcomes. The relative importance of the group leader and other contextual features was unclear. Community‐based art may offer opportunities for effective cheap public mental health interventions.

Originality/value

As well as providing evidence of benefits to wellbeing from Out of the Box, new knowledge was generated on mental health benefits of community‐based art including becoming more outgoing, improved self‐efficacy, worrying less and not panicking.

'Art Lift' intervention to improve mental well-being: an observational study from U.K. general practice

Arts for health interventions are emerging as an alternative option to medical management of mental health problems and well-being. This study investigated process and outcomes of an art intervention on patients referred by primary care professionals, including associations between patient characteristics (e.g., sex), progress through the intervention (e.g., attendance), and changes in mental well-being. Referral criteria included people with anxiety, depression, or stress; low self-esteem, confidence, or overall well-being; and chronic illness or pain. The study took place in U.K.-based general practitioner practices, with a total of 202 patients referred to a 10-week intervention. Patient sociodemographic information was recorded at baseline, and patient progress assessed throughout the intervention. Significant improvement in well-being was revealed for the 7-item (t = -6.049, d.f. = 83, P < 0.001, two-tailed) and 14-item (t = -6.961, d.f. = 83, P < 0.001, two-tailed) scales. Of referred patients, 77.7% attended and 49.5% completed. Most patients were female, and from a range of socioeconomic groups, and those who completed were significantly older (t = -2.258, d.f. = 145, P = 0.025, two-tailed). Findings reveal that this art intervention was effective in the promotion of well-being and in targeting women, older people, and people from lower socioeconomic groups.

Social prescribing through arts on prescription in a U.K. city: participants' perspectives (part 1)

OBJECTIVES

In the U.K., the era of New Labour witnessed a developing connection between the arts (and sport) and 'neighbourhood renewal'. The concept of the usefulness of the arts to health has gained credence largely through community-based arts. Whilst there is an increasing evidence base for the usefulness of community arts delivery, there is little published evidence in the peer-reviewed literature of the effectiveness of delivery of Arts on Prescription. The aim of this study was therefore to explore the experiences of people who have engaged with Arts on Prescription programme of work.

STUDY DESIGN

This qualitative research study used a narrative inquiry approach amongst participants of Arts on Prescription programme of work.

METHODS

Sixteen in-depth interviews were conducted in community-based arts venues. Each participant was using or had used mental health services.

RESULTS

Participants experienced Arts on Prescription as a creative and therapeutic environment. It was considered a safe place where participants can be creative with others who have shared similar experiences. Participants experienced social, psychological and occupational benefits, although these benefits are not easily separated as they are intermingled. By feeling accepted and amongst people who have had similar experiences, participants also gained a sense of social belonging. A number of participants also found new opportunities for the future.

CONCLUSIONS

Community-based arts groups that are professionally facilitated may provide a therapeutic environment for participants. Participants gained a sense of pride in their work, and experienced psychological, social and occupational benefits.

Arts on Prescription: A review of practice in the UK

The current levels of psychosocial distress in society are significant, as evidenced by the number of prescribed antidepressants and the numbers of working days lost as a result of stress and anxiety. There is a growing body of evidence that active involvement in creative activities provides a wide range of benefits, including the promotion of well-being, quality of life, health and social capital. In the UK there are currently a number of projects operating that offer Arts on Prescription for people experiencing mental health problems and social isolation. The purpose of such schemes is not to replace conventional therapies but rather to act as an adjunct, helping people in their recovery through creativity and increasing social engagement. Although the schemes are varied in their approaches and settings, the common theme is that there is a referral process and creative activities take place in the community facilitated by artists rather than therapists. This paper explores whether such schemes can be part of the solution to the current challenge of mental ill-health, and looks at the evidence supporting the value of such schemes which may influence government, funders and healthcare professionals to implement Arts on Prescription more widely.