1
|
Urich TJ, Lee W, Po J, Bookstein A, Barahona R, Baezconde-Garbanati L. From art to health action: lessons from a community-based, culturally tailored arts-meets-health educational campaign in Hispanic communities. Front Public Health 2024; 12:1385916. [PMID: 38680937 PMCID: PMC11045963 DOI: 10.3389/fpubh.2024.1385916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Accepted: 04/01/2024] [Indexed: 05/01/2024] Open
Abstract
Introduction Robust digital and community-led approaches are needed to combat health misinformation, as highlighted by the COVID-19 pandemic. Such gaps in public health outreach, compounded by systemic health barriers, contributed to higher rates of COVID-19 infection, mortality, and mental health effects among Hispanics during the peak of the pandemic. Thus, we conducted a community-based art-meets-health intervention [Stay Connected Los Angeles (SCLA)] to address the impacts of the COVID-19 pandemic in Hispanic communities. Methods Led by local artists in collaboration with public health specialists and community members, SCLA used multimedia to promote infection mitigation behaviors and psychological well-being among the 120,000 residents of Eastern Los Angeles. Campaign materials were designed with input from community representatives and included digital media, large-scale murals, and comic-book style pieces. Two semi-structured focus groups (one in English and another in Spanish) were conducted to solicit participants' views on attributes of the campaign. Independent coders analyzed transcripts and applied thematic analysis to summarize key learnings regarding central health and mitigation messages, media modalities, how health information would be communicated, and the ideal spokespersons for delivering health-related messages. Results Focus group participants emphasized the effectiveness of social media, GIFs, and references to popular media. Further, youth involvement in the creative process was deemed to be important. Participants highlighted the need for clarity in public health messaging and adaptation of visual campaigns to the preferences of diverse age groups through different art styles. Finally, community leaders were found to be critical health information sources. Discussion As a model of a culturally tailored arts-meets health public education campaign, SCLA yielded valuable information on how to structure future public health messaging and media to create a meaningful improvement in health knowledge, mental well-being, and compliance with mitigation behaviors in communities that are often overlooked. Contributions from local artists can heighten appeal and acceptability of messages.
Collapse
Affiliation(s)
- Thomas J. Urich
- Dana and David Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, United States
| | - Woori Lee
- Georgetown University School of Medicine, Washington, DC, United States
| | - Justine Po
- Department of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States
| | - Arthur Bookstein
- Department of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States
| | - Rosa Barahona
- Department of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States
| | - Lourdes Baezconde-Garbanati
- Department of Population and Public Health Sciences, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States
| |
Collapse
|
2
|
Anderson J, Trevella C, Burn AM. Interventions to improve the mental health of women experiencing homelessness: A systematic review of the literature. PLoS One 2024; 19:e0297865. [PMID: 38568910 PMCID: PMC10990227 DOI: 10.1371/journal.pone.0297865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 01/10/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Homelessness is a growing public health challenge in the United Kingdom and internationally, with major consequences for physical and mental health. Women represent a particularly vulnerable subgroup of the homeless population, with some evidence suggesting that they suffer worse mental health outcomes than their male counterparts. Interventions aimed at improving the lives of homeless women have the potential to enhance mental health and reduce the burden of mental illness in this population. This review synthesised the evidence on the effectiveness and acceptability of interventions which aim to improve mental health outcomes in homeless women. METHODS Five electronic bibliographic databases: MEDLINE, PsycInfo, CINAHL, ASSIA and EMBASE, were searched. Studies were included if they measured the effectiveness or acceptability of any intervention in improving mental health outcomes in homeless women. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. A narrative summary of the study findings in relation to the research questions was produced. RESULTS Thirty-nine studies met inclusion criteria. Overall, there was moderate evidence of the effectiveness of interventions in improving mental health outcomes in homeless women, both immediately post-intervention and at later follow-up. The strongest evidence was for the effectiveness of psychotherapy interventions. There was also evidence that homeless women find interventions aimed at improving mental health outcomes acceptable and helpful. CONCLUSIONS Heterogeneity in intervention and study methodology limits the ability to draw definitive conclusions about the extent to which different categories of intervention improve mental health outcomes in homeless women. Future research should focus on lesser-studied intervention categories, subgroups of homeless women and mental health outcomes. More in-depth qualitative research of factors that enhance or diminish the acceptability of mental health interventions to homeless women is also required.
Collapse
Affiliation(s)
- Joanna Anderson
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
| | - Charlotte Trevella
- Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom
| | - Anne-Marie Burn
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom
| |
Collapse
|
3
|
O’Donnell S, Lohan M, Oliffe JL, Grant D, Richardson N, Galway K. Men's mental health and the arts: perceived benefits and dynamics of engagement. Health Promot Int 2023; 38:daad092. [PMID: 37590385 PMCID: PMC10433405 DOI: 10.1093/heapro/daad092] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/19/2023] Open
Abstract
Arts engagement is gaining recognition as a non-clinical approach to promote mental health and well-being. However, the perceived utility of the arts to promote mental health among men with low socioeconomic status (SES) and how to best engage them is underexplored. This study explores the lived experiences of men with low SES who engage with the arts in Northern Ireland (n = 41). Data collected via focus groups (n = 5) and interviews (n = 11) were analysed using reflexive thematic analysis to inductively derive four themes. Theme 1 highlights how the arts facilitated friendship, a collective identity, peer support and a reason to socialize. Themes 2 and 3 explore how the arts enhanced self-esteem and emotional regulation by developing a routine, purpose, sense of mastery, a sense of catharsis through immersion in a soothing endeavour and an alternative outlet for self-expression. Theme 4 covers strategies that facilitate male engagement in the arts such as using a familiar space, delivering to an existing male group, framing the programme around male interests not health or creativity, building on existing strengths and capacities, enabling ownership, using tangible action-orientated activities, and being non-authoritative and flexible with delivery. This is one of the first studies to highlight the gendered dimensions in which men with low SES engage with and experience mental health benefits through arts engagement. This study points towards relevant theories to further understand the pathways between the arts and improved mental health among men which can inform development of tailored arts programmes for men.
Collapse
Affiliation(s)
- Shane O’Donnell
- Department of Health and Sports Sciences, The National Centre for Men’s Health, South East Technological University, Kilkenny Road Campus, Kilkenny Road, Carlow R93 V960, Ireland
| | - Maria Lohan
- School of Nursing and Midwifery, Queen’s University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK
| | - John L Oliffe
- School of Nursing, University of British Columbia, 302-6190 Agronomy Road, Vancouver, British Columbia V6T 1Z3, Canada
- Department of Nursing, University of Melbourne, Grattan Street, Parkville, Victoria 3010, Australia
| | - David Grant
- School of Arts, English and Languages, Queen’s University Belfast, 2 University Square, Belfast BT7 1NN, UK
| | - Noel Richardson
- Department of Health and Sports Sciences, The National Centre for Men’s Health, South East Technological University, Kilkenny Road Campus, Kilkenny Road, Carlow R93 V960, Ireland
| | - Karen Galway
- School of Nursing and Midwifery, Queen’s University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK
| |
Collapse
|
4
|
Irwin L, Rhodes P, Boydell K. Evaluation of a gallery-based Arts Engagement program for depression. AUSTRALIAN PSYCHOLOGIST 2022. [DOI: 10.1080/00050067.2022.2061329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- Lauren Irwin
- Clinical Psychology Unit, University of Sydney, Sydney, Australia
| | - Paul Rhodes
- Clinical Psychology Unit, University of Sydney, Sydney, Australia
| | - Katherine Boydell
- Black Dog Institute, University of New South Wales, Sydney, Australia
| |
Collapse
|
5
|
Exploring barriers to social inclusion for disabled people: perspectives from the performing arts. JOURNAL OF MANAGEMENT & ORGANIZATION 2022. [DOI: 10.1017/jmo.2021.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractAlthough the potential of arts to promote social inclusion is recognised, barriers to social inclusion for disabled people in the arts is under-researched. Based on 34 semi-structured interviews with disabled people and those without disability from four arts organisations in Australia, the paper identifies barriers for social inclusion for disabled people within performing arts across four dimensions: access; participation; representation and empowerment. Findings highlight barriers are societal, being created with little awareness of needs of disabled people, supporting the social model of disability. Findings have implications beyond social inclusion of disabled people within the arts, demonstrating how the arts can empower disabled people and enable them to access, participate and represent themselves and have a voice. Our framework conceptualises these four barriers for social inclusion for disabled people for management to change.
Collapse
|
6
|
The art of mentalizing: A mentalization-based art initiative with homeless people within a psychologically informed environment. ARTS IN PSYCHOTHERAPY 2021. [DOI: 10.1016/j.aip.2021.101795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
7
|
Shehade O, Kyriakopoulos A. Exploring the experiences of non‐statutory homeless individuals who engaged in an adventure therapy intervention. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Orla Shehade
- Neuropsychology James Cook University Hospital Middlesbrough UK
| | - Alex Kyriakopoulos
- Department of Psychology Centre for Applied Psychological Science (CAPS) Teesside University Middlesbrough UK
| |
Collapse
|
8
|
Gaboardi M, Santinello M, Shinn M. Beyond behaviour: rethinking integration for people experiencing homelessness. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:846-855. [PMID: 33560560 DOI: 10.1111/hsc.13314] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 12/28/2020] [Accepted: 01/18/2021] [Indexed: 06/12/2023]
Abstract
Integration is one of the main goals of homeless services. Despite the growing research on integration and homelessness, few studies start with the perspective of people experiencing homelessness. Integration is often measured as participation in a list of standard behaviours. This process assesses behaviour in accordance with social norms but ignores people's own feelings and understanding of integration. The main aim of this study is to explore the meaning of integration from the perspective of people experiencing homelessness. Data were collected through semi-structured interviews involving 26 people in homeless service programmes. Five main themes regarding the meanings of integration were generated: work, housing, respectful relationships, family and personal dignity. Moreover, two themes of obstacles and facilitators affecting integration were identified. A new conceptualisation of integration is generated that captures the participants' sense of personal dignity, respect and recognition from others and a sense of utility within their living environments (work, house and family). Implications of the results are discussed with respect to homeless services and research on homelessness.
Collapse
Affiliation(s)
- Marta Gaboardi
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy
| | - Massimo Santinello
- Department of Developmental and Social Psychology, University of Padova, Padova, Italy
| | - Marybeth Shinn
- Department of Human and Organizational Development, Peabody College, Vanderbilt University, Nashville, TN, USA
| |
Collapse
|
9
|
O'Donnell S, Lohan M, Oliffe JL, Grant D, Galway K. The acceptability, effectiveness and gender responsiveness of participatory arts interventions in promoting mental health and Wellbeing: a systematic review. Arts Health 2021; 14:186-203. [PMID: 33661710 DOI: 10.1080/17533015.2021.1894463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Background:This mixed methods review synthesizes the evidence of acceptability, effectiveness and gender-responsiveness of participatory arts interventions (PAIs) in promoting mental health and wellbeing among adults. Methods: The search was restricted to empirical studies of PAIs that reported on outcomes relating to common mental health problems and wellbeing among adults aged ≥18 years old. The mixed methods appraisal tool was used for quality appraisal. A narrative synthesis was conducted. Results:Thirty-two studies were included (1,058 participants). Typical PAI features are discussed. The evidence for effectiveness is limited by methodological issues. PAIs are perceived to benefit mental health via improved connectedness; emotional regulation; meaning-making & re-defining identity; and personal growth & empowerment. Conclusion: The review highlights the dearth of studies focused on men. Research standards to establish the evidence of effectiveness and the need to expand the evidence of acceptability beyond the "perceived effectiveness" domain are discussed.
Collapse
Affiliation(s)
- Shane O'Donnell
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
| | - Maria Lohan
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
| | - John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - David Grant
- School of Arts, English and Languages, Queen's University Belfast, 2 University Square, Belfast, UK
| | - Karen Galway
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
| |
Collapse
|
10
|
Marshall CA, Davidson L, Li A, Gewurtz R, Roy L, Barbic S, Kirsh B, Lysaght R. Boredom and meaningful activity in adults experiencing homelessness: A mixed-methods study. The Canadian Journal of Occupational Therapy 2019; 86:357-370. [PMID: 30987447 DOI: 10.1177/0008417419833402] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND. Boredom has been reported as a frequent problem experienced by homeless persons, with implications for mental and social well-being. PURPOSE. This study aimed to explore the nature and impact of boredom in the lives of homeless and formerly homeless persons. METHOD. A mixed-methods design was used to engage 13 participants in a structured 92-item quantitative interview using six standardized measures, followed by a semistructured qualitative interview. Correlational analyses were performed with the data compiled from the quantitative interviews, and grounded theory strategies were used to analyze our qualitative data. The two analyses were integrated at the stage of interpretation. FINDINGS. Boredom was described as a profound and pervasive experience for homeless persons, imposing deleterious impacts on mental well-being and driving substance use. A strong positive correlation between meaningful activity and mental well-being (r s = .767, p <. 01) and a strong negative correlation between boredom and belonging in one's community (r s = -.771, p < .01) were identified. IMPLICATIONS. Boredom is a critical topic of study for occupational therapy in the area of homelessness. Future research is needed to design and test interventions to optimize the mental well-being, participation, and social connectedness of this population.
Collapse
|
11
|
Kearns M, Muldoon OT, Msetfi RM, Surgenor PWG. Darkness into light? Identification with the crowd at a suicide prevention fundraiser promotes well-being amongst participants. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2017. [DOI: 10.1002/ejsp.2304] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Michelle Kearns
- Centre for Social Issues Research, Department of Psychology; University of Limerick; Limerick Ireland
| | - Orla T. Muldoon
- Centre for Social Issues Research, Department of Psychology; University of Limerick; Limerick Ireland
- Health Research Institute; University of Limerick; Limerick Ireland
| | - Rachel M. Msetfi
- Centre for Social Issues Research, Department of Psychology; University of Limerick; Limerick Ireland
- Health Research Institute; University of Limerick; Limerick Ireland
| | - Paul W. G. Surgenor
- Pieta House; Centre for the Prevention of Suicide and Self-Harm; Dublin Ireland
| |
Collapse
|
12
|
Roy L, Vallée C, Kirsh BH, Marshall CA, Marval R, Low A. Occupation-based practices and homelessness: A scoping review. The Canadian Journal of Occupational Therapy 2017; 84:98-110. [DOI: 10.1177/0008417416688709] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background. Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession. Purpose. This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness. Method. A scoping review was conducted, including evidence from both occupational therapy and non–occupational therapy sources. Findings. One hundred and seventy-eight papers were selected in the areas of occupational performance skills training, enrichment of occupational repertoire, employment/education, physical rehabilitation services, child/family services, community building, occupational transition from homeless to housed, literacy, and disaster relief. Implications. Occupational therapists can build environments and create opportunities that facilitate occupational engagement of individuals experiencing homelessness. Gaps in knowledge include the evaluation of occupational therapy practices, the Canadian context of family homelessness, and the cultural safety of occupational therapy interventions.
Collapse
|
13
|
DeLucia JM. Art Therapy Services to Support Veterans' Transition to Civilian Life: The Studio and the Gallery. ART THERAPY 2016. [DOI: 10.1080/07421656.2016.1127113] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
14
|
Biederman DJ, Forlan N. Desired Destinations of Homeless Women: Realizing Aspirations Within the Context of Homelessness. Creat Nurs 2016; 22:196-203. [DOI: 10.1891/1078-4535.22.3.196] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Despite recent decreases, homelessness remains a substantial problem in the United States. Homelessness is associated with poor health, and homeless women experience earlier mortality than their housed counterparts. Understanding the aspirations of homeless women may offer service providers avenues for intervention to increase well-being among this vulnerable population. This study, a secondary analysis of transcribed interviews (n = 20), provides insight into the aspirations of homeless women. Opportunities for service providers to intervene on these aspirations within the context of homelessness are offered.
Collapse
|
15
|
Gutman SA, Raphael-Greenfield EI, Simon PM. Feasibility and Acceptability of a Pilot Housing Transition Program for Homeless Adults with Mental Illness and Substance Use. Occup Ther Health Care 2015; 30:124-138. [PMID: 26295730 DOI: 10.3109/07380577.2015.1060660] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The purpose of this study was to determine if a housing transition program was feasible and acceptable to homeless clients with mental illness and substance use histories. Ten male residents of a homeless shelter participated in the 3-week housing intervention. The intervention used a DVD format with instructional videos, graphics, and opportunities for hands-on practice of functional skills in a simulated apartment environment. Outcome measures included goal attainment scale scores (GAS), satisfaction surveys, and case manager reports. Six of the 10 participants completed the program and achieved GAS scores at a greater level than expected at baseline (T > 50). Participants reported the intervention to be engaging and enhanced their knowledge of the housing transition process. The intervention appears to have assisted the participants in the attainment of housing skills and warrants further study.
Collapse
Affiliation(s)
- Sharon A Gutman
- a Rehabilitation and Regenerative Medicine, Programs in Occupational Therapy , Columbia University Medical Center , New York , NY , USA
| | - Emily I Raphael-Greenfield
- b Rehabilitation and Regenerative Medicine, Programs in Occupational Therapy , Columbia University Medical Center , New York , NY , USA
| | - Phyllis M Simon
- c Clinical Occupational Therapy, Programs in Occupational Therapy , Columbia University Medical Center , New York , NY , USA
| |
Collapse
|
16
|
Illman SC, Spence S, O’Campo PJ, Kirsh BH. Exploring the occupations of homeless adults living with mental illnesses in Toronto / Explorer les occupations d’adultes sans-abri atteints de maladies mentales vivant à Toronto. The Canadian Journal of Occupational Therapy 2013; 80:215-23. [DOI: 10.1177/0008417413506555] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. The nature of occupational engagement for homeless people living with mental illnesses is not well understood, and there are few studies to date that examine the occupational lives of these individuals. Purpose. This research study seeks to understand how this group of individuals engages in occupations. The central question is ‘‘What is the nature of occupational engagement by homeless adults living with mental illnesses in Toronto?’’ Method. A constant comparative method of analysis was used in a secondary analysis of 60 interviews with homeless adults experiencing mental illness. Findings. Four themes emerged that describe the nature of occupational engagement for this group: occupations as enjoyment, occupations as survival/risk, occupations as passing time, and occupations as self-management. Implications. This research informs occupational therapy interventions aimed at optimizing engagement, health, and well-being for homeless adults living with mental illnesses.
Collapse
|