a strategy for slam to develop the arts in mental health, wellbeing & recovery why are the arts...
TRANSCRIPT
A Strategy for SLaMto develop the arts in
mental health, wellbeing & recovery
Why are the arts important to SLaM?
Because they help people get well and stay well.
Key points for the Arts Strategy
1. Identify SLaM’s strengths and weaknesses in the arts, and set realistic and achievable goals
2. Need to raise and sustain awareness Trustwide regarding the power and potential of the arts, with the support of the Trust Executive
Our consultation and findings
• Consulted extensively with service users and staff / providers, Trustwide
• Identified key themes • Conducted in-depth research of current literature
and practice
Themes from the Service user consultation
1. Therapeutic2. Creativity3. Stigma4. Access 5. Financial6. Affirmation & Recognition7. Relationships
Fostering relationships Promoting wellbeing Offering treatments Improving social inclusion
Outcomes
Social functioning, networks relationships, connecting.“Art as a connector, with and to things other than oneself” (Thou Art) Peer support, belonging, being valued
Partnerships:with wider arts world and public and mainstream
Enhancing staff & service user involvement, co-production/ co-design & development
Activities that bring people together –exhibitions, events and contemporary art practice
Public engagement
Enhancing healing environment- shared public space
“Allows new spaces in which to be, and new relationships through which to rethink and reconstruct themselves”(Thou Art)
Improving SU experience
Easing/ reducing symptoms
Creative personal space
Enhancing control andEmpowerment
Sense of self: building self esteem; identity;
Connection art & form of spirituality, “flow” (Thou art)
Connecting with abilities, learning new skills;
Recognition/ value/ Affirmation
Expression (words can’t do) & communication
Purpose, motivation, focus
Transforming illness/
Having time out
Improving staff involvement, morale & development
Way “to right lives” and “search for substance” and meaningful sense of “I”. (Thou Art)
Formal treatment by fully trained Arts Psychotherapists- Arts Therapies
Occupational Therapy
Informal and formal arts activities in SLaM
User led arts organisations-workshops/ events/ activities
Artist led workshops
Workshops in arts institutions, museums, galleries
Arts Education & Training:Higher and Further Education
Peer support, friendships, community, brings people together
Valued role (as artist not a SU) and recognition
Rebuilding self esteem and identity as a ‘well person’ and capable
Sense of belonging and cohesive communities
Feeling involved & ways to get involved
Contemporary art as social practice
Lead public engagement & MH promotion ie against stigma
Expanding horizons and purpose
Preserve life stories & experiences
Provide professional platform for showing & appreciating art
Practical support, i.e. mentoring, new roles, tasks
Accessible and acceptable
Consultation & content analysis
Service user narratives
MWIA
Thou Art Film & Research
Arts Therapies evidence- NICE guidance in psychosis
Published research from Academic arts in health
Enhancing the healing environment
Arts organisations feedback/ evidence
PbR/ Honos
OT & other outcome measures
SROI (social return on investment)
Public feedback – MH promotion/ challenging stigma
Reduction in revolving door
Patient experience of mental health services improved through arts. (Picker instit)
Evidence related to the SIR Strategy
Context from other drivers• “For a more co-ordinated integrated set of services;
we need the workforce equipped for challenges, and improved quality and capacity..”
(Exploring our futures in health and social care in Lambeth & Southwark)
• “Spending on arts & health is and should be seen as a legitimate, integral part of good health care and good staff management, and entirely appropriate for NHS activity & investment”
(DH 2007)
• “Lambeth will be a vibrant & creative place to live, work and learn”
(Lambeth mental wellbeing programme)
• Lewisham values: sense of place, creative economy, creativity & skills, active cohesive communities
(Lewisham arts strategy)
• “Community connections, reaching across place, interests and identity, are largely untapped assets that can promote wellbeing and address social exclusion”
(RSA- The Royal Society for the encouragement of Arts, manufactures & Commerce )
Why should SLaM support this?
The Arts Strategy will:
1. Develop SLaM’s existing collective intelligence
2. Improve patient experience
3. Reduce “revolving door care”
4. Attract incoming funding
5. Improve service user involvement
6. Further SLaM’s reputation
Example of SLaM’s involvement in theLondon Creativity & wellbeing week June 2012
• Exhibitions: Bethlem Gallery and SGDP @ IOP
• Poetry party at Ladywell Unit celebrating the project on the wards
• Training for artists @ The Albany -Jointly delivered by SLaM & Lewisham Education Arts Network (LEAN), commissioned by Lewisham Council
• Showcase of music produced by service users from Camden and SLaM, with Key Changes and Raw Sounds
• Seminar on arts in health and commissioning @ Tate
Modern: presenting SLaM arts strategy • CoolTan Arts events
SLaM's strengthsin the arts in mental health
1. Formal treatment by fully trained Arts Psychotherapists
2. Range of formal/ informal arts activities in SLaM
3. High level of community arts activities run by arts and service user providers
4. Strong links to involve service users in arts training and education
5. Motivated wide network of “activators” and engaged external partners
6. Well-established ethos & practice of service user involvement and peer support
7. Highly regarded exhibiting resources: i.e. Bethlem gallery & Museum & Archives & IOP
8. Reputation of SLaM as leader in arts & mental health
9. Charitable funds to access
SLaM's weaknessesin the arts in mental health
1. Vulnerability of arts posts/ projects within SLaM
2. Dichotomy: Service users greatly value arts whereas staff often see arts a marginal luxury
3. Intrinsic dependence of strategy on frontline staff and managers
4. High pressure on staff in time of great change
5. Personalisation changes
STRATEGIC GOAL 1 Building on strengths: Infrastructure
• Widen remit of Arts Development Manager to Trustwide
• Formalise and develop representative steering group
• Work closely with SLaM Lead Arts Therapies adviser
• Timescales and targets over 5 years
• Implement evaluation mechanisms
• Formalise budget
Examples of additional funds supported by the arts development manager*
Funds raisedCoolTan Arts, HAT (Healing Arts Team), Mental Fight Club: Dragon Cafe MHOAD & Tate Modern project Thou Art film & research Widening participation to UniversityApprox total: £652,000
Pending funding in partnershipOutreach & access to museums in EuropeImpact Art Fair in London 2013London Arts & mental health Festival 2014Approx total £268,000
* Jo Van Den Bosch coordinated The National Theatre Drama Therapy/ Warhorse project for MHOAD. £25,000 was funded by Guys & St Thomas’ Charity
STRATEGIC GOAL 2Building on strengths: SLaM’s Inner Activators
Develop motivated network of strategy activators:
• Key frontline and managerial staff
• Service users
• Peer supporters
• Champions i.e. Consultant Champion
STRATEGIC GOAL 3Building on strengths: Connectivity
Facilitate and develop links and partnerships
• Service user arts and community providers
• Arts Institutions and Colleges
• Research networks
• Charitable funds- GSTT charity is developing a new arts strategy
• Promotional strategy
• Workshops and training sessions
• Identify and visit key frontline hospital and community teams
• Provide and promote accessible online resources
STRATEGIC GOAL 4Addressing weaknesses:Raise Staff Awareness
AcknowledgementsThanks so much to all those who were consulted, and contributed incredibly to this Arts Strategy for SLaM: service users, staff, arts providers and partners.
Thanks to the tremendous dedication and passion of the steering group who co-designed and produced this Arts Strategy to reflect and harness the continuum from Arts Therapies to arts practice in SLaM and in the community.
Thanks to the artists and arts projects, for the beautiful images to illustrate this presentation, including Bethlem art studio and Art Gallery, the Thou Art film and research project, Green Shoots calendar project and the War Horse dramatherapy project with the National Theatre.
Helen Shearn, D Rosier, Vanessa Bray, Sarah Wheeler, Jo Van Den Bosch, Julia Bland, Beth Elliott, Michaela Ross et al. August 2012