Arts and Health

Making it work

Elaine Burke Arts & Health Consultant

Developing a thriving creative service within an uncreative organisation

Elaine Burke

Head of Art Therapy - Specialist Children’s Services

Arts and Health Manager

Hull Primary Care NHS Trust

East Riding PCT

Humber Mental Health NHS Trust

Independent Consultant

No budget

Evidence - based

1 puppetry project in Children’s Services

10 projects, multi art-form aimed at a wide range of children

Brochure produced, national distribution

Big launch event at the City Hall

Small beginnings…..

…..led to great things• Arts and Health Manager Senior manager, permanent post – a national first

• Arts and Health team 5 permanent full time project managers & up to 20 freelance artists

• Recurring Budget of £900,000

• Speak Out – suicide prevention, teenage boys

• Pass it On – mental health services: older adults, young people with first episode psychosis, adults with learning disabilities, adult psychiatric secure unit

• Boost – young offenders

• Active Arts – adults with chronic depression

• Platform – children in care

• LIFT – arts within 8 new primary care buildings

Community ‘preventative’ model

Projects with NHS service users

Healthcare buildings

3 types of project:

Embedded within every aspect of the organisation

It will never work….…with music / drama / dance…

…with older people

….with adults

….in summer

…weird artists

….in East Yorkshire

Demonstrate!

Scaling up!

OptionsGold

Silver

Bronze

Staff members

To be released into the community and be with my family and friendsTo have some money. Not a lot, just enough to see me throughTo have a nice car with self-filling fuel tanksFor me and my girlfriend to get together and be happyTo take my Mum and Dad for a slap up meal……I went to Scotland and me and my friend and my family went to some place, which was called the Trout Ladder. As we walked over a little bridge the splashing of the rainwater hitting the sunshine made a beautiful rainbow.It was one of the best views I have ever seen.

I wish….

By Peter

Evaluating everything……

….yes, everything!

Measure what you can measure...

...the rest is about quality of life indicators...

6 Month EvaluationTotal young people engaged 70Significant engagement (4 sessions +) 23Highest number of sessions attended by individual client 40Approx average length of session 1.5 hoursApprox total workshop hours 435 hoursTotal sessions booked 405Number of sessions attended 290Percentage of successful sessions 72%

’Unsuccessful sessions’ includes non-attendance (no valid reason and valid reason), double booking by other agencies, and other external factors. The percentage of unsuccessful sessions due solely to non-attendance with no valid reason is approx 20%.

Qualitative Outcomes

Increased confidence and self esteem – reported by self and evidenced by othersImproved school, college, other training attendanceIncreased aspirationWider social circle – greater social networks and supportReduced criminal activity – especially cycle of crimeHome Office Review – excellent practice beacon statusProgramme links with Arts Award achievement – Gold, Silver, Bronze‘Mainstreamed’ into YOT structureArts/creativity as key delivery model

Linking with Strategic Objectives

Protective factors potentially influencing the development of mental health problems in individuals (particularly children)Individual factors

Family factors

School context

Life events and situations

Community and cultural factors

•Easy temperament •Adequate nutrition• Attachment to family• Above-average intelligence•School achievement•Problem-solving skills•Internal locus of control•Social competence•Social skills•Good coping style•Optimism•Moral beliefs•Values•Positive self-related cognitions

•Supportive caring parent•Family harmony•Secure and stable family•Small family size•More than two years between siblings•Responsibility within the family•Supportive relationship with other adult •Strong family norms and morality

•Sense of belonging•Positive school climate•Prosocial peer group•Responsibility and helpfulness•Success and recognition of achievement•School norms against violence

•Involvement with significant other person (partner/mentor)•Opportunities at major life transitions•Economic security•good physical health

•Sense of connectedness•Attachment to networks within the community•Participation in church or other community group•Strong cultural identity and ethnic pride•Access to support services•Community and/or cultural norms against violenceCommonwealth Department of Health and Aged Care 2000, Promotion, Prevention and Early Intervention for Mental Health – A Monograph,

Management Structures

Celebrate!

Feeding the media!

Playing the long game

Elaine BurkeArts and Health Consultant

burke.elaine@gmail.com