Trish vellaburrows everyoneanartist_301015
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Transcript of Trish vellaburrows everyoneanartist_301015
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Cultural Value and Social Capital Investigating social capital, health and wellbeing
impacts in three coastal towns undergoing culture-led regeneration
Trish Vella-Burrows, Nick Ewbank, Stephanie Mills, Matt Shipton, Stephen Clift and Fred Gray.
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Margate, Bexhill and Folkestone
Stewart Drew and Sally Ann Lycett
Victoria Pomery and Karen Eslea Alastair Upton
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Reflective individuals?
Engaged citizens?
Urban regeneration ?
Community dynamics?
Improvements to health and wellbeing?
What have the arts ever done for us?
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What we know?
Cultural activity
Social capital
Healthy citizens
Civic pride
Healthy communities
Economic vibrancy
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Health and wellbeing
‘Health is created and lived by people within the settings of their everyday life; where they learn, work, play and live’.
WHO ‘Health for All’ (1981)
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Research questions
What can we measure of culture’s impact on people’s health and wellbeing in three coastal towns undergoing culture-led regeneration?
Can social capital theory and social network analysis help to provide evidence of the impact of the three cultural organisations on the health and wellbeing of their respective communities?
What can the Sidney De Haan Research Centre and the three cultural organisations learn from each other’s evaluation and research approaches?
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A mixed-method, participatory action research design:
Design Council’s Double Diamond DOTT (Designs of the Time) process model
Questionnaires
Mind maps Vox popsInterviews
Focus group discussions
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Findings • Cultural engagement impacts positively on social capital
and health and wellbeing• Should social capital theory feed into practice as a primary
influence on programming? • Why centralise health and wellbeing as a driver for cultural
offer if positive affect is implicit anyway? • Active experiences win over receptive experiences – or do
they? • Cultural engagement has no relationship to health and
wellbeing models – or does it?
• Attendance is dependant on macro, meso and micro phenomenon
• Funders drive evaluation; business model determines economic-centred outputs
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Hidden value?
“I don’t think arts and cultural organisations are able to define the impact they are able to make.
They don’t trace it and make it visible. It drives me mad! They change somebody’s life and they don’t even realise!”
(Des Crilley, Chair, Kent County Council Strategic Group for Arts in Kent)
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Thank you for listening
Link to report: http://www.nickewbank.co.uk/downloads/Cultural-value-report.pdf
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Cultural industry’s perspective Museums of Prescription
‘The arts and cultural activities can have a positive impact on the symptoms of conditions, for example improved cognition, physical stability, or self-esteem, and the ability of people to manage them, for example through changes in behaviour and increased social contact’ (ACE, 2014)
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‘Action on the social determinants of health should be a core part of health professionals’ business, as it improves clinical outcomes, and saves money and time in the longer term’ (Marmot 2 0 13 )
Prescription for Music
Music and Arts Pathways for Dementia (MAPS4Dementia)
Public/primary health perspective
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Music and Arts for Dementia (MAPS4Dementia) Integrated Dementia Care Pathways, Kent & Medway Public Health Observatory
Scenarios Intervention goal Specialist music activity/intervention
Step one: Pre-help seeking stage
Dementia awareness; early identification
Public music-related dementia awareness programmes in partnership with multiple agencies Supported befrienders to enable people to continue to engage in existing music activities
Step two: Professional advice sought/not sought
Assessment and diagnosis
Music-based assessment tool to include standard domains (language, visuospatial, fluency, memory attention) and an individual’s sense of desire, hope, belief and knowing over time Music-based assessment tool to assess carer health
Step three: Assessment Early intervention; treatment, including drugs memory services and cognitive stimulation therapy (CST)
Specialist music-centred interventions that reflect CST outcome goals delivered in community settings with community integration. ‘Music for Dementia’ peer advocacy groups Information for dementia care health professionals on the research evidence and local music services
Step four: Help accepted/not accepted
Living well with dementia; person with dementia and carer has access to a range of person-centred integrated care services
Access to on-going, innovative, quality controlled music-based activities and interventions that: are driven by research evidence and feedback from participants are nationally delivered in community settings have local intergenerational, community input address the physical, mental and social needs of carers and people with dementia as
their condition changes
Step five: Deterioration; carer-burden; service response
Step six : Potential alternative living arrangements; anxiety/depression
Step seven: Intensive care needed; complex physical, mental and social needs
Step eight: End of Life
Equitable access to end of life care
Access to specialist therapeutic music interventions and music therapy
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Person
Culture
Activities
Meaning Well/ill-being
Adapted from Sixsmith, A and Gibson, (2007) Music & the wellbeing of people with dementia. Ageing & Society 27:127-45
Social networks
Formal support networks
Physical environment
Model of well-being through activity