South London & Maudsley NHS Foundation Trust Breakout session

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Breakout session given by South London & Maudsley NHS Foundation Trust was part of the Cultural Commissioning National Seminar in London on the 6th June 2014.

Find out more about Cultural Commissioning Programme. http://www.ncvo.org.uk/practical-support/public-services/cultural-commissioning-programme

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South London & Maudsley NHS Foundation Trust Breakout session

  1. 1. Commissioning arts programmes to support people dealing with mental health issues through our Arts Strategy. Helen Shearn, Head of Arts Strategy
  2. 2. Themes from the Service user consulta3on for the SLaM Arts Strategy 1. Therapeu3c 2. Crea3vity 3. S3gma 4. Access 5. Financial 6. Affirma3on & Recogni3on 7. Rela3onships FYI: the commissioned service user consultants went on to set up Experts by Experience and process of thema3c analysis rolled out across SLaM Images: George Harding, Bethlem Gallery
  3. 3. Commissioning: an “alchemy” • No one single form of commissioning • Ideas and drivers from many • Co-­‐produc3on, collabora3on • Social inclusion and recovery • Service users with different roles • My role: broker, bridge making, sign pos3ng…. • Partnerships & projects evolve over 3me • Service user led arts in Southwark: CoolTan Arts, Mental Fight Club’s Dragon Café, and Crea3ve Routes • Maudsley Charity-­‐ Catalyst for change Image: D. Rosier
  4. 4. Top organisa?onal challenges in suppor?ng Recovery CHALLENGE 1 Changing the nature of day-­‐to-­‐ day interac3ons and the quality of experience 2 Delivering comprehensive, service user-­‐ led educa3on and training programmes 3 Establishing a ‘Recovery Educa3on Centre’ to drive the programmes forward 4 Ensuring organisa3onal commitment, crea3ng the ‘culture’ 5 Increasing ‘personalisa3on’ and choice 6 Changing the way we approach risk assessment and management 7 Redefining service user involvement 8 Transforming the workforce 9 Suppor3ng staff in their recovery journey 10 Increasing opportuni3es for building a life ‘beyond illness’
  5. 5. 6 Principles of Co- Production in mental health: 1. Assets based approach 2. Building on existing capabilities 3. Reciprocity and mutuality 4. Peer support networks 5. Blurring distinctions 6. Facilitating rather than delivering Co-production in mental health- a literature review commissioned by Mind with nef 2013 Diagram: An alternative “Ladder of participation”
  6. 6. Ar?st Kathrin Böhm and service users at Three C’s day centre, commissioned by Peckham PlaWorm for Anxiety 2014 Desired appliances & contrap3ons for life: Money Distribu.on Machine, Chocolate converter, Let others-­‐ be-­‐ nice to me Device and a Perfect baby dispenser.
  7. 7. HEARING THINGS /TRAPS OF THE MIND Co-production: drama workshops and performance by in- patients and staff at the Ortus Mental Health Learning centre, Camberwell London and later at the Albany, Deptford, London. Produced by the Playing on Theatre company, Championed by Dr Dele Olajide, Consultant Psychiatrist funded by the Maudsley Charity for the Anxiety 2014 Arts and mental health Festival.
  8. 8. Thou Art A mul3 partnership, user led film, research and development project 2011 Exploring community-­‐based art prac3ce and its links to well-­‐being and progression opportuni3es in the lives of mental health service users. hap://www.thouart.org/ Narra.ves of Art Prac.ce and mental wellbeing by Dr Olivia Sagan (Routledge Oct 2014) Funded by Maudsley Charity and Arts Council England, with Widening Par3cipa3on, University of the Arts London (UAL)
  9. 9. How the arts can improve Social Inclusion & Recovery 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 and Empowerment 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 Service user) 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 Mental Wellbeing Impact Assessment 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 -Payment by results/ Honos Occupational Therapy 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)
  10. 10. An exhibi?on to de-­‐s?gma?se mental illness in teenagers by illustra?ng their stories with material that everyone can relate to "Many people used pain3ng as a means to share their anxie3es, their depression, their loneliness and their fears of being abandoned... Although these pictures may be superficially regarded as the stereotype of mental illness, they all illustrate feelings we have experienced, at one 3me or another, but which we have been fortunate enough to overcome.” “ Edward Adamson
  11. 11. Exhibi3ons showcasing talent & stories Liz Atkin, Curdled At the Ortus, Maudsley Learning, commissioned by Bethlem Gallery with Anxiety 2014 Jose Gomez, Colores, Dame Colores at the SHARP gallery in Brixton
  12. 12. Ar?sts: Performing experiences and liaising with services: Laura Jane Dean
  13. 13. Par?cipa?ng and influencing services Journeys of apprecia?on (JOAP) A 3 year funded evaluated programme by the Maudsley Charity For older adult inpa3ents with mental health problems and demen3a and staff from 3 wards. Monthly facilitated visits & workshops to partner museums and galleries: Tate Modern, Tate Britain, Dulwich Picture Gallery, Horniman Museum, Cinema Museum
  14. 14. JOAP-­‐ themes from interviews year 1 1. A joint learning opportunity 2. Sharing the moment 3. Seeing a different side to service users 4. Improving the rela3onship & knowledge of service users 5. Gemng off the ward 6. Introducing a new experience to people 7. Finding out about their hobbies and interests Achievements Increased staff confidence -­‐ accessing other crea3ve and community opportuni3es “Posi3ve risk taking” as standard prac3ce Induc3ng a wider group of staff & more JOAP champions/leads. Arranging ar3st-­‐led workshops for service users and staff
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