Music without Borders

Bridges with Communities

Sandra Kirkwood Music Health Australia

Not so long ago We used to work 1:1 with individuals Governments funded rehabilitation clinics To teach skills Psycho-social development Return to work Curative approach Not so long ago…

We used to work 1:1 with individuals

Governments funded rehabilitation clinics

To teach skills

Psycho-social development

Return to work

Curative approach

What has changed ? The demography of people in need (rising proportion of aged and people with a disability). Recognition of the importance of cultural issues and social health. Rise in unmet need - esp. rural areas Limited capacity for outreach. ‘Health for all’ principle. Everyone is responsible for health.

The demography of people in need (rising proportion of aged and people with a disability).

Recognition of the importance of cultural issues and social health.

Rise in unmet need - esp. rural areas

Limited capacity for outreach.

‘Health for all’ principle. Everyone is responsible for health.

Right to participation in cultural life The National Aboriginal Health Strategy states that "health encompasses the social, emotional, spiritual and cultural well-being of the whole community." "Everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits" (Article 27, Universal Declaration of Human Rights , United Nations, 1948).

The National Aboriginal Health Strategy states that "health encompasses the social, emotional, spiritual and cultural well-being of the whole community."

"Everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits" (Article 27, Universal Declaration of Human Rights , United Nations, 1948).

Primary Health Care Convention UN/WHO Declaration of Alma Ata, 1978: Health is a state of complete physical, mental and social well-being and is a fundamental human right. Attaining the highest possible level of health is a worldwide social goal that requires the action of many sectors. The existing gross inequality in people’s health status is unacceptable and is of common concern to all countries and people. Economic and social development is essential to attaining “Health for All,” and health is essential to sustained development and world peace. People have a right to participate in planning and implementing health care…bringing health as close as possible to where people live and work…

UN/WHO Declaration of Alma Ata, 1978:

Health is a state of complete physical, mental and social well-being and is a fundamental human right. Attaining the highest possible level of health is a worldwide social goal that requires the action of many sectors.

The existing gross inequality in people’s health status is unacceptable and is of common concern to all countries and people.

Economic and social development is essential to attaining “Health for All,” and health is essential to sustained development and world peace.

People have a right to participate in planning and implementing health care…bringing health as close as possible to where people live and work…

Health promotion conventions 6th Global Conference on Health Promotion: Bangkok 2005 5th Global Conference on Health Promotion: Mexico 2000 4th Global Conference on Health Promotion: Jakarta 1997 3rd Global Conference on Health Promotion: Sundsvall 1991 2nd Global Conference on Health Promotion: Adelaide 1988 1st Global Conference on Health Promotion: Ottawa 1986

6th Global Conference on Health Promotion: Bangkok 2005 5th Global Conference on Health Promotion: Mexico 2000 4th Global Conference on Health Promotion: Jakarta 1997 3rd Global Conference on Health Promotion: Sundsvall 1991 2nd Global Conference on Health Promotion: Adelaide 1988 1st Global Conference on Health Promotion: Ottawa 1986

How to address inequities? GROWING LEVELS OF HEALTH INEQUITY BOTH WITHIN AND AMONG COUNTRIES CAN SOCIAL HEALTH ISSUES BE ADDRESSED THROUGH COMMUNITY-BASED REHABILITATION? POVERTY VIOLENCE CRIME DRUG MISUSE INTER-GROUP CONFLICTS

GROWING LEVELS OF HEALTH INEQUITY BOTH WITHIN AND AMONG COUNTRIES

CAN SOCIAL HEALTH ISSUES BE ADDRESSED THROUGH COMMUNITY-BASED REHABILITATION?

POVERTY

VIOLENCE

CRIME

DRUG MISUSE

INTER-GROUP CONFLICTS

Principles of Music without Borders Support and enable people to bridge gaps (socio-cultural, geographic, economic, educational). Focus: Social determinants of health Population-based programs Use of local community resources Creative collaboration – music / arts Participatory action research Inter-generational ‘Aging in place’

Support and enable people to bridge gaps (socio-cultural, geographic, economic, educational).

Focus: Social determinants of health

Population-based programs

Use of local community resources

Creative collaboration – music / arts

Participatory action research

Inter-generational ‘Aging in place’

Can we build musical bridges? DO WE HAVE THE INFRASTRUCTURE FOR COMMUNITY-BASED REHABILITATION THROUGH MUSIC? SKILLED WORKERS? SUITABLE PLACES? COSTS? CAN WE BRIDGE THE CULTURAL DIVIDE?

Need for understanding Reconciliation and healing The Drumley’s Walk

ENVIRONMENT (Places of musical or sonic significance) OCCUPATION (Musical roles) Person- environment -occupation model Mary Law et al.,1996 Modified by Kirkwood, 2008 PERSON (communities) LIFESPAN

Occupational Performance Model Australia. Chapparo & Ranka 1996

Model of social-ecological support Kirkwood, 2008 Personal factors Intra-personal relationships Community context Society Media & Policy

Socio- Environmental Model Kirkwood, 2008. History Time and Development Cultural Context Intrapersonal relationships, politics. Social attitudes, beliefs, and policy. Physical Environment Personal Factors & Quality of Life

Music Occupation: Ethnomusicking Accessible, active performance Ethnomusicking: helping people to engage with music heritage and culture. Musical contexts that are meaningful to people’s lives, emotions, values and beliefs, places of cultural, social, political significance. Supporting and enabling musical roles of people’s choice. Empowering people to have a voice: tell life stories, musical expression. Social artistry, shared leadership.

Accessible, active performance

Ethnomusicking: helping people to engage with music heritage and culture.

Musical contexts that are meaningful to people’s lives, emotions, values and beliefs, places of cultural, social, political significance.

Supporting and enabling musical roles of people’s choice.

Empowering people to have a voice: tell life stories, musical expression.

Social artistry, shared leadership.

Negotiating LOCAL meta narratives Purga Music Story and Harold Blair Meet at Purga Music Museum. Turn of the Century: Ipswich Thistle Pipe Band 1909-2009 Meet at Q150 Ipswich Highland Gathering, State Pipe and Drum Band Championships. Band hall. Dialogue through media: newspaper, radio, books, web, music performance.

Purga Music Story and Harold Blair

Meet at Purga Music Museum.

Turn of the Century: Ipswich Thistle Pipe Band 1909-2009

Meet at Q150 Ipswich Highland Gathering, State Pipe and Drum Band Championships. Band hall.

Dialogue through media: newspaper, radio, books, web, music performance.

Developing Music Action plans Mapping existing music services and events. Participating and observing. Researching music heritage & culture Focus groups and consultation. Brainstorming aspirations for future Developing community-based music action plans with stakeholders Participatory placed-based planning and inter-professional collaboration.

Mapping existing music services and events. Participating and observing.

Researching music heritage & culture

Focus groups and consultation.

Brainstorming aspirations for future

Developing community-based music action plans with stakeholders

Participatory placed-based planning and inter-professional collaboration.

Promoting: Services Community music Health Promotion Music Performance/Music Occupation Education and workshops Singing for good health Ecology and Society Music Heritage and culture Music Health Australia

Community music

Health Promotion

Music Performance/Music Occupation

Education and workshops

Singing for good health

Ecology and Society

Music Heritage and culture

Networking: Building bridges Music Health e-mail group Community-based music Collective of service providers Marketing consortium Collegiate network Advisory panel and consumer review

Music Health e-mail group

Community-based music

Collective of service providers

Marketing consortium

Collegiate network

Advisory panel and consumer review

Invitation: Please sign up today Membership forms available www.musichealth.com.au Music Health Australia