This presentation was delivered by Sandra Kirkwood, Occupational Therapist, on October 22, 2011, at the Australian Society for Performing Arts Healthcare Conference, which was held at Sydney University.
EQUITY, DIVERSITY AND ACCESS TO PERFORMING ARTS Managing Social Inclusion in New Frontiers of Healthcare Sandra Kirkwood B. Occ.Thy, B.Music, M.Phil. Music Health Australia
“Health encompasses the social, emotional, spiritual and culturalwell-being of the whole community" National Aboriginal Health Strategy (2002)
Social Ecology of Performing Arts Personal Professional Political
RIGHT OF PARTICIPATION & HEALTH• “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 (1948).• "the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being...” WHO Constitution• Australian Human Rights Framework 2010• The Australian Charter of Health Rights 2008
Personal PerceptionsPersonal ethnographies:• What are activity limitations?• What are barriers?• Experiences of discrimination• Restrictions to participation?• Access to services?• Health literacy – access to information, technology, and resources in suitable formats
Do you believe that PWD are givenequal opportunities in P. Arts?• Not given equal access to performance spaces (physical access, and Braille scripts)• Parts for PWD are given to able-bodied people• Not much discrimination in writing music, designing sets and scenery, or editing visual recordings, and backstage stuff.• Not many plays written for deaf. They could be translated. A lot of disabilities are not seen.• They go for looks. Not many opportunities in mainstream. But there are groups for PWD.
Professional• Mapping current demographics• Understanding state-of-the-art ethics• Auditing and critical reflection on practice• Building capacity of services to address need• Training in legislation/conventions• Policy of continuous quality improvement• Charters with social inclusion, diversity ideals• Comprehensiveness of evidence-based practice
ProfessionalProfessional Code of Ethics:• “Occupational therapists shall not discriminate in their professional practice, on the basis of ethnicity, culture, impairment, language, age, gender, sexual preference, religion, political beliefs or status in society”(OT Australia, 2001, p. 4).World Federation of Occupational Therapists, 2006 Position Statement on Human Rights.
Social Determinants of Health• Rural and remote – Geographic distribution• Cultural diversity – Social inclusion• Poverty – Equity in health service provision• Environmental deprivation – Access education• Promoting healthy lifestyles to reduce chronic disease• Target minority groups - employment• Status of women
Analysis - Political(a) What are characteristics of the conflict/cooperation situation?(b) Who are the actors (occupational beings)?(c) How do actors conduct themselves? What are their aims, interests and motives?(d) What are their means?(e) What does the political landscape look like?(f) And what is the broader context wherein conflict and cooperation manifest themselves?Kronenberg & Pollard (2006) OT without borders
MULTI-SECTORIAL STUDY HIGHERINTERNATIONAL NATIONAL EDUCATION PERFORMING WORKPLACE HERITAGE & ARTS RELATIONS CULTURE HEALTHCARE
Performing Arts sex comparison100%90%80%70%60% Females50% Males40%30%20%10% 0% Sound recording Music & theatre Recorded media Film & video Employment across studios productn manu/pub production state
LITERATURE REVIEW• Saxon (1987) noted poverty as an issue that could impact on performing artists’ access to private medical insurance• Hamilton (1994) investigated the impact of occupational stress in ballet across different cultural backgrounds• Brodsky’s (1995) USA study of “Blues Musicians’ Access to Health care.”• Lubet (2002) Disability Studies and Performing Arts Medicine; and Brandfonbrener editorial.
LITERATURE REVIEW• Ralph Manchester, MD from New York (2006), editorial: “Diversity in Performing Arts Medicine.”• John Hadok (2008) The few hardy souls who are scattered through the nonmetropolitan regions and the interior suffer isolation and a form of cultural famine. We are faced with considerable challenges -- the geographical difficulties interplaying with the social, cultural and professional fabric — that must be addressed… artists living and working in rural and remote places and those who tour there have no access to health care that takes especial cognizance
RESEARCH METHODS• Literature & Website Review• Telephone interviews, e-mail inquiry• Collating findings into database• Field observations (work, study, recreation)• Demographic Analysis, mapping services• Prevalence of health conditions – certain groups. Reports from consumers.• Thematic Analysis: clustering of issues• Reflection on Practice: Community of Inquiry
RESEARCH AIM & OBJECTIVESTo explore and inform performing arts and health professionals about the latest access, equity and diversity initiatives.Key Research Question:“How do we ensure equitable participation in the performing arts for all citizens?”To improve access and build capacity of servicesTo facilitate continuous quality improvement
RECOMMENDATIONS• A self-audit tool for performing arts is needed• A National Database of Equity and Diversity support services for performing arts is needed• Details of key contacts and resources• Multi-dimensional strategic planning is needed around how to manage equity, diversity, unmet needs and gaps in services.• Working party to prioritise initiatives.
2011 ConferenceSandra Kirkwood presented this paper at the Australian Society for Performing Arts Health Care Conference at Sydney University on 20 October, 2011.Music Health Australia is a network of people interested in Music Health, and also an organisation that provides Occupational Therapy and Music services.www.musichealth.com.au