Following the launch of the All-Party Parliamentary Group’s Creative Health report in July, momentum has continued to gather in the arts and health field with October’s UK Parliamentary debate in Westminster.
In the same week, the EU’s Ministry of Education and Culture in Brussels convened a two-day meeting of the Social Inclusion group. The group of representatives from each member state invited me to ‘make the case’ for the role of the arts and culture in promoting social inclusion.
I went to Brussels determined to usefully convey some of the evidence and outcomes featured in the Creative Health report – and those found during my Churchill Fellowship 2017 – to the advisory group. For me, the aspiration towards social inclusion has national health and well-being in mind, as social exclusion, inequalities, and loneliness are major predictors of poor health outcomes.
“If health is about adaptation, understanding and acceptance, then the arts may be more potent than anything medicine has to offer.”
2002, Richard Smith, Editor of British Medical Journal
‘The Arts’: Does the Type of Art Matter?
The Norwegian representative wondered about the effects of different kinds of art. I found this a very interesting question – does the kind of art matter?
While there are surely differences, the answer this context is, broadly – no, not really!
Process Not Outcome
The first thing we should consider is the needs and preferences of the person engaging in, or making, art. Of course, the sentiment ‘different strokes for different folks’ applies – and the arts have highly individual effects. Some people champion poetry, others painting, and exploring this requires another post. But, regardless of the chosen medium, the processes that deliver the benefits that people report share common characteristics.
People who take part in qualitative research on the arts and health report that the arts – whether making or viewing – can be utilised as vast, assorted and nuanced vehicles that can travel at your own pace, to your tastes and preferences, within your limits or pushing your limits, to provide authentic routes towards healing processes.
Among the factors that lead to improvements in wellbeing are:
– Immediate effects, such as relaxation, absorption, and flow, a state which when experienced regularly, has been shown to protect mental health.
– The arts also promote agency, achievement and pride.
– Expression and communication are frequently reported to result from engaging in the arts. People find they need not rely on language to experience and understand themselves, others, and experiences. This can be vital to people who experience trauma and illness, for example, and for people to find their voice.
– Social benefits are also commonly reported as a result of engaging with the arts.
– Participants report a shift in self-perception toward a more positive and recovered sense of self, using the arts as tools to navigate various processes.
The Arts and Culture
In her book, Arts in Health, Dr Daisy Fancourt outlines the probable ways in which the arts have been used historically. She describes their simultaneous use, in tandem as a rich layered tapestry, with no distinction between the different forms.
The principles that underlie all or most forms of creativity and art-making and contribute to wellbeing are the same.
The EU group discussion of this point drew on some key findings with regards to group drumming. Evidence suggests that drumming, with its rhythmic, ritualistic and soothing properties, carries physiological benefits. Our heart rates decrease, breathing becomes deeper and more rhythmic, and our stress response is inhibited. There are similar physiological effects of singing and you can read more about music in a previous post.
We also find it easier to relate to those we sing with, signalling the potential when aiming to improve social inclusion. People report feeling connected to those around them following group singing, which hints at some of the difficulties with measuring the impact of the more transformative properties of the arts. While some physiological effects can be measured, many people feel that engaging in music and the arts confers less tangible, mystical or metaphysical effects. Undoubtedly, understanding and measuring these creates serious methodological challenges. The BBC has a current series BBC Choral History that explores the ancient and remarkable effects of singing.
Repeatedly we find that it’s process and not outcome that confers the benefits people commonly report. There are obviously many topics, research, and issues to discuss following this meeting and future posts will continue this thread.
Rebecca Gordon-Nesbitt drafted the recent Creative Health report and in 2014 published Exploring the Longitudinal Relationship Between Arts Engagement and Health. This document reviews data from the Nordic countries following their long-term collection of indicators of engaging with the arts, and health outcomes.
Australian researchers this year examined the ‘dose-response’ effects of the arts and report evidence of an arts-mental health relationship among 700 people, a very healthy sample size. Those who engaged in 100 or more hours/year of arts engagement (i.e. two or more hours/week) reported significantly better mental well-being than other levels of engagement.
The three key messages from Creative Health report are that the arts can:
Help keep us well, aid recovery, and support longer lives better lived
Help meet major challenges facing health and social care
Save money in the health service and social care
- Marmot Review: Fair Society, Healthy Lives (2010) Review of health inequalities
- The Role of Culture in Preventing and Reducing Poverty and Social Exclusion (2005) European Commission
- Five Ways to Wellbeing report (UK)
- New Economic Foundation (2015) The Art of Commissioning: How….
- Exploring the Longitudinal Relationship Between Arts Engagement and Health (2015)
- The art of being mentally healthy: a study to quantify the relationship between recreational arts engagement and mental well-being in the general population (AU)
- White Paper from NEA (USA) : The Arts and Human Development: Framing a National Research Agenda for the Arts, Lifelong Learning, and Individual Wellbeing Evidence based claims – studies provided
- Daykin (2008) The impact of art, design and environment in mental healthcare: a systematic review of the literature
- Database: http://www.artshealthandwellbeing.org.uk/resources/research
- Royal Society for Public Health Arts Health Special Interest Group: https://www.rsph.org.uk/resources/special-interest-groups/arts-health-wellbeing.html
- Arts and Health South West: http://www.artsandhealthsouthwest.org.uk/page.aspx?p=2
- What Works Centre for Wellbeing + arts section
- Evaluation Guide Public Health Programs: A Self-Study Guide (USA)
- Evaluation Guide: Healthy Communities (Aus)
- Music for Health Research Centre: Anglia Ruskin (UK)
- Arts and Cultural Commissioning Toolkit
- Lephika La Phodiso, Arts Therapy Centre, Johannesburg Annual Report
- Guardian article: “It’s time to recognise the contribution the arts can make to health and wellbeing.”
- Guardian article: ‘I feel better for singing’: the choir tackling mental health stigma