Promoting and Enabling Healthy Choices:

Cultural & Behavior Change

The Place for Arts & Humanities

Reimbursement Reductions • Medicare • Medicaid • CommercialInvestment ReductionsReduced Giving

• Increasing uninsured population• Increasing diversity of patients• Increase in chronic care• Increase in critical care• Patient population aging

• Increase in patient expectations • Nursing shortage crisis• Exhausted and burnt out work force

Arts in Arts in HealthcareAn Overview

2004 Survey of U.S. Hospitals*

Over 2,500 hospitals now have arts programs

* conducted by JACHO, Society for the Arts in Healthcare and Americans for the Arts

Reasons Hospitals Invest in the Arts 96% to serve patients78.6% to create a healing environment78.2% to support patient mental and emotional recovery 56% to serve patient families 53% to help patients & families deal with serious illness51.9% to build community relations46.3% to be part of a patient’s physical recovery40.7% to serve hospital staff35.5% to communicate health information32.7% to attract positive press17.5% to attract new donors

Types of Artists Working in Care Units

82.2% Musicians

46.3% Performing 39.7% Visual artists

31.8% Dancers

11.4% Poets & Writers

77.6% Use arts therapists

67.4% Use professional artists

Use of the Arts to Support Hospital Staff

74.8% Music

69.6% Crafts

64.3% Visual Arts

38.5% Poetry/Writing

35.5% Movement

28.4% Performing Arts

Caring for the Caregivers

People Need Long Term Care Are

53% are over 65 44% are between 18 and 64 3% are under 18

The fastest growing segment is people over 65 and, within that, people over 85

70-80% of care is provided by informal caregivers

1 in 4 households is involved in long term care

Caregivers who experience mental or emotional strain

have a 63% higher risk of dying than non-caregivers

46-59% of informal caregivers are clinically depressed

* Older Women’s League, Family Caregiver Alliance

In our retreats for doctors, they often speak of the deep caring they felt they could not show to their patients or speak of to other physicians. Such behavior is considered unprofessional. Doctors are alone with these emotions and isolated from other physicians and caregivers because of them. In the workshops, this isolation and the ensuing loneliness becomes apparent. It is not unusual for a physician to speak about the death of a particular patient, sometimes a death that occurred many years ago, and to cry for the first time over it. At one retreat, when asked why he had not cried before, a physician responded, “Only another physician would understand my loss. And who would ever cry in front of another physician?” Shanti Norris, director Center for the Healing Arts

Events for Staff

DHMC Creative Writing Club

Duke University Medical CenterAnnual Staff Musical Performance

Duke Cultural Services Program Produces an annual performance featuring dancers, singers and actors representing nearly every hospital department

Lombardi Cancer Center, Georgetown Medical Center

At Lombardi, the Arts and Humanities Program conducts mask-making sessions for doctors and nurses

CAHRE University of Florida, GainesvilleDays of Renewal

Physician John Graham-Pole, MD, leads a “Laughter Workshop” for nurses

Music for Relaxation

Humanities & Medical Education

Cutting Out the Stone of Madness: Bruegel the Elder

Using the Arts to Help Medical Students Explore Issues of Doctoring

Images Showing How Dr. Sandra Bertman’s Students Envisioned a Cadaver Dissection Before Doing One

Communicating Health Information

San Diego Children’s Hospital Entrance

Westchester Children’s Hospital

Edmonton Nurses’ Station

Katie & Neal Teaching Health

Katie Teaching About Health

Fruit Heart Poster

Safe Play Poster

Health Heart Posters

Heart Posters, 2

Heart Parade, Gateshead

Heart Parade, Gateshead 2

“When you came here and said ‘We’re all going to make lanterns out of sticks and glue and walk down the streets with them’, well, I thought you were mad. I’d never have believed what I’ve seen tonight. Look, it’s Friday night and everyone’s eating brown bread and soup and enjoying it!” participant

“For at the core of this event as of much arts in health work is the nurturing of emotional intelligence and informal learning. The association of good times and positive self image with an ephemeral arts event and its processes is a potent one. …It’s a rite of transformation.

Four Projects

SAH - HRET - NAP

To develop a pilot project, with approximately 30 hospitals reflecting diversity in demographics and location, to measure the value of engaging healthcare staff in arts activities as a means of stimulating increased job satisfaction, greater sense of community, and self expression

SAH - Wye River

To create a pilot program to enhance end of life care by integrating the arts into hospice practices and using the arts as a means of creating a public dialogue about hospice as quality of life.

The goal is to increase in the use of hospice by minorities, augment patient and family satisfaction, and improve key outcomes such as sense of dignity, control and self-determination. It is also posited that activity incorporating the arts into day-to-day care will increase caregiver sensitivity and awareness of individual, family and community (cultural) values at this critical time of patients’ lives.

SAH - Wye River

To develop a pilot project, using the arts and humanities to reduce the risk factors that lead to Adult Onset Type II diabetes in children by educating elementary and middle school children, as well as their parents, guardians and members of the school staff, of the benefits of a healthy lifestyle and stimulating them to adopt and incorporate behaviors that lead to enhanced health.

SAH - Wye River

(a) To use the arts and humanities to change stereotypes about aging by medical students as a means of increasing their desire to work in elder care

(b) To use the arts and humanities to reduce the use of the ER as the gateway to hospital care by the uninsured.