south london & maudsley nhs foundation trust breakout session

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Commissioning arts programmes to support people dealing with mental health issues through our Arts Strategy. Helen Shearn, Head of Arts Strategy

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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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Page 1: South London & Maudsley NHS Foundation Trust Breakout session

           

Commissioning  arts  programmes  to  support  people  dealing    with  mental  health  issues  through  our  Arts  Strategy.    

Helen  Shearn,  Head  of  Arts  Strategy  

       

Page 2: South London & Maudsley NHS Foundation Trust Breakout session
Page 3: South London & Maudsley NHS Foundation Trust Breakout session

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  

Page 4: South London & Maudsley NHS Foundation Trust Breakout session

                     

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  

Page 5: South London & Maudsley NHS Foundation Trust Breakout session

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’

Page 6: South London & Maudsley NHS Foundation Trust Breakout session

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”

Page 7: South London & Maudsley NHS Foundation Trust Breakout session
Page 8: South London & Maudsley NHS Foundation Trust Breakout session

   

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.  

Page 9: South London & Maudsley NHS Foundation Trust Breakout session

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.

Page 10: South London & Maudsley NHS Foundation Trust Breakout session

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)    

 

 

Page 11: South London & Maudsley NHS Foundation Trust Breakout session

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)

How  the  arts  can  improve  Social  Inclusion  &  Recovery  

Page 12: South London & Maudsley NHS Foundation Trust Breakout session

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    

Page 13: South London & Maudsley NHS Foundation Trust Breakout session

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  

Page 14: South London & Maudsley NHS Foundation Trust Breakout session

Ar?sts:  Performing  experiences  and  liaising  with  services:    Laura  Jane  Dean  

Page 15: South London & Maudsley NHS Foundation Trust Breakout session

   

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  

Page 16: South London & Maudsley NHS Foundation Trust Breakout session

 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

Page 17: South London & Maudsley NHS Foundation Trust Breakout session