This document discusses the commissioning of arts programs to support mental health and outlines several themes from a service user consultation: therapeutic value, creativity, reducing stigma, access, finances, affirmation and relationships. It also describes several arts projects funded by the Maudsley Charity including drama workshops, exhibitions, and a multi-year program taking older adult inpatients and staff to museums.

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

3. 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

4. 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

5. 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’

6. 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”

8. 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.

9. 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.

10. 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)

11. How
the
arts
can
improve
Social
Inclusion
&
Recovery
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)

12. 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

13. 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

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

15. 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

16. 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