Playing the field

LARA-ELLEN DOSE

The grey area where the arts and health sectors collide forms a field of practice, Arts in Health. The National Network for the Arts in Health (NNAH) sees across the field as a whole, and its director, Lara Dose, highlights its four main areas of work.
Arts in Healthcare settings swims in a fantastic sea of opportunity. The Department of Health is engaged in its largest-ever building and refurbishment initiative for both primary care, through its LIFT scheme, and acute care, through the PFI programme. The importance of incorporating the arts at the design stage into the fabric of the building and the ethos of the organisation has consistently been emphasised. The message is getting across - as evidenced by several trusts allocating 1% of the capital budget to the arts, and the editor of the BMJ calling for 0.5% of the Department of Health budget to be spent on the arts. More than pictures on walls, the Arts in Healthcare settings are creating healing environments through the use of music, dance, drama, poetry - indeed NNAH members embody over 30 different art forms.

Beyond the importance of improving healthcare facilities, the arts have also been used as part of the consultation process for PFI bidders. Healthcare arts programmes play an essential role in building trust between healthcare buildings and the communities they serve. The arts communicate.

In the Community Arts in Health sector there is similar cause for enthusiasm. The value of arts in health issues is on Local Government agendas - the requirement to write cultural strategies helped raise awareness of the powerful role community Arts in Health projects can play in achieving social, as well as health targets.

Local Authorities and Health Authorities are recognising that community Arts in Health projects impact directly and indirectly on the lives of local citizens and their communities in many ways including health promotion, health education and social inclusion issues. Local Government has come to realise that community arts in health projects do not just make people feel better about themselves. They tackle serious issues such as prostitution, heart disease, breast cancer, teen pregnancy, sexual health and relations between differing ethnic communities. The arts can communicate better the messages Local Authorities and Health Authorities have been trying to share through leaflets and brochures, and seemingly have a longer-lasting impact.

The Medical Humanities are an interdisciplinary approach to education, healthcare and research. This work broadens the education of health professionals and their practise of medicine. Through the Medical Humanities, medical practitioners and patients alike expand their understanding of health and illness.

The Centre for Arts and Humanities in Health and Medicine at Durham University, The Medical Humanities Unit at University College London and the launch of the Association of Medical Humanities all work to support this growing area of work.

The National Network for the Arts in Health tentatively includes Arts Therapies in its overview of the field, as Art Therapy is a field itself, requiring a post-graduate degree for practice. The debate surrounding the therapeutic benefits of the arts and the arts as therapy has been voiced for years; however, at present the debate is turning to dialogue. The focus is now on how Arts in Health and Arts Therapies complement one another rather than differ. As a result, many Arts Therapists have chosen to join the National Network for the Arts in Health.

The Arts in Health field is broad and deep and the work continues to grow, change, mature and develop. As it does, the National Network for the Arts in Health will continue to evolve to serve its needs and inform its practice.

Contact: Lara Dose, NNAH, Tel: 0207 2611317,
e-mail: info@nnah.org.uk
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