Towards the social prescription of the arts: 
The arts in health and 
social care in Malta

2021 ◽  
Vol 00 (00) ◽  
pp. 1-14
Author(s):  
Valerie Visanich ◽  
Toni Attard

Recently, the notion of arts as therapy has been of growing interest to sociologists. The aim of this article is to evaluate community-based arts funded projects in terms of their priorities and effectiveness and discuss possibilities for enabling Arts on Prescription schemes in Malta. Thematically, this article explores discourse on the potential of the arts on promoting well-being. Methodologically, this article draws on primary data collected from focus groups, interviews and an online survey with project leaders and artists of funded arts projects targeting mental health, disability or old age. Specifically, this research evaluates all national funded community-based arts projects in Malta between 2014 to 2018 under a national scheme of the President’s Award for Creativity fund, managed by the national Arts Council Malta. Analysis of this data was used to inform the new national cultural policy on the implantation of the Arts on Prescription scheme in Malta.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Daryl Mahon

Purpose This paper aims to set out a model of servant leadership that can be infused within a supervisory setting to mitigate employee burnout and negative stressful experiences in the health and social care sector. Design/methodology/approach A brief targeted review of the literature was undertaken to assess the prevalence of burnout in the health and social care sectors. The supervision literature was also explored. The outcomes associated with servant leadership were also distilled, focusing on employee well-being. Findings Research suggests that burnout and related concepts such as secondary trauma and compassion fatigue impact these professions disproportionately. At the same time, servant leadership is suggested to mitigate some of these factors. The author presents a conceptual model of servant leadership supervision consisting of an ideographic model of servant leadership, Servant Leadership Scale-28 (SLS-28), using the most recent meta-analysis defining this construct, and previously validated measures in the extant literature to inform its design. A Servant Leadership Supervision Scale (SLSS) is also presented aligning its use to several of the core characteristics of servant leadership practice. Research limitations/implications In doing so, the author proposes that this approach will help reduce burnout of health and social care sector employees. Limitations are considered in light of the conceptual paper and no primary data. Practical implications A model of servant leadership supervision that can be infused into health and social care supervision. Originality/value This is the first model of servant leadership supervision articulated for the health and social care sector.


2017 ◽  
Vol 25 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Stewart Greenwell ◽  
Daniel Antebi

Purpose The Social Services and Wellbeing (Wales) Act 2014 and the Well-being of Future Generations (Wales) Act 2015 provide a direction of travel for all public services in Wales and a framework for delivering the aspirations in the legislation. Although specifically referring to social care, both pieces of legislation are as relevant to the NHS as they are to other public bodies, providing an opportunity for NHS Wales and local government, in particular, to be equal partners in making a difference to the people and communities they serve. The paper aims to discuss these issues. Design/methodology/approach A viewpoint paper. Findings In Wales the time is right to do things differently in health and social care, so the authors will reflect on why current services are struggling and propose an approach that is rooted in communities rather than in specialities. The authors suggest developing a centre of gravity in the community through a multi-agency collaboration to achieve the greatest health, social care and economic impact. Originality/value Attention needs to be directed to supporting people, communities and frontline workers to become more resilient, rather than our current focus on specialist services.


2008 ◽  
Vol 22 (2) ◽  
pp. 88-96 ◽  
Author(s):  
Nigel Hartley

This article considers the place of the arts therapies within contemporary health and social care provision, from the perspective of a music therapist employed as a senior manager in an end-of-life healthcare institution. Using St. Christopher's Hospice, London, as a case study, the work of a large group of artists, made up of arts therapists, community artists and arts teachers, is profiled, with a particular focus on how they work together, how their work conflicts and overlaps, and the challenges and complexities that service users, members of a multi-professional team, managers and funders all face in understanding what each of the artists has to offer. The question “Is music therapy fit for purpose?” is directed at both the training institutions who educate arts therapies students and the professional bodies who support them and define their work. Their responsibility to understand and articulate the changing environment within which their students and members are expected to practise is placed central to the argument. It is suggested that if music therapy and other arts therapies are to be considered fit for purpose and thus survive the challenges currently facing the health and social care sectors, they may need to reconsider the content of what they teach and revisit their definitions of what arts therapists do.


2016 ◽  
Vol 24 (3) ◽  
pp. 139-149
Author(s):  
Natalie Davies ◽  
Wulf Livingston ◽  
Emyr Owen ◽  
Peter Huxley

Purpose – The purpose of this paper is to investigate health and social care integration in North Wales in a short window of time between the assent of the Social Services and Well-being (Wales) Act 2014 and its implementation in 2016. Design/methodology/approach – The findings are based on the experiences of health and social care professionals from six Local Authorities and one Regional Health Board working in a management role with strategic responsibility, gathered from an online survey (n=43), semi-structured face-to-face interviews (n=14) and supplemented with reflective interviews with regional coordinators responsible for facilitating cross-organisational working (n=2). Findings – Senior managers are devoting considerable energy to understanding the implications of the new legislation, ensuring that their organisations will be ready and able to successfully implement it. This work is perceived to be commensurate with wider agendas to transform and integrate working practices and services, influenced by a range of financial, environmental, organisational, social and policy factors. Originality/value – This research has direct implications for stakeholders in North Wales, having already been used to shape conversations about integration in the region, and furthermore builds upon existing knowledge in the academic and professional field of integration, with additional limited wider implications for policy and research.


2019 ◽  
Vol 15 (4) ◽  
pp. 29-32
Author(s):  
Thomas Walshaw

The arts offer a broad range of historically-documented benefits to mental, physical and social health. UK-based charity Paintings in Hospitals was a pioneer of the modern “arts in health” movement and has provided arts services to willing healthcare partners for 60 years. Despite a large and continually-growing body of clinical evidence supporting the health benefits of the arts, and a recent parliamentary report suggesting that the arts could alleviate structural and financial stresses on health and social care services, resistance to nationwide integration of the arts with healthcare remains. The majority of this resistance stems from misunderstanding and misinformation that must be properly addressed before the “arts in health” sector is able to fulfil its potential.


Author(s):  
Charles West

This chapter examines the impact of austerity policies on health, well-being and social care in the UK. In particular, it considers the health care provided by the National Health Service (NHS) and other health services, as well as the social care that is normally paid for, rather than the wider social support provided by family, friends, neighbours or colleagues. The discussion begins with an overview of the economic case for spending on health and social care, and more specifically the logic in pursuing spending policies that carry a high economic multiplier. The chapter then emphasises the duty of governments and those working in health care to achieve good value for the money spent, citing the case of the UK NHS. It also describes five principles underlying market competition in the context of health care before concluding with an analysis of social care services in the UK.


2016 ◽  
Vol 20 (4) ◽  
pp. 190-194 ◽  
Author(s):  
Paul Cann

Purpose The purpose of this paper is to relate the growing body of evidence about the impact of creative arts on the health and well-being of older people to the debate about active ageing, prevention and demographic change. Design/methodology/approach It draws on a range of researched examples in order to illustrate the impact of three different art forms – singing, dance and visual arts – on health and well-being. Findings The evidence exists in increasing volume and diversity that creative arts not only improve personal feelings of well-being but also key physiological measures. The arts are increasingly recognised as playing a major potential role in the delivery of health and social care interventions. Greater recognition and action are needed from policy makers, commissioners and care providers in health and social care that the arts are not a marginal and elitist avenue but a mainstream tool supporting older people to remain active, healthy and independent. Importantly, they represent a powerful source of motivation, agency and confidence. Social implications It argues that creative arts should become an integral and more prominent part of ageing policy. The evidence exists in increasing volume and diversity that creative arts not only improve personal feelings of well-being but also key physiological measures. The arts are increasingly recognised as playing a major potential role in the delivery of health and social care interventions. Greater recognition and action are needed from policy makers, commissioners and care providers in health and social care that the arts are not a marginal and elitist avenue but a mainstream tool supporting older people to remain active, healthy and independent. Importantly, they represent a powerful source of motivation, agency and confidence. Originality/value An important research challenge remains, namely to plot cause (arts intervention) and effect (reduced demand on health and care services), if the creative arts are to occupy a central place in commissioning investment at a time of acute financial stringency in the public sector.


2021 ◽  
Vol 11 (1) ◽  
pp. 1-2
Author(s):  
Caroline Dickson ◽  
◽  
Kate Sanders ◽  

When thinking about this editorial, we knew we wanted to say something about creativity. Working creatively is a valuable means of accessing embodied knowledge and new insights about ourselves, our practice and our workplace cultures that can be used to inform development and transformation. However, being new to writing editorials, we first decided to have a look back through the journal’s editorial archives and seek the wisdom of previous authors. In doing so, it was interesting to see that our first Academic Editor, Professor Jan Dewing, had written an editorial about being creative back in May 2012; we encourage you to have a look. Jan began: ‘Yet again I recently heard someone saying they weren’t a creative person... ’and this is something we both experience when working with others. Is this because the word creativity is perceived to refer to the arts – for example, crafting, painting, movement and music – rather than a broader understanding, as suggested by the dictionary definition below: ‘The ability to transcend traditional ideas, rules, patterns, relationships, or the like, and to create meaningful new ideas, forms, methods, interpretations, etc.; originality, progressiveness, or imagination ’(dictionary.com). Taking this more expansive perspective opens up the possibility for us all to perceive ourselves as inherently creative. It could be argued that this creativity has come to the fore as we have adapted to new ways of living and working during the Covid-19 pandemic. While this crisis has brought huge uncertainty and challenge right across the complex mix of health and social care services, what has been remarkable is the ability people have shown to change their ways of working, to seek solutions – and to do so at pace. We believe this reflects the creative nature of human beings/persons. Oliver (2009) argues that creativity is everywhere, as humans and the world are constantly engaged in a process of making. He contends that we should view creativity as ‘openness’, which is person-oriented (Massey and Munt, 2009). In this way, we create the possibility for participatory exploration of the social, cultural and embodied context, and for improvisation and transformation, by engaging in people’s ‘interests, curiosities and passions ’(Massey and Munt, 2009, p 305).


Author(s):  
Paul Burstow

This chapter examines the significance of Care Act 2014, a piece of legislation that modernises more than six decades of care and support law into a single, clear statute, which takes into account people's needs and what they want to achieve in their lives. Before discussing the main features of the Care Act, the chapter considers the Poor Law and how the Care Act breaks with the Poor Law principle of less eligibility, which persisted in National Assistance Act 1948. The National Assistance Act was the legal framework governing adult social care in England and Wales and replaced the Poor Law. The chapter also describes community-based approaches to social care, how well-being became the new organising principle for the Care Act, and the negative health and wealth impacts of caring. It concludes by analysing the debates about integrating health and social care in the UK.


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