Cultural Value and Social Capital Investigating social capital, health and wellbeing

impacts in three coastal towns undergoing culture-led regeneration

Trish Vella-Burrows, Nick Ewbank, Stephanie Mills, Matt Shipton, Stephen Clift and Fred Gray.

Margate, Bexhill and Folkestone

Stewart Drew and Sally Ann Lycett

Victoria Pomery and Karen Eslea Alastair Upton

Reflective individuals?

Engaged citizens?

Urban regeneration ?

Community dynamics?

Improvements to health and wellbeing?

What have the arts ever done for us?

What we know?

Cultural activity

Social capital

Healthy citizens

Civic pride

Healthy communities

Economic vibrancy

Health and wellbeing

‘Health is created and lived by people within the settings of their everyday life; where they learn, work, play and live’.

WHO ‘Health for All’ (1981)

Research questions

What can we measure of culture’s impact on people’s health and wellbeing in three coastal towns undergoing culture-led regeneration?

Can social capital theory and social network analysis help to provide evidence of the impact of the three cultural organisations on the health and wellbeing of their respective communities?

What can the Sidney De Haan Research Centre and the three cultural organisations learn from each other’s evaluation and research approaches?

A mixed-method, participatory action research design:

Design Council’s Double Diamond DOTT (Designs of the Time) process model

Questionnaires

Mind maps Vox popsInterviews

Focus group discussions

Findings • Cultural engagement impacts positively on social capital

and health and wellbeing• Should social capital theory feed into practice as a primary

influence on programming? • Why centralise health and wellbeing as a driver for cultural

offer if positive affect is implicit anyway? • Active experiences win over receptive experiences – or do

they? • Cultural engagement has no relationship to health and

wellbeing models – or does it?

• Attendance is dependant on macro, meso and micro phenomenon

• Funders drive evaluation; business model determines economic-centred outputs

Hidden value?

“I don’t think arts and cultural organisations are able to define the impact they are able to make.

They don’t trace it and make it visible. It drives me mad! They change somebody’s life and they don’t even realise!”

(Des Crilley, Chair, Kent County Council Strategic Group for Arts in Kent)

Thank you for listening

Link to report: http://www.nickewbank.co.uk/downloads/Cultural-value-report.pdf

Cultural industry’s perspective Museums of Prescription

‘The arts and cultural activities can have a positive impact on the symptoms of conditions, for example improved cognition, physical stability, or self-esteem, and the ability of people to manage them, for example through changes in behaviour and increased social contact’ (ACE, 2014)

‘Action on the social determinants of health should be a core part of health professionals’ business, as it improves clinical outcomes, and saves money and time in the longer term’ (Marmot 2 0 13 )

Prescription for Music

Music and Arts Pathways for Dementia (MAPS4Dementia)

Public/primary health perspective

Music and Arts for Dementia (MAPS4Dementia) Integrated Dementia Care Pathways, Kent & Medway Public Health Observatory

Scenarios Intervention goal Specialist music activity/intervention

Step one: Pre-help seeking stage

Dementia awareness; early identification

Public music-related dementia awareness programmes in partnership with multiple agencies Supported befrienders to enable people to continue to engage in existing music activities

Step two: Professional advice sought/not sought

Assessment and diagnosis

Music-based assessment tool to include standard domains (language, visuospatial, fluency, memory attention) and an individual’s sense of desire, hope, belief and knowing over time Music-based assessment tool to assess carer health

Step three: Assessment Early intervention; treatment, including drugs memory services and cognitive stimulation therapy (CST)

Specialist music-centred interventions that reflect CST outcome goals delivered in community settings with community integration. ‘Music for Dementia’ peer advocacy groups Information for dementia care health professionals on the research evidence and local music services

Step four: Help accepted/not accepted

Living well with dementia; person with dementia and carer has access to a range of person-centred integrated care services

Access to on-going, innovative, quality controlled music-based activities and interventions that: are driven by research evidence and feedback from participants are nationally delivered in community settings have local intergenerational, community input address the physical, mental and social needs of carers and people with dementia as

their condition changes

Step five: Deterioration; carer-burden; service response

Step six : Potential alternative living arrangements; anxiety/depression

Step seven: Intensive care needed; complex physical, mental and social needs

Step eight: End of Life

Equitable access to end of life care

Access to specialist therapeutic music interventions and music therapy

Person

Culture

Activities

Meaning Well/ill-being

Adapted from Sixsmith, A and Gibson, (2007) Music & the wellbeing of people with dementia. Ageing & Society 27:127-45

Social networks

Formal support networks

Physical environment

Model of well-being through activity