Promoting and Enabling Healthy Choices: Cultural

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Promoting and Enabling Healthy Choices
Cultural Behavior ChangeThe Place for Arts
Humanities
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Reimbursement Reductions Medicare Medicaid
CommercialInvestment ReductionsReduced Giving
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Increasing uninsured population Increasing
diversity of patients Increase in chronic
care Increase in critical care Patient
population aging Increase in patient
expectations Nursing shortage crisis
Exhausted and burnt out work force
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Arts in Arts in HealthcareAn Overview
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2004 Survey of U.S. Hospitals

• Over 2,500 hospitals now have arts programs
  conducted by JACHO, Society for the Arts in
  Healthcare and Americans for the Arts

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Reasons Hospitals Invest in the Arts 96 to
serve patients78.6 to create a healing
environment78.2 to support patient mental and
emotional recovery 56 to serve patient
families 53 to help patients families deal
with serious illness51.9 to build community
relations46.3 to be part of a patients
physical recovery40.7 to serve hospital
staff35.5 to communicate health
information32.7 to attract positive press17.5
to attract new donors
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Types of Artists Working in Care Units

• 82.2 Musicians
• 46.3 Performing
• 39.7 Visual artists
• 31.8 Dancers
• 11.4 Poets Writers
• 77.6 Use arts therapists
• 67.4 Use professional artists

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Use of the Arts to Support Hospital Staff

• 74.8 Music
• 69.6 Crafts
• 64.3 Visual Arts
• 38.5 Poetry/Writing
• 35.5 Movement
• 28.4 Performing Arts

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Caring for the Caregivers
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People Need Long Term Care Are

• 53 are over 65
• 44 are between 18 and 64
• 3 are under 18
• The fastest growing segment is people over 65
  and, within that, people over 85
• 70-80 of care is provided by informal
  caregivers
• 1 in 4 households is involved in long term
  care

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Caregivers who experience mental or emotional
strain have a 63 higher risk of dying than
non-caregivers46-59 of informal caregivers are
clinically depressed
Older Womens League, Family Caregiver Alliance
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In our retreats for doctors, they often speak of
the deep caring they felt they could not show to
their patients or speak of to other physicians.
Such behavior is considered unprofessional.
Doctors are alone with these emotions and
isolated from other physicians and caregivers
because of them. In the workshops, this
isolation and the ensuing loneliness becomes
apparent. It is not unusual for a physician to
speak about the death of a particular patient,
sometimes a death that occurred many years ago,
and to cry for the first time over it. At one
retreat, when asked why he had not cried before,
a physician responded, Only another physician
would understand my loss. And who would ever cry
in front of another physician?
Shanti Norris, director
Center for the Healing Arts
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Events for Staff
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DHMC Creative Writing Club
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Duke University Medical CenterAnnual Staff
Musical Performance

• Duke Cultural Services Program Produces an annual
  performance featuring dancers, singers and
  actors representing nearly every hospital
  department

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Lombardi Cancer Center, Georgetown Medical Center

• At Lombardi, the Arts and Humanities Program
  conducts mask-making sessions for doctors and
  nurses

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CAHRE University of Florida, GainesvilleDays of
Renewal

• Physician John Graham-Pole, MD, leads a
  Laughter Workshop for nurses

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Music for Relaxation
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Humanities Medical Education
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Cutting Out the Stone of Madness Bruegel the
Elder
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Using the Arts to Help Medical Students Explore
Issues of Doctoring

• Images Showing How Dr. Sandra Bertmans
  Students Envisioned a Cadaver Dissection Before
  Doing One

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Communicating Health Information
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San Diego Childrens Hospital Entrance
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Westchester Childrens Hospital
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Edmonton Nurses Station
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Katie Neal Teaching Health
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Katie Teaching About Health
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Fruit Heart Poster
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Safe Play Poster
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Health Heart Posters
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Heart Posters, 2
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Heart Parade, Gateshead
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Heart Parade, Gateshead 2
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When you came here and said Were all going to
make lanterns out of sticks and glue and walk
down the streets with them, well, I thought you
were mad. Id never have believed what Ive seen
tonight. Look, its Friday night and everyones
eating brown bread and soup and enjoying it!

participantFor at the
core of this event as of much arts in health work
is the nurturing of emotional intelligence and
informal learning. The association of good times
and positive self image with an ephemeral arts
event and its processes is a potent one. Its a
rite of transformation.
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Four Projects
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SAH - HRET - NAPTo develop a pilot project,
with approximately 30 hospitals reflecting
diversity in demographics and location, to
measure the value of engaging healthcare staff in
arts activities as a means of stimulating
increased job satisfaction, greater sense of
community, and self expression
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SAH - Wye RiverTo create a pilot program to
enhance end of life care by integrating the arts
into hospice practices and using the arts as a
means of creating a public dialogue about hospice
as quality of life.The goal is to increase in
the use of hospice by minorities, augment patient
and family satisfaction, and improve key outcomes
such as sense of dignity, control and
self-determination. It is also posited that
activity incorporating the arts into day-to-day
care will increase caregiver sensitivity and
awareness of individual, family and community
(cultural) values at this critical time of
patients lives.
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SAH - Wye RiverTo develop a pilot project,
using the arts and humanities to reduce the risk
factors that lead to Adult Onset Type II diabetes
in children by educating elementary and middle
school children, as well as their parents,
guardians and members of the school staff, of the
benefits of a healthy lifestyle and stimulating
them to adopt and incorporate behaviors that lead
to enhanced health.
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SAH - Wye River

1. To use the arts and humanities to change
   stereotypes about aging by medical students as a
   means of increasing their desire to work in elder
   care
2. To use the arts and humanities to reduce the use
   of the ER as the gateway to hospital care by the
   uninsured.