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Id 176
Author Hacking, S.; Secker, J.; Spandler, H.; Kent, L.; Shenton, J.
Title Evaluating the impact of participatory art projects for people with mental health needs.
Reference
Hacking, S., Secker, J., Spandler, H., Kent, L., & Shenton, J. (2008). Evaluating the impact of participatory art projects for people with mental health needs. Health and Social Care in the Community, 16(6): 638–648.

Link to article https://doi.org/10.1111/j.1365-2524.2008.00789.x
Abstract Participatory art projects for people with mental health needs typically claim outcomes such as improvements in confidence, self‐esteem, social participation and mental health. However, such claims have rarely been subjected to robust outcome research. This paper reports outcomes from a survey of 44 female and 18 male new art project participants attending 22 art projects in England, carried out as part of a national evaluation. Outcomes were quantified through self‐completed questionnaires on first entry to the project, during January to March of 2006, and 6 months later. The questionnaires included three measures: empowerment, mental health Clinical Outcomes in Routine Evaluation (CORE) and social inclusion. Paired t‐tests were used to compare overall change, and mixed model repeated measures analysis of variance to compare subgroups, including age, gender, educational level, mental health and level of participation. Results showed significant improvements in empowerment (P = 0.01), mental health (P = 0.03) and social inclusion (P = 0.01). Participants with higher CORE scores, no new stress in their lives and positive impressions of the impact of arts on their life benefited most over all three measures. Positive impressions of the impact of arts were significantly associated with improvement on all three measures, but the largest effect was for empowerment (P = 0.002) rather than mental health or social inclusion. This study suggests that arts participation positively benefits people with mental health difficulties. Arts participation increased levels of empowerment and had potential to impact on mental health and social inclusion.


Results:

Candidate transition variables
The most common expected outcome, considered primary, was increased self-esteem and confidence. .
This study suggests that arts participation positively benefits people with mental health difficulties. .
There is a conviction in practice and policy that participation in community art projects will help people with mental health problems gain wider social networks, understand and deal with their mental health issues better and gain confidence and self-esteem. .
Participatory art projects for people with mental health needs typically claim outcomes such as improvements in confidence, selfesteem, social participation and mental health. .
Strong correlation between scores on the CORE and the empowerment measure may constitute a positive indication that art and mental health projects can benefit people with greater mental health needs as well as those with lower levels of need. .
To the extent to which improvements in empowerment and mental health can be attributed to arts participation, our results indicate that arts and mental health projects can benefit people with greater mental health needs as well as those with lower levels of need. .
Arts participation increased levels of empowerment and had potential to impact on mental health and social inclusion..
The majority of participants attributed perceived improvement to their arts participation. .
For instance, a question for the empowerment rating relating to selfworth: Has being involved in your art project helped you to feel you are a more worthwhile person? .
Conclusions for further research Finally, our results suggest that investment in further large-scale high-quality research is warranted to provide more conclusive evidence regarding the potential benefits of arts participation. .
In each case, there was an element of significant support for an arts participation effect from our analyses, suggesting that this merits further research, taking into account the methodological issues we have raised. .