ARTICLE - CANDIDATE TRANSITION VARIABLES

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Id 696
Author Thomson L.J., Morse N., Elsden E., Chatterjee H.J.
Title Art, nature and mental health: assessing the biopsychosocial effects of a ‘creative green prescription’ museum programme involving horticulture, artmaking and collections
Reference
Thomson L.J., Morse N., Elsden E., Chatterjee H.J.; Art, nature and mental health: assessing the biopsychosocial effects of a ‘creative green prescription’ museum programme involving horticulture, artmaking and collections ;Perspectives in Public Health vol:140 issue: 5.0 page:277

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085355604&doi=10.1177%2f1757913920910443&partnerID=40&md5=950cc736ef44b3c4f2cece7e200968a4
Abstract Aims: To assess the biopsychosocial effects of participation in a unique, combined arts- and nature-based museum intervention, involving engagement with horticulture, artmaking and museum collections, on adult mental health service users. Methods: Adult mental health service users (total n = 46 across two phases) with an average age of 53 were referred through social prescribing by community partners (mental health nurse and via a day centre for disadvantaged and vulnerable adults) to a 10-week ‘creative green prescription’ programme held in Whitworth Park and the Whitworth Art Gallery. The study used an exploratory sequential mixed methods design comprising two phases – Phase 1 (September to December 2016): qualitative research investigating the views of participants (n = 26) through semi-structured interviews and diaries and Phase 2 (February to April 2018): quantitative research informed by Phase 1 analysing psychological wellbeing data from participants (n = 20) who completed the UCL Museum Wellbeing Measure pre–post programme. Results: Inductive thematic analysis of Phase 1 interview data revealed increased feelings of wellbeing brought about by improved self-esteem, decreased social isolation and the formation of communities of practice. Statistical analysis of pre–post quantitative measures in Phase 2 found a highly significant increase in psychological wellbeing. Conclusion: Creative green prescription programmes, using a combination of arts- and nature-based activities, present distinct synergistic benefits that have the potential to make a significant impact on the psychosocial wellbeing of adult mental health service users. Museums with parks and gardens should consider integrating programmes of outdoor and indoor collections-inspired creative activities permitting combined engagement with nature, art and wellbeing. © Royal Society for Public Health 2020.


Results:

Candidate transition variables
I felt a sense of achievement very much so, selfesteem. .
Self-esteem Another key area related in interviews was the development of self-esteem through the programme. .
This shared understanding of each other played a key role in building a sense of community in the programme. .
There is also good evidence to show that creative engagement in museums supports health and wellbeing, quality of life, social inclusion and lifelong learning. .
The new learning gained from the programme, across both nature and arts topics, also contributed to a shared sense of community and individual self-esteem, thereby reducing feelings of isolation commonly reported by participants before the start of the project. .
Nature prescriptions can promote physical activity leading to positive health outcomes, while contact with nature can have an additional restorative effect on mental wellbeing. .
Self-esteem was derived through social interactions around group activities outdoors where participants would help and support one another in activities (e.g. helping someone to dig), as well as supporting each other through informal, social discussion around the activities, both giving participants a sense of purpose. .
Each of these interacted to form the collective experience of the intervention; the sense of community supported a decrease in social isolation while self-esteem was boosted through social interaction. .
At the same time, there is some indication that this unique combination of physical and creative activities, and the outdoor and indoor museum spaces, may allow for additional benefits, as participants were able to engage in individual and group pursuits. .
Positive engagement was enhanced by facilitators and museum staff who recognised that participants were more than just their diagnosis. .
Participants felt that the intervention gave them routine and structure with an opportunity to engage positively with others, which in turn decreased the sense of social isolation and was felt to support wellbeing and the potential of recovery. .
Another aspect of note from this study is the sharing of past and current experiences of mental health that appeared to enhance social ties. .
Conclusion: Creative green prescription programmes, using a combination of arts- and nature-based activities, present distinct synergistic benefits that have the potential to make a significant impact on the psychosocial wellbeing of adult mental health service users. .
Furthermore, the authors proposed that creative arts contribute to the health of the wider community, not just the individual. .
Self-esteem was also derived from the new learning and skills development about art and horticulture. .