Practitioner Review: effectiveness and mechanisms of change in participatory arts-based programmes for promoting youth mental health and well-being – a systematic review

Background: Participatory arts-based (PAB) programmes refer to a diverse range of community programmes involving active engagement in the creation process that appear helpful to several aspects of children's and young people's (CYP) mental health and well-being. This mixed-methods systematic review synthesises evidence relating to the effectiveness and mechanisms of change in PAB programmes for youth. Method: Studies were identified following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach. Eleven electronic databases were searched for studies of PAB programmes conducted with CYP (aged 4–25 years), which reported mental health and well-being effectiveness outcomes and/or mechanisms of change. A mixed-methods appraisal tool assessed study quality. A narrative synthesis was conducted of effectiveness and challenges in capturing this. Findings relating to reported mechanisms of change were integrated via a metasummary. Results: Twenty-two studies were included. Evidence of effectiveness from quantitative studies was limited by methodological issues. The metasummary identified mechanisms of change resonant with those proposed in talking therapies. Additionally, PAB programmes appear beneficial to CYP by fostering a therapeutic space characterised by subverting restrictive social rules, communitas that is not perceived as coercive, and inviting play and embodied understanding. Conclusions: There is good evidence that there are therapeutic processes in PAB programmes. There is a need for more transdisciplinary work to increase understanding of context–mechanism–outcome pathways, including the role played by different art stimuli and practices. Going forward, transdisciplinary teams are needed to quantify short- and long-term mental health and well-being outcomes and to investigate optimal programme durations in relation to population and need. Such teams would also be best placed to work on resolving inter-disciplinary methodological tensions

Perspectives on Musical Care Throughout the Life Course: Introducing the Musical Care International Network

Giorgos Tsiris - ORCID: 0000-0001-9421-412X https://orcid.org/0000-0001-9421-412XIn this paper we report on the inaugural meetings of the Musical Care International Network held online in 2022. The term “musical care” is defined by Spiro and Sanfilippo (2022) as “the role of music—music listening as well as music-making—in supporting any aspect of people's developmental or health needs” (pp. 2–3). Musical care takes varied forms in different cultural contexts and involves people from different disciplines and areas of expertise. Therefore, the Musical Care International Network takes an interdisciplinary and international approach and aims to better reflect the disciplinary, geographic, and cultural diversity relevant to musical care. Forty-two delegates participated in 5 inaugural meetings over 2 days, representing 24 countries and numerous disciplines and areas of practice. Based on the meetings, the aims of this paper are to (1) better understand the diverse practices, applications, contexts, and impacts of musical care around the globe and (2) introduce the Musical Care International Network. Transcriptions of the recordings, alongside notes taken by the hosts, were used to summarise the conversations. The discussions developed ideas in three areas: (a) musical care as context-dependent and social, (b) musical care's position within the broader research and practice context, and (c) debates about the impact of and evidence for musical care. We can conclude that musical care refers to context-dependent and social phenomena. The term musical care was seen as useful in talking across boundaries while not minimizing individual disciplinary and professional expertise. The use of the term was seen to help balance the importance and place of multiple disciplines, with a role to play in the development of a collective identity. This collective identity was seen as important in advocacy and in helping to shape policy. The paper closes with proposed future directions for the network and its emerging mission statement.https://doi.org/10.1177/205920432312005536aheadofprintaheadofprin

Work and Wellbeing among Arts Professionals in China during COVID-19 (August 2020 and October 2021)

This article explores the characteristics of arts professionals’ work and health during the COVID-19 pandemic in China and how these relate to measures of mental and social wellbeing. Findings from two separate samples of arts professionals (Phase 1: August 2020, N = 500; Phase 2: October 2021, N = 500) using the HEartS Professional: China survey suggest that approximately half of the respondents experienced financial hardship as a result of the pandemic (58%, phase 2), were more anxious (47%, phase 2), and lonelier (43%, phase 2) than before. In regression models, better self-rated health was associated with higher mental health and social connectedness scores and lower depression and loneliness scores in both phases. More physical activity during the last month was associated with higher mental health and social connectedness in at least one phase. While rates of anxiety and loneliness were lower than in an earlier HEartS Professional Survey in the United Kingdom, some associations in the regression models, such as for health and physical activity during the last month, were similar. Longitudinal and international research on work, wellbeing, and retention of arts professionals is important for public policy and understanding variability across social and cultural contexts and systems

Tussen Passie en Compassie: 18 verhalen van Professional Excellence in Meaningful Music in Healthcare

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