equity, diversity and access to performing arts

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Managing Social Inclusion in New Frontiers of Healthcare Sandra Kirkwood B. Occ.Thy, B.Music, M.Phil. Music Health Australia EQUITY, DIVERSITY AND ACCESS TO PERFORMING ARTS

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This presentation was delivered by Sandra Kirkwood, Occupational Therapist, on October 22, 2011, at the Australian Society for Performing Arts Healthcare Conference, which was held at Sydney University.

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Page 2: Equity, diversity and access to performing arts

“Health encompasses the social, emotional, spiritual and cultural well-being of the whole community"

National Aboriginal Health Strategy (2002)

Page 3: Equity, diversity and access to performing arts

Social Ecology of Performing Arts

Personal Professional Political

Page 4: Equity, diversity and access to performing arts

RIGHT OF PARTICIPATION & HEALTH

• “Everyone has the right freely to participate in the cultural life of the community, to enjoy the arts and to share in scientific advancement and its benefits.” Article 27, Universal Declaration of Human Rights (1948).

• "the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being...” WHO Constitution

• Australian Human Rights Framework 2010• The Australian Charter of Health Rights 2008

Page 5: Equity, diversity and access to performing arts

Personal ethnographies:• What are activity limitations?• What are barriers? • Experiences of discrimination• Restrictions to participation?• Access to services?• Health literacy – access to information,

technology, and resources in suitable formats

Personal Perceptions

Page 6: Equity, diversity and access to performing arts

Do you believe that PWD are given equal opportunities in P. Arts?

• Not given equal access to performance spaces (physical access, and Braille scripts)

• Parts for PWD are given to able-bodied people• Not much discrimination in writing music,

designing sets and scenery, or editing visual recordings, and backstage stuff.

• Not many plays written for deaf. They could be translated. A lot of disabilities are not seen.

• They go for looks. Not many opportunities in mainstream. But there are groups for PWD.

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Professional

• Mapping current demographics• Understanding state-of-the-art ethics• Auditing and critical reflection on practice• Building capacity of services to address need • Training in legislation/conventions• Policy of continuous quality improvement• Charters with social inclusion, diversity ideals• Comprehensiveness of evidence-based practice

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Professional

Professional Code of Ethics:• “Occupational therapists shall not discriminate

in their professional practice, on the basis of ethnicity, culture, impairment, language, age, gender, sexual preference, religion, political beliefs or status in society”

(OT Australia, 2001, p. 4).World Federation of Occupational Therapists,

2006 Position Statement on Human Rights.

Page 9: Equity, diversity and access to performing arts

Burden (DALYs) by broad cause Queensland Health, 2006

Percentage

Cancers 19%Cardio-Vascular 16%Mental 14%Nervous12%Chronic respiratory 7%Diabetes 7%Unintentional injuries 5% Musculoskeletal 4%

Page 10: Equity, diversity and access to performing arts

Social Determinants of Health

• Rural and remote – Geographic distribution• Cultural diversity – Social inclusion• Poverty – Equity in health service provision• Environmental deprivation – Access education• Promoting healthy lifestyles to reduce chronic

disease• Target minority groups - employment• Status of women

Page 11: Equity, diversity and access to performing arts

Political

Page 12: Equity, diversity and access to performing arts

Analysis - Political(a) What are characteristics of the

conflict/cooperation situation? (b) Who are the actors (occupational beings)? (c) How do actors conduct themselves? What are

their aims, interests and motives? (d) What are their means? (e) What does the political landscape look like? (f) And what is the broader context wherein

conflict and cooperation manifest themselves? Kronenberg & Pollard (2006) OT without borders

Page 13: Equity, diversity and access to performing arts

MULTI-SECTORIAL STUDY

INTERNATIONAL NATIONAL HIGHER EDUCATION

WORKPLACE RELATIONS

PERFORMING ARTS

HEALTHCARE

HERITAGE & CULTURE

Page 14: Equity, diversity and access to performing arts

What do we think we might find?

Performing ArtsHealthcare

Page 15: Equity, diversity and access to performing arts

Performing Arts sex comparison

Sound re

cord

ing studios

Music &

thea

tre pro

duct'n

Record

ed m

edia

manu/p

ub

Film &

video

producti

on

Employm

ent a

cross

state

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

FemalesMales

Page 16: Equity, diversity and access to performing arts

Performing Arts–Age distribution

15-24 25-34 35-44 45-54 55-64 65 plus0

5

10

15

20

25

30

35

Film/video prod'nMusic/theatre prodSound record'g studios

Page 17: Equity, diversity and access to performing arts

LITERATURE REVIEW

• Saxon (1987) noted poverty as an issue that could impact on performing artists’ access to private medical insurance

• Hamilton (1994) investigated the impact of occupational stress in ballet across different cultural backgrounds

• Brodsky’s (1995) USA study of “Blues Musicians’ Access to Health care.”

• Lubet (2002) Disability Studies and Performing Arts Medicine; and Brandfonbrener editorial.

Page 18: Equity, diversity and access to performing arts

• Ralph Manchester, MD from New York (2006), editorial: “Diversity in Performing Arts Medicine.”

• John Hadok (2008) The few hardy souls who are scattered through the nonmetropolitan regions and the interior suffer isolation and a form of cultural famine. We are faced with considerable challenges -- the geographical difficulties interplaying with the social, cultural and professional fabric — that must be addressed… artists living and working in rural and remote places and those who tour there have no access to health care that takes especial cognizance of their art and health together.

LITERATURE REVIEW

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RESEARCH METHODS

• Literature & Website Review• Telephone interviews, e-mail inquiry• Collating findings into database• Field observations (work, study, recreation)• Demographic Analysis, mapping services• Prevalence of health conditions – certain groups.

Reports from consumers.• Thematic Analysis: clustering of issues• Reflection on Practice: Community of Inquiry

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RESEARCH AIM & OBJECTIVES

To explore and inform performing arts and health professionals about the latest access, equity and diversity initiatives.

Key Research Question:“How do we ensure equitable participation in

the performing arts for all citizens?”To improve access and build capacity of services To facilitate continuous quality improvement

Page 21: Equity, diversity and access to performing arts

RECOMMENDATIONS

• A self-audit tool for performing arts is needed• A National Database of Equity and Diversity

support services for performing arts is needed• Details of key contacts and resources• Multi-dimensional strategic planning is

needed around how to manage equity, diversity, unmet needs and gaps in services.

• Working party to prioritise initiatives.• Implement & review – Findings accessible.

Page 22: Equity, diversity and access to performing arts

2011 Conference

Sandra Kirkwood presented this paper at the Australian Society for Performing Arts Health Care Conference at Sydney University on 20 October, 2011.

Music Health Australia is a network of people interested in Music Health, and also an organisation that provides Occupational Therapy and Music services.

www.musichealth.com.au