Music without Music without BordersBorders

Bridges with Bridges with CommunitiesCommunities

Sandra KirkwoodSandra Kirkwood

Not so long agoNot so long ago We used to work 1:1 We used to work 1:1

with individualswith individuals Governments funded Governments funded

rehabilitation clinicsrehabilitation clinics To teach skillsTo teach skills Psycho-social Psycho-social

developmentdevelopment Return to workReturn to work Curative approachCurative approach

Not so long ago…Not so long ago…

What has What has changedchanged?? The demography of people in need The demography of people in need

(rising proportion of aged and people (rising proportion of aged and people with a disability).with a disability).

Recognition of the importance of Recognition of the importance of cultural issues and social health.cultural issues and social health.

Rise in unmet need - esp. rural areasRise in unmet need - esp. rural areas Limited capacity for outreach. Limited capacity for outreach. ‘‘Health for all’ principle. Everyone is Health for all’ principle. Everyone is

responsible for health.responsible for health.

Right to Right to participationparticipation in cultural life in cultural life The The National Aboriginal Health National Aboriginal Health

StrategyStrategy states that "health states that "health encompasses the social, emotional, encompasses the social, emotional, spiritual and cultural well-being of the spiritual and cultural well-being of the whole community." whole community."

"Everyone has the right freely to "Everyone has the right freely to participate in the cultural life of the participate in the cultural life of the community, to enjoy the arts and to community, to enjoy the arts and to share in scientific advancement and share in scientific advancement and its benefits" its benefits" (Article 27, (Article 27, Universal Declaration Universal Declaration

of Human Rightsof Human Rights, United Nations, 1948)., United Nations, 1948).

Primary Health CarePrimary Health Care Convention ConventionUN/WHO Declaration of Alma Ata, 1978:UN/WHO Declaration of Alma Ata, 1978:Health is a state of complete physical, mental and Health is a state of complete physical, mental and

social well-being and is a fundamental human social well-being and is a fundamental human right. Attaining the highest possible level of right. Attaining the highest possible level of health is a worldwide social goal that requires the health is a worldwide social goal that requires the action of many sectors.action of many sectors.

The existing gross inequality in people’s health The existing gross inequality in people’s health status is unacceptable and is of common concern status is unacceptable and is of common concern to all countries and people.to all countries and people.

Economic and social development is essential to Economic and social development is essential to attaining “Health for All,” and health is essential attaining “Health for All,” and health is essential to sustained development and world peace.to sustained development and world peace.

People have a right to participate in planning and People have a right to participate in planning and implementing health care…bringing health as implementing health care…bringing health as close as possible to where people live and work…close as possible to where people live and work…

Health promotionHealth promotion conventions conventions

6th Global Conference on Health Promotion: Bangkok 20056th Global Conference on Health Promotion: Bangkok 2005

5th Global Conference on Health Promotion: Mexico 20005th Global Conference on Health Promotion: Mexico 2000

4th Global Conference on Health Promotion: Jakarta 19974th Global Conference on Health Promotion: Jakarta 1997

3rd Global Conference on Health Promotion: Sundsvall 19913rd Global Conference on Health Promotion: Sundsvall 1991

2nd Global Conference on Health Promotion: Adelaide 19882nd Global Conference on Health Promotion: Adelaide 1988

1st Global Conference on Health Promotion: Ottawa 19861st Global Conference on Health Promotion: Ottawa 1986

How to address How to address inequities?inequities?

GROWING LEVELS OF GROWING LEVELS OF HEALTH INEQUITY HEALTH INEQUITY BOTH WITHIN AND BOTH WITHIN AND AMONG COUNTRIESAMONG COUNTRIES

CAN SOCIAL HEALTH CAN SOCIAL HEALTH ISSUES BE ISSUES BE ADDRESSED ADDRESSED THROUGH THROUGH COMMUNITY-BASED COMMUNITY-BASED REHABILITATION?REHABILITATION?

POVERTYPOVERTY VIOLENCEVIOLENCE CRIMECRIME DRUG MISUSEDRUG MISUSE INTER-GROUP INTER-GROUP

CONFLICTSCONFLICTS

Principles of Principles of Music without BordersMusic without Borders Support and enable people to bridge Support and enable people to bridge

gaps (socio-cultural, geographic, gaps (socio-cultural, geographic, economic, educational).economic, educational).

Focus: Social determinants of healthFocus: Social determinants of health Population-based programsPopulation-based programs Use of local community resourcesUse of local community resources Creative collaboration – music / artsCreative collaboration – music / arts Participatory action researchParticipatory action research Inter-generational ‘Aging in place’Inter-generational ‘Aging in place’

Can we build Can we build musicalmusical bridges?bridges?

DO WE HAVE THE INFRASTRUCTURE FOR COMMUNITY-BASED REHABILITATION THROUGH MUSIC?

SKILLED WORKERS? SUITABLE PLACES? COSTS? CAN WE BRIDGE THE

CULTURAL DIVIDE?

Need for understandingNeed for understanding

Reconciliation and healingReconciliation and healingThe Drumley’s Walk

ENVIRONMENT(Places of musical or sonic significance)

OCCUPATION(Musical roles)

Person-environment-occupation model Mary Law et al.,1996

Modified by Kirkwood, 2008

PERSON (communities)

LIFESPAN

Occupational Performance ModelOccupational Performance Model Australia. Chapparo & Ranka 1996Australia. Chapparo & Ranka 1996

Personalfactors

Intra-personalrelationships

Community context

Society

Media & Policy

Kirkwood, 2008

Model of Model of social-ecological supportsocial-ecological support

Socio-Socio-EnvironmentalEnvironmental Model Model

HistoryTime and

Development

Cultural Context

Intrapersonalrelationships,

politics.

Social attitudes,

beliefs, and policy.

PhysicalEnvironment

Personal Factors

& Quality of Life

Kirkwood, 2008.

Music Occupation: Music Occupation: EthnomusickingEthnomusicking Accessible, active performanceAccessible, active performance Ethnomusicking: helping people to engage Ethnomusicking: helping people to engage

with music heritage and culture.with music heritage and culture. Musical contexts that are meaningful to Musical contexts that are meaningful to

people’s lives, emotions, values and people’s lives, emotions, values and beliefs, places of cultural, social, political beliefs, places of cultural, social, political significance. significance.

Supporting and enabling musical roles of Supporting and enabling musical roles of people’s choice. people’s choice.

Empowering people to have a voice: tell Empowering people to have a voice: tell life stories, musical expression.life stories, musical expression.

Social artistry, shared leadership.Social artistry, shared leadership.

Negotiating Negotiating LOCALLOCAL meta narratives meta narratives

Purga Music Story and Harold BlairPurga Music Story and Harold Blair Meet at Purga Music Museum.Meet at Purga Music Museum.

Turn of the Century: Ipswich Thistle Pipe Turn of the Century: Ipswich Thistle Pipe Band 1909-2009Band 1909-2009

Meet at Q150 Ipswich Highland Gathering, Meet at Q150 Ipswich Highland Gathering, State Pipe and Drum Band Championships. State Pipe and Drum Band Championships. Band hall.Band hall.

Dialogue through media: newspaper, Dialogue through media: newspaper, radio, books, web, music performance.radio, books, web, music performance.

Developing Developing Music Action plansMusic Action plans

Mapping existing music services and Mapping existing music services and events. Participating and observing.events. Participating and observing.

Researching music heritage & cultureResearching music heritage & culture Focus groups and consultation.Focus groups and consultation. Brainstorming aspirations for futureBrainstorming aspirations for future Developing community-based music Developing community-based music

action plans with stakeholdersaction plans with stakeholders Participatory placed-based planning Participatory placed-based planning

and inter-professional collaboration.and inter-professional collaboration.

Promoting: Promoting: ServicesServices Community musicCommunity music Health PromotionHealth Promotion Music Performance/Music Occupation Music Performance/Music Occupation Education and workshopsEducation and workshops Singing for good healthSinging for good health Ecology and SocietyEcology and Society Music Heritage and cultureMusic Heritage and culture

Networking: Networking: BuildingBuilding bridgesbridges Music Health e-mail groupMusic Health e-mail group Community-based musicCommunity-based music Collective of service providersCollective of service providers Marketing consortiumMarketing consortium Collegiate networkCollegiate network Advisory panel and consumer reviewAdvisory panel and consumer review

Membership forms Membership forms availableavailable

www.musichealth.com.auwww.musichealth.com.au

Invitation: Invitation: Please sign up todayPlease sign up today