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Storytelling using Aesop’s Fables at Southwark Day Centre for Asylum Seekers
facilitated by Dr Maurice Lipsedge, Emeritus consultant psychiatrist
and Dr Rebecca McCutcheon, Theatre practioner
“As a psychiatrist I feel that traditional mental
health activities have only a limited role in these
circumstances. By contrast the Arts might help to
restore a sense of meaning, of joy and humour, of
pleasure and achievement in joint activities and
finding that we all share a common humanity
which helps to combat isolation and alienation”.
http://www.sdcas.org.uk/
Maslow’s Hierarchy
of Needs
The crow and the pitcher
Necessity is the mother of invention.
A member who has paraplegia
and relies on a wheelchair,
escaped across mountains
strapped to the back of a mule
travelling by night while the
smugglers sent his wheelchair
ahead by a conventional route.
The miser & the thief.
Is it worse to be a miser or a thief?
They all condemned the miser. Perhaps the
miser's motive is fear of having no money to
live on when he is old.
All except one member of the group said that
that would not excuse being a miser because
his children would look after him when he is
an old man.
A PTSD horticultural group to provide service users
with a safe place where they can engage in phase 1 trauma therapy
and learn skills to cope with post-traumatic stress disorder (PTSD),
complex PTSD and associated difficulties.
Dr Gemma Eke, Clinical Psychologist and Myriam Sarens, horticultural therapist
and art therapist, SLaM.
Before I cannot come out on my own, I’m very scared, I’m thinking someone is
following me. I don’t like lot of noise around- I’m like paranoid. Then when I’m
coming here first few weeks my son or daughter they have to come with me
then slowly a get confidence to come by myself,
I stand at bus stop by myself- this is big change for me.
(Female 52 –war trauma in Eastern Europe)
Plantation is good. Plant tiny seed and it grows like that. Unbelievable. How it
relaxes me this make me feel..... I can change my life or problem.
( Male 55, tortured in his country).
Drawing makes me feel happy and relaxed. I get stress out of me, on to paper. I am
creator on an adventure, like driving car for first time…..
Going to gallery is like visiting new country, like going to America.”
(Male service user, from Sri Lanka, finds it difficult to talk about traumatic
experiences, struggled to tolerate therapy)
Creative Families
a visual arts programme – early intervention to improve
mental wellbeing for parents and their children.
Creative Families at
South London Gallery
Photo credit Lawrence Bradby, Artist
Crossing Borders 2015 at the
Horniman Museum & Gardens
Publications by Domenico Sergi
Article for the Museum Association.
‘Museums’ work with Refugees: an overview
of UK practices’, (2013) Online Journal of
Museum Practice.
‘Critical Objects: Museums, Refugees and
Intercultural Dialogue’ in Migrating Heritage:
Experiences of Cultural Networks and Cultural
Dialogue in Europe edited by Perla Innocenti.
Farham: Ashgate,
Key words: refugees, integration and cross-
cultural dialogue.
Art Therapy
http://www.artrefugeuk.org/ http://flourish-foundation.org/
Art Therapy in Museums & Galleries
http://www.atmag.org/
https://www.madinamerica.com/2016/11/combi
ning-art-therapy-mindfulness-refugees/
Tree of
Life
https://www.youtube.com/watch?v=e
p9H4xL7lPo
THE TREE OF LIFE
Dr Julie Fraser, Maggie Hayes and Ursula Joy.
https://vimeo.com/channels/178310/30505159
Tree of life film links
Narrative Therapy Life is multi-storied
’
The Origins of Tree of Life
The Tree of Life
Roots
Ground
Trunk
Leaves
Fruits
Branches
Flowers
The Forest of Life
Refugees crossing
Tucked away in bus stops, on trains and at pedestrian crossings across UK cities and towns,
Bern O’Donoghue’s paper boat art project is challenging the use of derogatory language
and misinformation about refugees, migrants and immigrants
Any Questions
 Helen Shearn
 Head of Arts Strategy
 Specialist adviser, practioner & speaker on arts &
culture for social inclusion, recovery, mental health
& wellbeing
 helen.shearn@slam.nhs.uk
 helenshearnarts@gmail.com
 Twitter: @thesearts

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Examples of arts & culture with asylum seekers & refugees

  • 1.
  • 2. Storytelling using Aesop’s Fables at Southwark Day Centre for Asylum Seekers facilitated by Dr Maurice Lipsedge, Emeritus consultant psychiatrist and Dr Rebecca McCutcheon, Theatre practioner “As a psychiatrist I feel that traditional mental health activities have only a limited role in these circumstances. By contrast the Arts might help to restore a sense of meaning, of joy and humour, of pleasure and achievement in joint activities and finding that we all share a common humanity which helps to combat isolation and alienation”. http://www.sdcas.org.uk/
  • 4. The crow and the pitcher Necessity is the mother of invention. A member who has paraplegia and relies on a wheelchair, escaped across mountains strapped to the back of a mule travelling by night while the smugglers sent his wheelchair ahead by a conventional route.
  • 5. The miser & the thief. Is it worse to be a miser or a thief? They all condemned the miser. Perhaps the miser's motive is fear of having no money to live on when he is old. All except one member of the group said that that would not excuse being a miser because his children would look after him when he is an old man.
  • 6. A PTSD horticultural group to provide service users with a safe place where they can engage in phase 1 trauma therapy and learn skills to cope with post-traumatic stress disorder (PTSD), complex PTSD and associated difficulties. Dr Gemma Eke, Clinical Psychologist and Myriam Sarens, horticultural therapist and art therapist, SLaM.
  • 7. Before I cannot come out on my own, I’m very scared, I’m thinking someone is following me. I don’t like lot of noise around- I’m like paranoid. Then when I’m coming here first few weeks my son or daughter they have to come with me then slowly a get confidence to come by myself, I stand at bus stop by myself- this is big change for me. (Female 52 –war trauma in Eastern Europe) Plantation is good. Plant tiny seed and it grows like that. Unbelievable. How it relaxes me this make me feel..... I can change my life or problem. ( Male 55, tortured in his country). Drawing makes me feel happy and relaxed. I get stress out of me, on to paper. I am creator on an adventure, like driving car for first time….. Going to gallery is like visiting new country, like going to America.” (Male service user, from Sri Lanka, finds it difficult to talk about traumatic experiences, struggled to tolerate therapy)
  • 8. Creative Families a visual arts programme – early intervention to improve mental wellbeing for parents and their children.
  • 9. Creative Families at South London Gallery Photo credit Lawrence Bradby, Artist
  • 10. Crossing Borders 2015 at the Horniman Museum & Gardens Publications by Domenico Sergi Article for the Museum Association. ‘Museums’ work with Refugees: an overview of UK practices’, (2013) Online Journal of Museum Practice. ‘Critical Objects: Museums, Refugees and Intercultural Dialogue’ in Migrating Heritage: Experiences of Cultural Networks and Cultural Dialogue in Europe edited by Perla Innocenti. Farham: Ashgate, Key words: refugees, integration and cross- cultural dialogue.
  • 11.
  • 12.
  • 14. Art Therapy in Museums & Galleries http://www.atmag.org/ https://www.madinamerica.com/2016/11/combi ning-art-therapy-mindfulness-refugees/
  • 16. THE TREE OF LIFE Dr Julie Fraser, Maggie Hayes and Ursula Joy.
  • 18. Narrative Therapy Life is multi-storied ’
  • 19. The Origins of Tree of Life
  • 20. The Tree of Life Roots Ground Trunk Leaves Fruits Branches Flowers
  • 22.
  • 23.
  • 24. Refugees crossing Tucked away in bus stops, on trains and at pedestrian crossings across UK cities and towns, Bern O’Donoghue’s paper boat art project is challenging the use of derogatory language and misinformation about refugees, migrants and immigrants
  • 25. Any Questions  Helen Shearn  Head of Arts Strategy  Specialist adviser, practioner & speaker on arts & culture for social inclusion, recovery, mental health & wellbeing  helen.shearn@slam.nhs.uk  helenshearnarts@gmail.com  Twitter: @thesearts

Notas del editor

  1. Maslow's hierarchy of needs is a theory in psychology proposed by Abraham Maslow in his 1943 paper "A Theory of Human Motivation" in Psychological Review. Maslow subsequently extended the idea to include his observations of humans' innate curiosity. M`aurice Lipsedge has been running a Story telling group at Southwark Day Centre for asylum seekers (SDCAS) for some time. The inspiration for this group came from a number of ideas and experiences which I have had when working with refugees in this country for the past 50 years. It goes without saying that their primary needs are shelter, food, clothing, medical care, safety, access to schools for their children, legal advice and English lessons. Once these basic needs in Maslow's hierarchy are met, we have to consider the provision of worthwhile activities for people who do not have the right to work and who have lost almost everything that is meaningful in their lives.
  2. The Miser A MISER sold all that he had and bought a lump of gold, which he buried in a hole in the ground by the side of an old wall and went to look at daily. One of his workmen observed his frequent visits to the spot and decided to watch his movements. He soon discovered the secret of the hidden treasure, and digging down, came to the lump of gold, and stole it. The Miser, on his next visit, found the hole empty and began to tear his hair and to make loud lamentations. A neighbor, seeing him overcome with grief and learning the cause, said, "Pray do not grieve so; but go and take a stone, and place it in the hole, and fancy that the gold is still lying there. It will do you quite the same service; for when the gold was there, you had it not, as you did not make the slightest use of it." The exception was a woman from Sri Lanka who tearfully described how the young people in her village had had to abandon their elderly relatives to escape both the Tamil Tigers and the government forces. The other members of the group who were from Iran and Afghanistan showed her a great deal of support.
  3. Horticultural project to facilitate recovery from trauma among traumatised refugees and asylum seekers based at Vauxhall City Farm. Reduce social isolation, depression anxiety and help service users to build trust in a non-clinical environment to promote recovery from PTSD. To encourage self-care, community connectedness and promote wellbeing. The project is a horticultural therapy group run at Vauxhall City Farm in with service users from SLAM NHS, for service users with Post Traumatic Stress. Many service users are asylum seekers and refugees who are survivors of human rights abuses, who have experienced war, may have Some have been soldiers, many have been tortured in their country of origin or experienced human trafficking. Some service users are born in the UK and have complex PTSD due to severe and repeated childhood sexual abuse. The therapy approach is in line with the International Society for Traumatic Stress Studies (ITSS) guidelines - a phased based approach to trauma treatment phase 1, stabilisation, safety and symptom control, phase 2 reprocessing of trauma memories phase 3 reintegration and rehabilitation. We are funded by the Maudsley Charity. Service users are asylum seekers and refugees who are survivors of human rights abuses, having experienced torture in country of origin and human trafficking.   The project combines horticulture with psychological treatment for survivors of trauma. Growing vegetables, planting, watering and designing the garden are integral elements within the project. The project aims to provide social support, social inclusion and community integration for some of the most marginalised people in society. The project runs over 2 days per week, during which we have use of a community garden including a hut and greenhouse as the community hub. On both days, service users are invited to share a healthy meal together, which often consists of food grown in the garden, such as leaves for salad or vegetables made into soup. The purpose of this to encourage a sense of community, healthy eating and self-care. We also encourage service users to take the produce they have grown home and also encourage them to grow their own food at home, even if it is on their balconies or window boxes. Through these activities people are able to build trust, reduce their isolation and depression and facilitate recovery from the most severe kinds of trauma. Reduce social isolation, depression anxiety and help service users to build trust in a non-clinical environment to promote recovery from PTSD. To encourage self-care, community connectedness and promote wellbeing. We have evidence from our service evaluation to suggest people do benefit in these areas. Please see our recent qualitative service evaluation abstract below which is in development. Abstract: This report describes a qualitative evaluation of a psycho-education and horticultural project based at a city farm in central London. Service users had a primary diagnosis of post-traumatic stress disorder (PTSD) and all were asylum seekers and refugees. Ten service users attended two focus groups and three gave individual feedback anonymously in a semi-structured interview format. Qualitative data were analysed using thematic analysis. Benefits identified were: 1) Impact on well-being, 2) Connection, 3) Pleasure, structure and purpose, 4) Horticulture and environment 5) Psycho-education, 6) Engagement, 7) Pathways to recovery. The theme main themes pertaining to negative comments or ways of improving the project were; 1) Environmental improvements 2) Need to expand or promote the service and need for other 3) Activities or resources. Benefits went some way to highlight the mechanisms by which this project may help service users and support the continuation and development of the project. Methodological issues include lack of data from those who did not engage and potential difficulties in accessing negative feedback. Future recommendations include further development of the service including improving the environment, promoting the service to others and continued monitoring of meaningful service user outcomes. Dr Gemma Eke Clinical Psychologist South London and Maudsley NHS 02032282969 Gemma.eke@slam.nhs.uk IPPT team Southwark, Maudsley Hospital, Denmark Hill, London.
  4. Creative work with current client group includes: Therapeutic creative expression: drawing, painting, 3D modelling Using creative multi sensory teaching methods Working with sensory impairment Tactile learning Accessing non verbal learning especially for those for whom English is not their first language   Creating grounding objects to use as ‘anchor to find safe place’ out of clay or modelling materials Visiting art galleries and establishing links with the community
  5. Museum Association. If you would like to quote it: Sergi, D. (2013) ‘Museums’ work with Refugees: an overview of UK practices’, Online Journal of Museum Practice.
  6. Art Refuge UK (who were working in Calais and posted great series of updates): http://www.artrefugeuk.org/ Also they had a clear pathway of programmes and interventions offered (under the Northern France section of website) depending on need and resource, informed by evidence, risk and ethics.
  7. Working in museums and galleries is a growing area of arts therapies practice and of course brings together community art with therapy when done well. There is a MAGSIG (museums & galleries special interest group) http://www.atmag.org/
  8. For over 2 years, a service user co-led workshop called the ‘Tree of Life ‘was running throughout South London and Maudsley (SLAM) adult acute in-patient service. A team of 10 facilitators from the local community, all with experience of using mental health services were trained to co-facilitate workshops and collaborate with psychologist Dr Julie Fraser and Assistant Psychologist Laura Williams to bring the Tree of Life to inpatient wards at Lambeth, Maudsley, Ladywell and Bethlem Royal hospital sites.
  9. Co-production and Therapeutic Relationships
  10. heritage, family, those who have taught you most in life, favourite food, music, childhood games, books The reference for the original work in Zimbabwe is Ncube-Milo, N. and Denborough, D. (2007) The Tree of Life Manual, REPPSI. www.repssi.org where they worked with children in refugee camps. REPSSI is a non-profit organisation working to lessen the devastating social and emotional (psychosocial) impact of poverty, conflict, HIV and AIDS among children and youth across East and Southern Africa.. Our Vision To promote an enabling environment for communities and families to nurture, protect and empower children and youth to enhance their psychosocial wellbeing. Our Mission REPSSI provides technical leadership in psychosocial support for children and youth. Where We Work We currently work in 13 countries in East and Southern Africa: Angola, Botswana, Kenya, Lesotho, Malawi, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe What touched or moved you or stood out for you in what you heard-identify the particular words and phrases that struck you as the person was speaking? What images came to mind about the person, as they were speaking? Describe why these images came to mind- what did they connect with that is important to you? What might you remember from this, what difference will remembering this make for you?
  11. At the Festival of Love at Southbank, London 2016 Good Chance theatre