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“Here & Now” 2013/2014: The Older People’s Health & Well-being Arts Festival Funded by the Public Health Agency and supported by the Arts Council of Northern Ireland and the five Health and Social Care Trusts

Background Arts Care is Northern Ireland’s leading Arts in Health organization and has over a twenty-two year period with the support of a team of expert professional artists delivered comprehensive programmes of arts activities into Health and Social Care Trust areas and community health settings. One key area of delivery over that period has been into older people’s services and in particular older people living with ageing conditions such as Dementia and Parkinson’s Disease. In 2012/2013, Arts Care proposed and hosted for the Public Health Agency the “Here & Now” Older People’s Arts Festival pilot project aimed at older people who are living with the challenges of ageing and who are linked to health and social care either through Day Care, Residential Care or Supported Housing and older well people’s groups i.e. community groups 60 plus. Based on the positive outcomes and reported benefits on health and well-being of the Here & Now initial pilot project 2013/2014, Arts Care was awarded funding from the Public Health Agency to deliver three consecutive festivals between 2013 and 2016. The festival activity is province wide and involves all five Health and Social Care Trust areas and targeted community health and well-being groups. The festival focuses on enabling and creatively skill-building older people across the province and giving them through high quality arts engagement a creative voice. An integral element of the festival activity during 2012/2013 was also the creative skill-building of healthcare and community staff. Different Arts forms such as dance/drama/music/film-making/creative writing are all offered during the festival.

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This report relates to the Here & Now Arts Festival activity during 2013/2014 which has drawn and built on the critical learning, consultation with older people and positive outcomes secured during evaluation of the pilot project in the previous year. Aim of the Here & Now 2013/2014 Project To enhance the well-being and quality of life of Older People across N.Ireland through access to participation in a high quality arts activities across a variety of art forms such as dance, music, drama, art, film-making and photography

Key Objectives

• To offer older people a life-long learning opportunity to build new creative skills that they may not have accessed before and can be transferred into everyday activities

• Increase levels of social interaction amongst older people who may experience isolation due to older people’s diseases

• To enhance access and the right to high quality arts engagement for older people • To enhance levels of health and well-being through self expression • To increase levels of physical activity and fitness through dance • To enhance levels of self confidence • Increase levels of motivation • Enhance healthcare relationships between staff and older service users through

joint participation in arts activities • To evaluate the impact of a wide programme of arts delivery across older people’s

services in N. Ireland

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• To encourage partnerships with other older people’s agencies, schools and local community groups (foster intergenerational partnerships between schoolchildren and older people through shared participation in arts projects)

• To offer older people a creative voice through which to express the challenges and celebrations of older age

Arts Festival Project Design The Older People’s Festival was commissioned to provide a series of 250 coordinated, skill-building arts workshops over a twelve-week period, the equivalent of 125 days delivery from the beginning of January 2013-end March 2013 across all five Health and Social Care Trusts. The team of Arts Care Artists and Festival Coordinator travelled across the five Health and Social Care Trusts to the different health settings during January to March 2014 to facilitate the different art workshop sessions and produce the end of project performances/exhibitions. The art forms the older people took part in are as follows:

• Music composition & singing • Contemporary/Modern Dance • Visual Art • Drama • Film-making/Photography • Creative Writing

The Arts Care Team of Professional Artists The Arts Care artists’ team is a collective of highly experienced Arts in Health arts professionals with relevant arts and health expertise who facilitated a wide range of safe and meaningful workshops. A part-time project Coordinator and a part-time administrator were engaged specifically for the Festival to support Arts Care to deliver the large-scale project to the highest standards of best Arts in Health Practice. Attendance at a one-day induction course was mandatory for all artists who worked on the Here & Now festival. This induction was hosted within Arts Care’s premises.

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Healthcare Staff Induction The Project held a creative induction day for Public Health Agency area staff leads and designated healthcare staff from across all five Trust areas including the participating centres/groups. This induction day took place pre project at the Lyric Theatre, Belfast. Targeted Older People’s Groups The project targeted and engaged with health and social care and community well-being groups across the Trust areas with the intention of increasing arts access to rural older people to reduce isolation and improve their quality of life and levels of social interaction.

Summary of overall project activity

1. The Here & Now Festival 2014 delivered 343 workshops across 84 host organisations.

2. There was a Creative induction day for artists delivered on 18th December 2013 3. A further induction day for HPSS staff and remaining artists 10th January 2014 4. There were 3 further informal inductions to support inclusion of additional artists to

meet the requirements of the programme.

The “Ripe” Exhibition (an exhibition for older people who had never had a solo show before and discovered their creative skills later in life)

RIPE opened at the Crescent Arts Centre 5 – 15 February. We received media coverage for this event from Belfast Telegraph, BBC Radio Ulster Talkback, The Tatler, Irish News and Culture NI. This exhibition was requested by the ACNI for their Arts & Ageing Conference in the Titanic Building on13th March. The exhibition travelled to Lisburn in April and to the Ulster Hall in May as requested by these venues. A further request to exhibit was made by “Bealtaine,” the festival of older people in the Republic of Ireland. We were not able to facilitate this request due to funding restrictions. Arts Care anticipates that further collaboration with that festival will happen in the future. Several pieces of art from this exhibition were sold. Two pieces were purchased by the offices of the Commissioner for Older People in Northern Ireland. The oldest exhibiting artists were 103 and 101 years old respectively. Three short documentary films featuring

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artists from this exhibition are available on the Here & Now website. The UTV and Culture NI coverage is also available on the website. Aloud, Allowed, Aloud, Performance at the Island Arts Centre

The performance showcases took place in Lisburn at the Island Arts Centre, with Aloud, Allowed, Aloud on 6th March. We carried out a live link up to a choir of older people in Lithuania in this performance. A video of this performance is available on the website. We had a full house of 110 people. A further intergenerational performance showcase took place on Monday 10th of March in Strabane. “In Full Bloom” Art Exhibition

The majority of artwork produced across the Festival Activity by the older people across all services and abilities was showcased and exhibited at Duncairn Cultural Arts Centre, 12th March – 24th March 2014. This was the first ever exhibition to be held at Belfast’s newest

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Arts Centre. The event received coverage in the Irish News. This exhibition was well received and travelled by request to Altnagelvin Hospital in Derry in April. The Festival Team is particularly encouraged by new collaborations with Northern Ireland Women’s Aid Federation as new participants in the programme. A further exhibition to show the work of ‘Belfast Extra’ workshops took place again at the Duncairn Cultural Arts Centre The engagement with minority ethnic groups and LGBT groups remains difficult, due to lead-in time and complex factors related to building rapport and establishing relationships with the relevant groups. Good progress has been made which should support this in future years, particularly given that we have two further years of funding. It is recommended that work take place outside of the main programme of the festival to enable and ensure inclusion of these groups and to enable us to respond to their particular needs. Arts Care delivered a larger number of workshops than requested (343/250), across 84 (84/90) host organisations. We facilitated a further 84 workshops in 34 venues and an extra exhibition as a result of an additional £30K funding for the ‘Belfast Extra’ programme. This is a total of 427 workshops and 118 venues, 3 major performance showcases 2 of which were in public arts spaces. We have coordinated 8 public exhibitions of work produced by older people during this festival. We hosted a post festival evaluation event with 12 artists. The additional funding enabled Arts Care to deliver into further areas of need meeting additional requests in particular from community health groups and residential care settings. Work from the festival was showcased internationally in Corners of Europe, expedition, and in Lithuania. The festival was also showcased in the activities of NICON (5 &6/3) ACNI (13/3), Belfast Healthy Cities convention (10/3) and the films were showcased in DSDC’s event about the dementia and the media (28/3) Measureable Objective Annual Target Progress

The Older People’s Festival will offer a minimum of 250 co-ordinated arts workshops by end of March each year, targeted to agreed groups and settings

Programme to be delivered to 90 host organisations (18 n each of the 5 Trust areas, host organisations to be agreed in each area with the local PHA Lead for older people’s health improvement and the Trust lead for older people’s services) (NB In 2014/15 and 2015/16 this will be contracted at 75 host organisations to reflect the lower contract value in those years, ie. 15 per Trust area) Ensure additional targeted promotion and publicising of opportunity for minority communities including BME and LGBT

Delivered 343 workshops for delivery in 84 host organisations. This increased to 118 venues when the ‘Belfast Extra ‘ workshops were factored in (20) Belfast (20) SET (15) West (18) Southern (15) Northern (16) A further 84 workshops in 34 venues were coordinated in the Belfast area as result of additional funding. PHA leads and Trust advice was sought in all areas to identify venues.

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Deliver a range of Art forms including Music/Opera, Dance, Visual Art, Drama, Creative Writing, Film-making and Photography to a minimum of 3,000 older people

Programme will be delivered to a minimum of 3,600 Older People

The project delivered to 4462 participants. This rises to 5674 when the ‘Belfast Extra’ workshops are included

Provide a creative induction day for health and social care staff from the participating centres/groups to engage them in the programme

One Day The induction day for staff took place on 10th January. It was attended by 23 people. All Trusts were represented, as was the PHA

Provide a creative induction day for artists

One day Artists induction 19/12/2014, plus a further 3 informal induction sessions to ensure the availability of additional artists for delivery of the programme. A total of 36 artists worked on this programme.

Deliver five locality based exhibitions and/or performances to celebrate the work with older people

See Measurable Objective Belfast –RIPE 5/2 & 13/3 Music Snowball 13/3 In Full Bloom 12/3 Belfast Extra 3/4 Ageing Cities 10/3 ACNI RIPE 13th March DSDC – Films 28/3 Western 10/3– Intergenerational project Strabane. In Full Bloom to Derry 04/14 Northern – local showcase South Eastern- Lisburn 6/ 3 & 8/4 Southern TBC

Deliver one regional showcase/ exhibition/ performance

See Measurable Objective RIPE 5 -15 Feb In Full Bloom – 12/24 March 2014 Aloud, Allowed, Aloud, 6th March 2014

Contribute a minimum of five exhibitions and/or performances (one per Health Trust area) to “Celebration of Age” on a dates(s) to be advised

See Measurable Objective The entire Programme of March 2014 was a contribution to this programme and was forwarded to DCAL by the ACNI. Highlights included -Aloud, Allowed Aloud 6th March, Island arts Centre ACNI 13th March KHCP Musical Snowball 13th March Ageing Cities 10th March DSDC 28th March

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Publication and dissemination of a brochure celebrating the achievements of the project during 2012/13

As left, to be achieved by end October 2013

In Full Bloom 2013 – impact report published – copy provided in previous quarter.

Summary of Outcomes

Age Belfast Trust South

Eastern Trust Southern

Trust Western

Trust Northern

Trust Belfast Trust

Extra

Under 11 & 12-16 9 6 0 25 74 2

17 - 24 13 7 7 20 0 0

25 – 39 23 15 23 0 3 0

40 – 59 14 36 87 56 36 33

60 -79 515 384 183 819 402 644

Over 80 562 195 381 294 273 534

Trust Total 1136 643 681 1214 788 1213

Participants Target

3600 Participants Achieved

5674

Workshop Target

250 Workshop Achieved

343

Exhibitions/ performances target

6 Actual 13

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Challenges of the Project Lead-in time for LGBT groups and minority ethnic groups remains problematic, though it has not been complained about as such; it is more that we are aware this is a constraint. The availability of translators is problematic; for example we needed a Latvian translator and couldn’t get one. Costs of translation will emerge as a budgetary pressure in future years and consideration of this will be further explored. The above mentioned groups would benefit from a longer lead in time across the year to ensure that maximum access to the groups is made available and that self confidence levels are enhanced amongst the participants from marginalised groups to take part in the celebration performance and exhibition events.

The Benefits of the Project 1. RIPE Exhibition

This exhibition has proven to have been a high-impact initiative. It gained a lot of publicity for the Here & Now festival overall and it demonstrated that older people are emerging as artists in their own right in older age. A niche has been identified in that there are many more men engaged in sculptural works and bronze casting. The premise was to showcase the work of emerging artists, aged 60 and over, who have never had a solo show. 73 pieces of art were exhibited and of these, 10 were sold. All money went directly to the artists involved. Two pieces were bought through the office of the Commissioner for Older People, a further piece of art, was bought by a community and voluntary organisation and the remainder were bought by private collectors. It is our intention to run this as an annual exhibition at the request of artists and given that it generated a great deal of interest and focus on older people and the arts. RIPE toured

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to the Crescent Arts Centre, Belfast, Island Arts Centre, Lisburn, The Ulster Hall, Belfast and the Titanic Centre, Derry. It will go to four venues.

2. Aloud Allowed Aloud was a new initiative to showcase new performance works generated in workshops. The work of 5 projects and all Trust areas were represented. In addition this event included a choir from a day care facility in Lithuania, via a live link-up. Two films were screened. One was a short film documentary about 97 year old Paddy Gillespie from Strabane and his life as a collector, inventor and sportsman. The other was a short film of projects in development about the festival. Both films are available on the website www.artscarephanihereandnow.com This event was fully booked out. The performance showcase was a really popular event and it is Arts Care’s intention to include this opportunity in each future festival. Performances included dance, singing, music compositions, poetry and film. Cairnshill Primary School performed with the Black Widows Dance Company of Ballyowen Day Centre in an exciting intergenerational project where the young people and older people shared experiences of growing up. A new dance group of older ladies from Derry City also performed a contemporary dance work. The opportunity for the groups to showcase their performances had significant impact on increasing levels of self-confidence amongst the older people and also a real sense of achievement. Many of the older participants had not performed before taking part in this project. The Ballyclare Music and Creative Writing groups reported how positively the project impacted on their levels of social interaction in a rural setting. This was the second year for this group to participate in the festival and the group reported increased levels of motivation and stated how important the project was in accessing them to a collective group activity in an isolated rural setting.

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3. In Full Bloom An exhibition of art works completed in the course of the festival. This year the exhibition took place at Duncairn Cultural Arts Centre. Hosting the event in a public arts and cultural space raised the profile of the work in the media. This exhibition will tour to Altnagelvin in Derry. 4. Intergenerational work

There is an increase in intergenerational work in this year’s festival. This was highlighted in Strabane, Antrim, Belfast, Downpatrick and Derry. Performances were provided in Strabane, Lisburn and Belfast. Photographic work from an intergenerational project was included in the exhibition, In Full Bloom. Dance and singing was showcased at Healthy

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Cities Conference in the City Hall, Belfast and in the Aloud, Allowed, Aloud showcase. Visual artwork was included in the exhibition of work from Rosedale & Antrim Day Care, in collaboration with Tower Primary School, Antrim.

Both the young people and the older people reported that they enjoyed sharing with each other and learning from each other during the intergenerational activity. Real friendships appeared to be formed and the children and adults reported looking forward to meeting each other weekly. The older ladies from the Black Widows Dance Company reported feeling a real sense of pride with respect to passing on their knowledge of life to the children through the dance activity.

5. Medical students Five medical students participated in music, composition and singing workshops. They took part in delivering workshops in Clifton House Residential Home in Belfast and recounted this as a really positive experience in their personal and professional development.

6. Partnership working

The Here and Now festival and Arts Care, took part in joint initiatives with the Arts Council of Northern Ireland, Belfast Healthy Cities, NICON

7. Arts & Dementia

83 venues that we provided workshops to, are known to provide services for people with dementia. This equates to almost 70% of the overall number of venues. One of the Arts Care services, Skylarks was specifically designed for people with dementia. This particular service gave a total of 21 workshops. In addition there were a further 8 Puppet Diaries workshops specifically for people with dementia, providing improvised puppetry performances. This contributes to developing the skills and experience of

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artists, thus contributing to building capacity in the system for specialist practice in working with older people and in particular people with dementia.

Key Outcomes of the Project

• Production of an impact report of the pilot programme ‘In Full Bloom 2013’. • In the 2014 festival Arts Care hosted 11 public exhibitions & performance showcases

and an additional 17 facility based performances. • Arts Care facilitated 4462 participants across 84 venues in the core programme. In

total we facilitated 5674 participants across a total of 118 venues, when the additional activity relating to the Belfast enhancement is included.

• The Here and Now festival project has exceeded its target reach across NI. This resulted in 4462 older people from community and healthcare accessing participation in high quality arts activities rather than the anticipated 3600 at the beginning. Including the Belfast enhancement, this figure rises to 5674.

• Film documentaries of the festival are available on the website. There are 6 short interviews with participants/ artists, and a further three films which includes a featured artist and inventor from Strabane and 2 summary films of the activities of the festival.

• International link-ups with Lithuania and showcasing the work of the festival to delegates of the Corners of Europe project from Sweden, Slovenia, Croatia, England and the Basque Country took place.

• 70% of venues we worked with are providing services for people with dementia. • The festival provided work to 36 artists, of the following disciplines, theatre, drama

and clowning, music and composition, visual arts, creative writing, photography and film-making, singing, dance and choreography, ceramics and jewellery-making

• 53 host organisations have provided feedback to the festival. This represents 45% response on providing feedback by host organisations.

Communication & relationships The overall feedback from the festival experience demonstrated the positive impact that arts activities has not only older people’s health and wellbeing, but in the participant’s families and care staff as well as the wider community. Participation, motivation & interests Initial analysis of the data clearly reveals the need for increased access for older people to the arts. This increased need applies to both older well people and older people living with the challenges of ageing illnesses such as Dementia, Parkinson’s and neurological disorders. Targeting Social Need

• 2941 participants were aged 60 -79. • 2239 of those taking part in festival were aged over 80 years old. • Social isolation and disability are a factor of ageing, but increase in incidence with

age. The Arts Care model of delivery ensured that some of the most vulnerable, such

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as people with dementia, Parksinson’s Disease and Strokes were included in the festival.

• An estimated 70% of the venues we provided workshops to, provide services for people with dementia.

Partnership working The comprehensive data gathered indicates that Arts Care has delivered both a valuable and meaningful festival and that it has had significant impact across all Trust areas in NI as well as meeting new needs in the community. Arts Care had direct input to NICON, Arts Council of Northern Ireland and Ageing Cities conferences and conventions during March.

Quality The standard of artwork and performance/live media work has demonstrated an untapped resource in the power of older people’s self-expression particularly in the area of new art forms, such as animation, filmmaking and photography. The exhibitions that have been showcased at local and regional level have demonstrated the enthusiasm, skill base and commitment that the older people have shown throughout the festival. A key outcome of the festival has been the recognition that older people over the age of 80, have a vital contribution to make to cultural life. This is witnessed in particular through the participation of a woman of 103 years of age, Doris McCleery. Doris took up ceramics six months before her work was submitted and selected for the RIPE exhibition. A short film documentary, ‘The Inventor’, features 97- year old Paddy Gillespie, brother of last year’s star, 103 year old Dan, and tells a story of his life’s passion for collecting, inventing and sport. This short film, premiered at the Aloud, Allowed, Aloud in The Island Arts Centre in Lisburn and it impacted hugely on the audience. It was subsequently screened at the Ageing Cities Convention at Belfast City Hall, Arts Council of Northern Ireland Arts & Age Conference, Dementia and the Media event hosted by the DSDC.

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Quality of Life Another significant outcome has been the impact on professional and family carers of older, unwell people, particularly in the area of Dementia. 70% of the venues we worked with provide services for people with dementia. Both professional and family carers have reported the positive impact that the arts activities have had on the relationships between carer and the older person. The data demonstrates that relationships have been enhanced and, in some cases, healed through the process of the older people taking part in the arts activities. In some of the projects, professional staff and family have actively taken part. Another primary outcome has been the significant level of support offered by partners in the project. The project foundation was strengthened by the support of local community organisations, the five Health and Social Care Trusts and the Public Health Agency. These support mechanisms have enabled Arts Care to deliver a safe and dynamic festival across both rural and urban environments. It has also supported the small Arts Care team to recruit participants and staff support for the different workshops. We worked directly to provide a service to 118 venues across the period of the festival.

Challenging stigma and perceptions of age and ageing The example set by Doris McCleery, an emerging artist aged 103 and Paddy Gillespie at 97, show how dynamic and creative older people are. Both of these people are featured on the website and in film and their presence has made a difference to challenging perceptions of age and ageing. The RIPE exhibition caught the imagination of many and as a result of the quality of work shown, it has been requested to tour to a number of venues as a result. Feedback from the participating artists indicates that Arts Care should include it in future festivals. Aloud, Allowed, Aloud was a new performance showcase which was added to the festival programme this year. It is our intention to realise this as an annual event. It played to a full house and many participants were taking part in performance of original writing, music,

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dance and singing projects they did during the festival. There was also a live link up to a choir of older people in Lithuania who were inspired to perform as part of the festival. This link was developed through a new partnership with Arts in Health emerging programme led by Arts Care in Villnius town Lithuania. How Service Users were involved in Planning, Delivering and Monitoring the Programme Planning of this year’s festival was informed by the feedback we received last year from the pilot programme and post-festival consultation with participants and host organisations. Feedback was actively sought during sessions, in writing and in discussion. Film and photographic documentation of the festival has taken place to inform decisions about the programme. The process of exhibiting and showcasing the work produced in the festival is used as an indicator of what older people want and will participate in. The process of showcasing and exhibiting the work is particularly powerful in raising the profile of what becomes possible.

Community Development Approaches Empowerment – increasing the ability of individuals and groups to influence issues that affect them and their communities. We used feedback from the pilot programme, participants, host organisations, project artists and partner organisations to design the project and activities. We engaged with people to support them to experiment with new activities.

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Participation – supporting people to take part in decision-making. We engaged with older people to encourage their participation in new activities and to challenge their perceptions of themselves in new, yet gentle, supportive and fun ways. Many reported that engaging in the arts was something pleasurable, a new learning experience and life-enhancing for them. Inclusion, equality of opportunity and anti-discrimination – recognising that some people may need additional support to overcome barriers they face. We made high quality arts activities accessible to people with disabilities and in particular those who live with the impacts of ageing. 70% of the venues we work with provide services for people with dementia. We included inter-generational projects to support integration and connection between older people and younger people. We made use of public facilities to showcase work and in doing so, provided a supportive challenge to older people, society and carers about what can be done. In so doing we challenged the perceptions of ageing as well as the perceptions about what older people want and are capable of. We supported the visibility of older people in the media, is a fresh and life-affirming way.

Self-determination – supporting the right of people to make their own choices. We engaged with older people to offer new opportunities for life-long learning across a range of art forms, including digital media, visual arts, creative writing, music and composition, theatre and drama, dance and performance. Partnership – recognising that many agencies can contribute to community development, we worked with a broad range of partners in this year’s festival. This included 118 venues/ facilities where older people attend for services, as well as the Arts Council for Northern Ireland (ACNI), Belfast City Council, through the participation officer as well as those on the healthy ageing cities project, Lisburn Council, the Public Health Agency, and partners in

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Lithuania, as well as through the Corners of Europe project and the representatives from Sweden, Slovenia, Croatia, The Basque Country, and England.

Targeted Inequalities in Health Arts Care worked with 118 venues that provide services for older people. We had a particular focus on engaging with older people who live with the disabilities of ageing, such as those with dementia, stroke, Parkinson’s Disease and those who have experienced domestic violence. Arts Care made contact with groups representing minority ethnic groups and those from the LGBT community. We included intergenerational projects to support the learning of younger people about the lived experience of older people as well as ensuring the inclusion of older people in the lives of younger people. One specialist project worked with an elder living with dementia in supported housing setting and co-working a new project with a young person who is in care, so they could share experiences of different aspects of the care system, while learning new skills in the art of photography. Arts Care included a series of workshops by performers who specialise in working with older people with dementia. “I love meeting the children from Cairnshill Primary School every week. It is special to see their wee faces and it lights up my day. I would just be sitting at home probably watching TV and look, now I am performing in public. My family and grandchildren can’t believe it.”(A member of the Black Widows Dance Company)

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The information is captured through allocation of resource to support specific projects and monitoring of the outcomes, through, statistics on participation, feedback from individuals and organisations. How S75 Groups were Targeted and How Information was captured The whole project is inclusive of older people. We specifically sought the engagement of marginalised groups within that group, such as those living with disabilities such as those arising from dementia, stroke, Parkinson’s disease. We sought to work with people who had experienced domestic violence, and those from economically deprived areas, as well as those in the BME and LGBT communities. We worked with people across the religious spectrum in Northern Ireland. Arts Care collected data from venues via the artists, host organisations and from individuals themselves. All data were carefully analysed and evaluated providing vital information for learning and future development of the festival activity. Arts Care would like to take this opportunity to thank the Public Health Agency for all their funding support and supportive resources that have enabled a well-trained competent team of professional artists, administrators, co-ordinator and researchers to deliver the Here & Now Festival. The Here and Now Team look forward to developing the 2014/2015 festival and delivering a vibrant and meaningful arts engagement and access. Arts Care would like to take this opportunity to thank the Public Health Agency for the generous funding support they have awarded this on-going Older People’s project. The festival website, has a full archive of the films, stories and photographs from this year’s festival. It can be visited at www.artscarephanihereandnow.com