Lees

Het project Muziekmaatjes brengt live muziek naar kinderen en hun families op de kinderafdeling van het Dijklander Ziekenhuis in Hoorn. Van november 2024 tot oktober 2025 maken speciaal opgeleide muziekdocenten van Muziekschool Boedijn muziek met en voor kinderen en hun families op de afdeling.

De muzikale sessies vinden twee keer per week plaats. s’Ochtends worden de muziekdocenten gebrieft door het medisch pedagogisch team om de muziek af te kunnen stemmen op iedere patiënt. Zo krijgt een pasgeborene bijvoorbeeld rustige tonen te horen, een achtjarige een vrolijk en energiek liedje, en kan een tiener een ukeleleles volgen. Ouders worden tijdens de sessies ook aangemoedigd om mee te doen.

Het Muziekmaatjes-programma is een aanvulling op de zorg van medisch en verpleegkundig personeel en ondersteunt het welzijn van zowel de kinderen als hun families.
Lees meer over Muziekmaatjes in het artikel van het Noordhollands Dagblad.

Volgens projectleider Ciska Ruitenberg ontstond het idee voor het programma al in aanloop naar de Arts in Health Summer School in juni 2024. Ruitenberg, een ervaren muzikant en muziekdocent, was toen in gesprek met Dijklander-kinderarts Noud Drewes, die graag live muziek wilde inzetten tijdens de behandeling en het herstel van zijn jonge patiënten. Ruitenberg: “Als docent weet ik hoe live muziek de stemming van jongeren kan verbeteren. Het idee van een pilotprogramma in het ziekenhuis tilt dat naar een hoger niveau.”

Samen met Drewes en ziekenhuispersoneel ontwikkelde Ruitenberg een voorstel voor de pilot Muziekmaatjes. Een van de fondsen die de pilot ondersteunen is het VSBfonds, dat zich richt op projecten in het sociale domein. VSB werkt samen met Arts in Health Netherlands en Muziekmaatjes om de pilot te evalueren.

Het evaluatieonderzoek wordt uitgevoerd door Ferdinand Lewis, wetenschappelijk directeur van Arts in Health Netherlands, en onderzoeker Nina van den Berg. Van den Berg: “We evalueren de uitvoering en de impact van het programma. We kunnen straks zien hoe het programma werkt, wat er aangepast moet worden en hoe het op een duurzame manier voortgezet kan worden.” Op termijn hopen de projectpartners het programma uit te breiden naar andere afdelingen, waaronder de kinderafdeling van de Dijklander-locatie in Purmerend.

Al tientallen jaren laten wetenschappelijke studies zien dat kunst een krachtig middel kan zijn om stress en pijn bij patiënten te verminderen. Kunst draagt bij aan een gevoel van comfort en veiligheid in het ziekenhuis, en kan zelfs bijdragen aan een kortere opnameduur. Muziek helpt patiënten omgaan met ingrijpende behandelingen en versterkt het gevoel van menselijkheid en verbondenheid in een vaak klinische omgeving.

“Vooral voor kinderen in behandeling kan kunst helpen om echte verbinding te ervaren met hun ‘ziekenhuisfamilie’,” zegt Van den Berg. “Dat gaat niet alleen om hun dierbaren, maar ook om de zorgverleners en de musici die bij het traject betrokken zijn.”

Het doel van het programma is om kinderen in het ziekenhuis een gevoel van verbondenheid en normaliteit te geven. Lewis licht toe: “Deze musici zijn getraind om aan te voelen wat een kind nodig heeft, zonder ze onder druk te zetten om mee te doen. Als een kind zich goed genoeg voelt om muziek te luisteren – en zéker als het wil meedoen – dan maakt dat iets in hen wakker: het deel dat nieuwsgierig is, vrolijk, en vrij om zelf keuzes te maken.”

Voor ouders kan dat moment ook van grote waarde zijn. “Zien dat het goed gaat met hun kind – hoe klein het moment ook is – helpt  gezinnen zich weer even normaal en verbonden te voelen,” aldus Lewis.

Voor Ciska Ruitenberg en haar Muziekmaatjes-team draait het project om veel meer dan muziek alleen. “We komen niet met een vast programma,” zegt ze. “Het gaat om aanwezig zijn en inspelen op wat een kind of gezin op dat moment nodig heeft." Soms is dat een rustig deuntje, soms maken we samen een nieuw liedje. Het zijn kleine momenten, maar ze kunnen echt het verschil maken.

Meer weten over muziek voor kinderen in ziekenhuizen?

Wetenschappelijke studies tonen aan dat live muziek kinderen in het ziekenhuis kan helpen emoties te reguleren, angst te verminderen en zich meer op hun gemak te voelen in de stressvolle omgeving (Giordano et al., 2020; Blackburn, 2020a; Bush et al., 2021). Muziek kan leiden tot een verlaagde hartslag en ademhaling, of tot een kalmte die in sommige gevallen het gebruik van medicatie kan verminderen (Colwell et al., 2013; Grebosz-Haring & Thun-Hohenstein, 2018).

Live muziek kan kinderen helpen hun aandacht te verleggen van pijn en ongemak bij medische handelingen (Sundar et al., 2016; Uggla et al., 2019). Bij langdurige ziekenhuisopnames is live muziek in verband gebracht met een verminderd gevoel van passiviteit en een groter gevoel van controle – vooral wanneer de muziek persoonlijk of geïmproviseerd is (Colwell et al., 2013).

Muziek kan zelfs in een klinische omgeving een gevoel van normaliteit en verbinding creëren, waardoor families en zorgverleners zich meer een “ziekenhuisfamilie” voelen (Blackburn, 2020b; Giordano et al., 2021). Voor ouders kan deelname aan de interventie hun gevoel van betrokkenheid bij de zorg voor hun kind versterken, wat op zijn beurt helpt om zowel ouder als kind zich veiliger en meer gesteund te laten voelen (Preti & Welch, 2011; Yates et al., 2018).

Blackburn, C. (2020a). Family members' perceptions of a Singing Medicine project in a children's hospital. Nursing Children and Young People, 32(1), 23–29.

‍Blackburn, C. (2020b). Music-making for hospitalized children and their families: A qualitative thematic analysis of Music-Making Sessions in a UK children’s hospital. Music and Medicine, 12(1), 45–56.

‍Bush, A. M., O'Malley, A., & Peterson, B. M. (2021). Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation. Journal of Music Therapy, 58(1), 14–36.

‍Colwell, C. M., Edwards, R., & Hernandez, E. (2013). The use of music therapy in pediatric oncology: A case review. Music Therapy Perspectives, 31(2), 162–166.

‍Giordano, F., Rutigliano, C., De Leonardis, F., Rana, R., Neri, D., Brienza, N., & Santoro, N. (2021). COVID-19 and absence of music therapy: Impact on mother-child dyad during invasive procedures in pediatric oncology. The Arts in Psychotherapy, 75, 101839.

‍Grebosz-Haring, K., & Thun-Hohenstein, L. (2018). Music therapy for children and adolescents. European Journal of Pediatrics, 177(6), 919–923.

‍Preti, C., & Welch, G. F. (2011). Music in a hospital setting: A multifaceted experience. British Journal of Music Education, 28(3), 329–345.

‍Sundar, S. S., Kim, J., & Zhang, B. (2016). Music for pain relief: Effects on pain intensity and perceived control over pain. Journal of Music Therapy, 53(4), 441–459.

‍Uggla, L., Mårtenson Blom, K., Bonde, L. O., Gustafsson, B., & Wrangsjö, B. (2019). An explorative study of qualities in interactive processes with children and their parents in music therapy during and after pediatric hematopoietic stem cell transplantation.

Yates, T., Stanyon, M. R., & Sampson, E. L. (2018). The role of music therapy in the care of hospitalized children: A systematic review of literature. Journal of Pediatric Nursing, 43, 45–52. 

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Curious about what books are out there in the field of arts in health? Below is a short list of popular and academic books to get you started. These introduce the research, practice, and inspiration for Arts in Health, from authors around the world — from designing interventions to understanding how creativity supports wellbeing. Whether you’re an artist, researcher, healthcare professional, or simply curious about how art and care intersect, these books invite you to explore, learn, and connect. If you have any suggestions for books that should definitely be included, please let us know!

Art Cure: The Science of How the Arts Transform Our Health | Daisy Fancourt, 2025 

In her latest book  Daisy Fancourt, presents the latest scientific evidence on how the arts and creativity contribute to health and wellbeing. It explores how engagement with the arts can support mental and physical health outcomes across different clinical contexts, and highlights global challenges faced by the arts sector. Art Cure invites readers to reconsider the role of the arts, not as a luxury, but as an essential part of individual and societal wellbeing. 

I Heard There Was a Secret Chord, Music as Medicine | Daniel J. Levitin, 2024 ‍

In I Heard There Was a Secret Chord, neuroscientist and best-selling author Daniel J. Levitin explores the powerful relationship between music and healing, inviting readers to see music not only as art, but also as a form of care. Levitin draws  on research from neuroscience and music therapy, arguing for how music can ease suffering, promote recovery, and calm the mind. The book  connects scientific findings with stories of the experiences of  musicians and patients, illustrating how rhythm and sound support mental and physical health. A fascinating read for anyone interested in the science and art of music as medicine. 

Your Brain on Art: How the Arts Transform Us | Susan Magsamen & Ivy Ross, 2023

Your Brain on Art explores the emerging field of NeuroArts—the study of how the arts and aesthetic experiences can change the body, brain, and behaviour. The authors show how creativity affects our biology and emotions, supporting health, wellbeing, and learning. Through stories from artists and scientists, this book invites readers to see the arts not as a luxury, but as an essential part of being human. Learn more at yourbrainonart.com.

Designing and researching interventions | Daisy Fancourt, 2017 

Authored by one of the leading academics in the field, Designing and Researching Interventions provides a great introduction to the history, research, and practice of Arts in Health. Whether you are building an Arts in Health program, developing a research design, or want to understand the meaning of quality in this field, Designing and Researching Interventions will be a useful guide. 

Arts, Health and Wellbeing | Edited by Stephen Clift and Theo Stickley, 2008

Arts, Health and Wellbeing, offers many useful descriptions and examples from the field of arts in health. The book  covers topics such as arts on prescription and music therapy, for example, exploring their application in both hospital and community settings. If you are a researcher, or a practitioner in the field, or simply looking to learn more about the growing dialogue around arts and health, this book could be a valuable resource. 

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Social prescribing is a strategy to help people with health conditions that do not require clinical treatment. A person suffering from grief, loneliness, addiction, or unemployment (for example), can be referred to a trained ‘wellbeing coach’ who helps that person make a personalized plan to engage in activities, events or training with community groups, non-profits, workshops, cultural institutions, and others. Participatory arts practice can be one of the ‘prescriptions’.  

The UK is widely implementing social prescribing programmes, and the Netherlands and other countries are exploring it as well. The Dutch pilot programmes was implemented nationwide with some promising results and encouragement from insurers, primary care physicians, and patients. Read more about the Dutch version of social prescribing within the project Welzijn op Recept.

Social prescribing

• Recognises that a person's health is determined in part by social, economic and environmental factors.
• Approaches health positively, focusing on what a person is able to do, instead of on what they cannot. The person is encouraged to become active in caring for their own wellbeing. 
• Can help build social connections that support a variety of health outcomes.

The social prescribing strategy shows promise for supporting certain arts in health practices in the community. However, that is only one aspect of the field, and does not address the role that arts in health can plan in care institutions, for example.

Interesse in duurzame Arts in Health programma's groeit in Nederland. Het toenemende aantal succesvolle Arts in Health projecten stimuleert bestuurders, financiers, overheden, onderzoekers en kunstenaars om de rol die kunst kan spelen in zorg en ziektepreventie te onderzoeken. 

Arts in Health Nederland heeft een whitepaper geïnitieerd om de huidige situatie in kaart te brengen en de agenda voor de toekomst te bepalen. De whitepaper gaat in op de structuren die in Nederland nodig zijn om Arts in Health programmering systematisch te ondersteunen, mensen op te leiden en om onderzoek en beleidsvorming te stimuleren. De white paper is een eerste stap op weg naar een duurzaam veld van Arts in Health.

De whitepaper:

• biedt een uniform statement vanuit de wetenschap, de overheid en de private sector over de situatie in Nederland met betrekking tot Arts in Health, en de behoefte aan een duurzaam veld.
• Initieert en activeert netwerken, kennisdeling en samenwerkingsverbanden die nodig zijn om het veld van Arts in Health in Nederland verder te ontwikkelen. 
• bepaalt de agenda voor het opzetten van een stabiele, duurzame praktijk, onderwijs en onderzoek op het gebied van Arts in Health.

Creatieproces van de whitepaper

Arts in Health Nederland stelde een stuurgroep samen van koplopers in het veld, waaronder vertegenwoordigers van de Rijksuniversiteit Groningen, Leyden Academy on Vitality and Ageing, Universitair Medisch Centrum Groningen, Vrije Universiteit Amsterdam en Landelijk Kennisinstituut Cultuureducatie en Amateurkunst (LKCA).

Om bekendheid te geven aan het initiatief en een breder netwerk van partners erbij te betrekken, organiseerde de stuurgroep in oktober 2022 een startbijeenkomst op het ministerie van Volksgezondheid, Welzijn en Sport (VWS).

Het eerste concept van de white paper werd opgesteld door de stuurgroep en co-auteurs. Dat concept diende als uitgangspunt voor reflectie en discussie met een breder nationaal netwerk in drie rondetafelsessies in verschillende delen van het land. Bij elke rondetafel droegen deelnemers bij aan discussies en brainstormsessies over de praktijk, het onderwijs, het onderzoek en het beleid van Arts in Health.

Deelnemers waren onder meer zorgprofessionals, kunstenaars, onderzoekers, beleidsmakers, managers, docenten, praktijkmensen, ervaringsdeskundigen en bestuurders, die met elkaar bespraken hoe Arts in Health een duurzaam veld kan worden in Nederland. De rondetafelgesprekken werden in juni en juli 2023 georganiseerd i.s.m. Leyden Academy, Kunstloc Brabant en Universitair Medisch Centrum Groningen.  

Elk van de drie rondetafelgesprekken richtte zich op een ander domein: ziekenhuiszorg, langdurige zorg en het sociale domein. Voor impressies van de rondetafelgesprekken kunt u de samenvattingen lezen:

• Arts in Health in de langdurige zorg | Co-host Leyden Academy
• Arts in Health in het sociaal domein | Co-host Kunstloc Brabant
• Arts in Health in de ziekenhuiszorg | Co-host University Medical Center Groningen

Publicatie, event en overhandiging

Meer dan 200 mensen hebben bijgedragen aan de uiteindelijke versie van het whitepaper. De publicatie is ontworpen door het ontwerpbureau JUST, dat ook de Arts in Health Netherlands identiteit en website ontwierp. De whitepaper is uitgegeven door de Rijksuniversiteit Groningen Pers, en publiekelijk gelanceerd tijdens het evenement Care through Creativity in het Grand Theatre in Groningen op 16 februari 2024. Dat feestelijke evenement bestond uit presentaties, optredens en inspirerende voorbeelden uit praktijk en onderzoek. De NRC schreef een artikel over het evenement. 

Tijdens Care Through Creativity werd het whitepaper officieel overhandigd door de WHO Arts in Health Lead, Christopher Bailey, aan de wethouder van de provincie Groningen die verantwoordelijk is voor Kunst & Cultuur en Gezondheid & Welzijn. Tijdens een preview evenement in Den Haag werd het whitepaper overhandigd aan de directeur-generaal curatieve zorg van het ministerie van Volksgezondheid, Welzijn en Sport (VWS) en de directeur Erfgoed & Kunst van het ministerie van Onderwijs, Cultuur en Wetenschap (OCW).

De whitepaper Arts in health in Nederland: een nationale agenda is open access gepubliceerd door de University of Groningen Press, zowel in het Nederlands als Engels.

We are excited to launch the Arts in Health Netherlands (AiHN) website! Our graphic identity, our publications, and our website were all developed with the Den Haag design agency JUST. 

The idea of participation inspired the design process. “Arts in health there is a whole continuum of practices, and participation is key to them all,” says AiHN Director of Science and Education Ferdinand Lewis. “Participation is what makes creativity good for you, when you say ‘Yeah, okay, I’ll jump in, I’ll try that.”  

But how to design with that core idea in mind? “We knew we needed professional design, but we needed to find designers who understood the participatory spirit of arts in health”, Lewis adds. 

After a long search process Just was chosen, but they were the clear frontrunners. “These are experienced designers with serious corporate clients, but they also have this commitment to the public interest,” Lewis says. “Plus, everyone on the team was quite passionate about how arts in health works, and how to embody it, especially in the website.”

The team concluded that the experience of using the website, for instance, “Should not be only about consuming information” according to designer Tizian Fendt, “but instead should be like participating in a conversation”. The website design invites its users into the participatory experience of drawing on the landing page, of interacting with the page layout and color palette, and organising information in ways that are most useful to the user. The website also rewards inquisitive users with what Fendt calls “easter eggs” ––like the ticklish AiHN logo–– that reward curiosity. 

“The field of arts in health is a balance between healthcare and art,” Lewis suggests. “But the balance point is active participation, which is what the website tries to embody.”

One of the goals of the National Agenda is to “Develop a diverse and unified field of education and practice”. An action item attached to that goal is to build ‘consensus on a common terminology’ for the arts in health field. To that end, we offer a set of glossary terms. Note that many of these terms have quite different implications or meanings in different sub-areas of arts in health. This list is offered as a starting point for developing a common terminology.  ‍

Administrators - These are the directors or managers of programmes, organisations, and institutions that have a health interest. Administrators could come from the private sector, though most often they are in public-focused institutions and organisations.  

AiH continuum of practices - This refers to the diversity of practices that make up the field of arts in health, all of which focus on care and support for wellbeing. This includes participatory arts, arts therapy, design for health, and others. 

Arts in health - The use of creative art-making to support health and wellbeing. 

Bedside art-making - Facilitating active art-making with patients with patients who are in bed, in care facilities. This can be either a non-therapeutic participatory activity, or a creative arts therapeutic intervention. The term distinguishes this type of practice from staff-focused art-making, and community-based arts in health, and others. 

Care - This important term refers to the support for a person’s wellbeing that is provided or supported by arts in health practice. Care is the characteristic distinguishing arts in health from other types of arts activities. In creative arts therapies, care can focus on treatment and predictable health outcomes, whereas in participatory arts in health, care focuses more on general support for wellbeing or supporting care by some other provider. Care is delivered not only in the creative practice, but also in the ethics and professionalism of the practitioner. 

Care aesthetics - The study of the aesthetic aspects of care. 

Compassion fatigue - Emotional and/or physical exhaustion experienced by formal and informal caregivers leading to diminished ability to empathise, inability to work, depression and other negative health outcomes. 

Community-based arts - Arts activities based in community settings, most often projects and programmes directly involving community members. 

Creative expression - The use of various art forms to express oneself creatively, sometimes used in describing arts support for mental and emotional wellbeing.

Creative arts therapies - Art-making as a medium for healing and self-expression, practiced by licensed therapists with specialised therapeutic training. 

Cultural participation - Community participation in cultural activities, for example attending concerts or festivals, museums, community events, as well as participation in amateur art-making. 

Cultural programmes in long-term care - Arts and cultural activities designed to enhance the quality of life of residents in long-term care.

Ethical and care protocols - Guidelines and standards for ethical behavior and care practices in care settings. These are likely different depending on whether the professional is doing participatory arts or arts therapies.   ‍

Expressive or creative movement - Similar to dance, these are movement-based arts activities supporting health and wellbeing.

Funders - These may include governments at any level, institutions (for example schools, insurers, etc.) and organisations (e.g., non-profits or community organisations). Funders include some private sector organisations (health insurers, for instance) as well as the public sector. 

Intersectoral collaboration - Efforts between public institutions (healthcare, arts education, etc.) to achieve common goals. May take the form of projects, programmes, or policies to address issues and pursue goals across social sectors, for example the arts and healthcare. 

Medical humanities - An interdisciplinary humanities field (arts, literature, philosophy, etc.) in medical education and practice.

Participatory arts - In AiH practice, activities that actively involve both participants and artists in art-making. Participatory practice also has implications for the inclusion of marginalised people.

Patient activation - Encouraging patients to engage actively in their own wellbeing and health care.

Person-centred care - Healthcare that focuses on the individual's specific health needs and desired health outcomes.

Positive health - A health concept that emphasizes the ability to adapt and self-manage in the face of social, physical, and emotional challenges.

Practitioners - Arts in health practitioners are skilled in using arts practices to support wellbeing. Practitioners build participation in art-making, working with participants who have no experience in art-making, or helping people who want to make art at higher levels of skill. 

Resilience - The ability to resist illness or harm, and/or the capacity to recover from illness or harm. Resilience can be applied to individual wellbeing, or to groups, places, or populations. 

Resources - This might refer to person hours, money, useful physical things like office space or equipment, but also experience, ideas, useful documents, databases, etc. 

Science - This term refers to existing and recent literature, most often in peer-reviewed journals. The terms could refer to health sciences research, but also social sciences, and also humanities research.

Scientific research - This most often refers to the production of new knowledge, and peer-reviewed publications. The term ‘research’ is technically appropriate to describe programme evaluation, though in practicethis can be confusing.   

Social inclusion - Activities in support of including marginalised individuals or groups.

Spiritual care - A holistic, person-centred approach to care, allied with arts in health, that supports psychological, social, and existential wellbeing.

Support for caregivers - Arts in health strategies aimed at providing relief and support to both formal and informal caregivers.

Support for care recipients - Arts activities aimed at improving the wellbeing of individuals receiving care, in hospitals, long-term care facilities, and home care.  

Therapeutic goals - Specific health outcomes that are goals in creative arts therapies. 

Value-based healthcare - An economic model of healthcare delivery that attempts to shift the value of healthcare from the healthcare provider to the patient, emphasizing outcomes and patient satisfaction as goals.

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Learning from other countries: A glimpse

To gain insight into how arts in health can support the healthcare transition in the Netherlands, it can be useful to see how similar initiatives have been proposed, and implemented in other countries.  All the countries discussed here recognise that transformation is needed in healthcare systems. They all argue for the support that the arts can offer.

Arts in health in the United Kingdom

The modern field of arts in health had its start more or less in the United Kingdom in the 1960’s. Initially driven by countercultural social movements, it took some time to gain a place in mainstream institutions and policy. It is only in the last couple of decades that the field really blossomed.

A number of important projects were developed in the UK between 2004 and 2007. For example, a project called Invest to Save; Arts in Health had the goal to “develop the capacity of the North West Region’s arts and health communities, and research the impact of creativity, culture and the arts on health and economic outcomes” (Parkinson, 2009, p.43). Amongst other things, this project involved visual arts and creative writing activities for older people in rehabilitation.

Around the same time, the Arts Council England and the Department of Health published a report on the prospectus of arts and health. Although this report did not initially receive a great deal of notice, over time the cultural change it recognised began to emerge.

The Arts Council has continued its work on Creative Health and Wellbeing. In recent years the London Arts in Health movement has found some success hosting an annual Creativity and Wellbeing Week,  which has seen tens of thousands of active participants. This celebration of the field includes talks, film screenings and workshops. Because that event is attended by people with a variety of backgrounds, it also encourages the intersectoral collaboration that is integral to arts in health programmes.  

The arts in health field has seen some developments in other regions of the UK. The Arts Council of Wales, for example, has partnered with the Welsh NHS confederation to raise awareness of the how the arts support wellbeing. The partnership set out to “embed arts and health initiatives across the NHS in Wales”. 

Arts in Health and the WHO

In 2019 the WHO commissioned a report in which they scoped over 3500 articles about the role of the arts in supporting health and wellbeing. Since then, the WHO has begun issuing policy materials and strategies for the use of  arts in health for use by the member states. Importantly, these emphasise intersectoral decision-making and planning, for example between the cultural and culture sectors. 

In 2023, the WHO launched the Jameel Arts & Health Lab, to encourage research and disseminate findings on arts in health. The Lab also organises events that celebrate, and advocate for, the introduction of national and regional arts in health initiatives around the world. 

Arts in Health and the European Commission

A report by European Commission recognises the societal value of the arts and culture for wellbeing. Policy recommendations and briefs have been issued which argue for the positive impact of the arts on wellbeing, recommending that member states implement policies to promote “long-term collaboration and mutual learning partnerships between cultural practitioners, healthcare professionals, and community organisations”. The Commission-funded organisation Culture for Health commissions research and publishes reports on culture for health, including strategic recommendations for facilitating intersectoral dialogue and action. 

Arts in Health in other European countries

Other countries in Europe are introducing arts in health plans and programmes.  The arts in health field has gained a strong foothold in Ireland, for instance: The Irish ‘Healthy Ireland Strategic Action Plan’ for 2021-2025 includes a commitment for local authorities to plan long-term cultural and arts involvement in promoting wellbeing.

As early as 2004, the Irish Arts Council wrote a practical handbook for setting up projects and networking for arts in health, and that handbook is still useful today. It outlines a step by step approach to developing an arts in health project, from initial ideas to project implementation.

Other EU countries working on arts and health projects and policy include Bulgaria, France, Luxembourg and Portugal. Scandinavian countries are particularly active in integrating arts in health into social systems. Finland, for instance, has a “coordinated national effort to publish local cultural wellbeing plans” and a Masters degree is offered in Creativity and Arts in Social and Health Fields. Denmark and Sweden are part of a pilot by the Interreg Baltic Sea Region, to experiment with ‘arts on prescription’, and the Nordic School of Arts and Health also runs many projects. 

Arts in Health in Australia and New Zealand

New Zealand’s national network for creative wellbeing, ‘Te Ora Auaha’ (Creative Wellbeing Alliance), was established in 2019 to help ensure access to arts and culture. New Zealand is also investigating arts on prescription as a way to support arts in health. Australia’s ministries of health and culture have since 2014 committed to improving the health and wellbeing of all Australians by formally recognising the role of the arts in supporting wellbeing. They have an active Arts and Health Network too, with regular meetings and several events. 

Arts in Health in Canada and the United States

Canada and the United States have active arts in health programmes and are creating national support networks, along with efforts to focus research and policy for the field.

Canada, like other countries including the UK and Finland, for example, is home to an arts in health-focused research group and offers degree programmes. Efforts to integrate research-based arts in health strategies into public policy are underway in the United States. Organisations like the National Endowment for the Arts and Americans for the Arts are now actively supporting arts in health projects. Several national projects are currently running, however funding for projects is usually not structural.

This brief introduction to arts in health in other countries is not exhaustive, but merely offers a glimpse into some of the strategies, structures, and experiences in other countries, in the hope that they will be of use to Dutch arts in health advocates. Overall, support for arts in health is increasing in many countries and major institutions. 

For arts and health movements to become sustainable anywhere, local and national governments must systematically collaborate across sectors and with arts and health professionals.

The level at which strategies and projects are integrated into institutions varies widely. Furthermore, the structural funding for arts in health is not correlated with the wealth of particular countries: While the Greek ministries of Culture and Sports, and of Health, have both signed a memorandum which includes plans for intersectoral collaboration and the implementation of arts in health policies, the United States and Canada struggle to implement national, intersectoral, structural funding for arts in health.

Nor does a long tradition of arts in health funding guarantee ongoing structural support. Although the modern arts in health field largely developed in the UK, changes to healthcare funding in recent years has seriously impacted the field there.

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