PAINTING A NEW PICTURE
A Midas Dual Disorders project based on Adult Learning and
Community Development principles to strengthen community action.
This program was accepted for inclusion at the Winter
THEMHS Conference, Bribane, June 2001 where it was presented by
Sonia Mahs
The Painting A new Picture Project was developed by Sonja Mahs
(AOD Counsellor Fairfield community Health Centre) and Julie Kruss
(Diversional Therapist – Fairfield/Liverpool Mental Health Services
Leisure Club~Julie has since moved on a new position ) to develop more
effective ways of working with people living with a mental illness who
also used alcohol and/or other drugs (AOD).
Previous initiatives targeting this group of mental health care
consumers ("Consumers") had not been successful in engaging
the people most at risk, particularly the precontemplators. We wanted to
find innovative ways of providing opportunities for people to identify
and explore their AOD use within a supportive and non-stigmatising
environment.
By working with consumers to identify and build on their own
knowledge we hoped to develop and support a foundation for future
initiatives informed by consumers themselves. With this in mind, the
project was divided into 3 separate, interlinking stages
The first stage provided a forum to share and collate knowledge held
by consumers on dual disorder issues. In particular, we were interested
in:
- What people know about the effects of drugs and drug use
- Protective factors which assisted people to stay out of, or get
out of AOD associated trouble
- Barriers to obtaining assistance – what makes it difficult to
seek help when in trouble
- Ideas about project participation
Consumers were given the option of being interviewed in small
discussion groups or individually and were paid a fee of $20.00 in
acknowledgment of their expertise, knowledge and participation.
The second stage was designed to develop, expand and express the
ideas identified in stage 1 with the possible outcome of an art piece or
series of art pieces which reflected the knowledge and experience of the
group.
A fall off in numbers and interest made this stage, designed to run
over a series of weeks, the most challenging to date. It required a
significant amount of reflection and review, resulting in a decision to
summarise the knowledge gained in the first stage under the following
headings:
What does trouble look like? What does help look like? What
are the barriers to asking for/getting help? What are the attractions of
AOD use?
This was summarised and recorded on cards by the project workers and
used as a focal point for discussion and further exploration.
Consumers were invited to participate in focus groups using the cards
as a tool to describe their own experience. They were encouraged to look
for cards that resonated with their own knowledge and place these on a
piece of fabric depicting a 'wall'. They were also invited to add new
cards if the material did not reflect their own ideas or experience. This
strategy proved a significant tool in regaining people's interest and
involvement in the discussions.
The cards became the cornerstone of the final art piece. Using the
metaphor of a wall built of oversized cardboard bricks, the ideas of Trouble
and Barriers to help are depicted on the bricks of the wall ,
with stars to show Attractions to AOD use. Help is
repsesented by "helping hands" which reach through a break in
the wall. A pamphlet depicting the wall scenario was developed so that
all who view the wall can have their own copy. The pamphlet also
contains referral information.
A series of workshops was conducted at the Liverpool Leisure Club
during which consumer volunteers constructed the wall for the 3rd
and final stage of the project.
This third stage aims to reorient health services to the needs of
consumers by communicating the findings of the project to service
providers. Consumers were encouraged to consider who they want to view
the wall, and where and in what way they want it to be seen.
The formal unveiling of The Wall by Professor Ian Webster (Director
of Population Health) was attended by a range of interested people
including representatives from mental health, AOD services,
Transcultural Mental Health, and Early Intervention teams. They were
addressed by Consumers and the project development team, and the mural
will now be displayed in local supermarkets, Mental Health Leisure Clubs
and Acute Mental Health Units. It is proving to be a valuable discussion
for health care providers and consumers, opening up significant dialogue
between then.. |