Contents Introduction…………………………………………….............. 2 Background Information (Open Clasp Theatre Company).... 2 Aims of ‘Mind the Gap’ and ‘Tonic’…………………………… 3 Methodology……………………………………………………. 5 Project overview……………................................................. 9 Findings………………………………………………………….. 15 Who we reached………………………………………………… 15 Impact…………………………………………………………….. 17 Obstacles and possible solutions identified by the project… 24 Achievements…………………………………………………… 28 Conclusion………………………………………………………. 29 Funders…………………………………………………………… 31 Thank yous and Contact details……………………………….. 31 Appendix – comments relating to the project………………..... 32 Open Clasp Theatre Company “Mind the Gap” – The Report INTRODUCTION “It helped me to speak. I want to speak” This is a report on “Mind the Gap”, a project run by Open Clasp Theatre Company, a charity which works to improve the lives of women and young women in the North East of England using drama and theatre. The project, which culminated in the smash hit play “Tonic”, examined women’s attitudes and experiences relating to mental health and wellbeing and the factors that affect it. “Mind the Gap” and “Tonic” provided an eye opening look into the experiences, views and opinions of over 100 women in our region who are often considered ‘hard to reach’. They are marginalised women; women who face discrimination on a regular basis; women who have had varying positive and negative experiences relating to their mental health. This report will give you a glimpse into the lives of the women worked with, explain our methodology and provide an overview of the information gathered during the project. The feedback we received during and following the project from participants, audience members and youth/ community/ health professionals is also outlined in the ‘findings’ section. We hope that you find the information in the report useful and that you are able to take on board the messages coming from real women in our region with the aim of positive change. BACKGROUND INFORMATION Open Clasp Theatre Company is the North East's only professional women's theatre company, with a proven track record since being formed in 1998. Working as a catalyst in partnership with other community groups we run issue based drama workshops with women and girls’ groups and create theatre which is taken to community and mainstream venues across the region. ‘How do you do it? So many links to so many women’s experience. Thank you’ Audience member, “Tonic” The basis for all of our work is the knowledge that drama and theatre instantly engages participants and can be used as a tool to empower, increasing selfesteem and confidence. This in turn can lead to personal development and growth, and to positive change for those taking part. Open Clasp’s performances and workshops are carried out on an outreach basis with the vast majority of them taking place at venues and locations where professional theatre is not ordinarily available. Participants are able to examine and share experiences through drama in a safe way (i.e. through a character) whilst being supported by their regular workers and Open Clasp’s workers. The theatre created by the company reflects these experiences, giving participants a powerful voice relating to the issues important to them within the context of entertaining, accessible plays which can reach large numbers of people. It is clear from the participants’ feedback the company receives that our drama workshops consistently have a transformational effect on those who take part. May, 2007 (updated Nov 2007) www.openclasp.org.uk 2 Open Clasp Theatre Company “Mind the Gap” – The Report AIMS 1) Why we carried out this work In 2004, Open Clasp consulted with groups worked with since the company was set up in 1998 in order to find out what issues women wanted us to look at when planning future projects. This exercise took into account the views of not only the women directly worked with but also the community workers working with the groups and representatives from regeneration agencies. It became clear from this consultation process that mental ill health, and the issues that create and compound it, were a major concern for participants. The message coming from workers was that something needed to be done to engage these communities in order to raise awareness around mental health and to reduce the stigmatisation and stereotyping which surrounds mental ill health. Open Clasp are passionate about drama and theatre as a way of reaching people not only to entertain them, but to inform and empower them to achieve positive personal and social change. It was with this in mind that Open Clasp implemented “Mind the Gap”, a project that would allow women to explore mental health, their chosen subject, in one of the most accessible and fun ways possible. “I was stuck. If it hadn’t been for Open Clasp I would still be at the start of that line (referring to the bridge built in workshops to allow characters to gain help from various sources to improve their situation. This flags up to participants which actions they can take to get help)” In addition to being chosen as a hot topic by the groups and workers there are also other factors which highlighted the importance of increasing the amount of work carried out to raise awareness around mental health and wellbeing. Improving mental health promotion is a target on the NHS’s Local Delivery plan, 2005 – 2008 and research such as “Women’s mental health into the mainstream” also highlight the importance and urgency relating to general and gender specific improvements to mental health services. Women in areas of social and economic deprivation are at a higher risk of exposure to contributory factors of mental ill health and therefore have a greater chance of developing problems with their mental health1. There is a higher proportion of deprived wards in the north east of England than anywhere else in the country2, indicating that a large number of women in this region have low awareness of mental health issues despite the fact that they are susceptible to factors that can lead to mental ill health. Women are also at higher risk of social isolation and poverty and child sexual abuse, domestic violence and sexual violence more commonly affect women.3 These are just some of the factors which necessitate more gender specific services. With 1 in 4 people experiencing some kind of mental health problem in the course of a year4 and women being twice as likely to experience anxiety as men (of people with phobias of obsessive compulsive disorders, 60% are 1 From Monitoring Poverty and Social Exclusion, 2003, Palmer, North, Carr and Kenway From The index of Multiple Deprivation ward averages, 2004 3 Women’s Mental Health: Into the Mainstream, Department of Health 4 The Office for National statistics, 2001 May, 2007 (updated Nov 2007) www.openclasp.org.uk 2 3 Open Clasp Theatre Company “Mind the Gap” – The Report female)5, the need for more work to be done around mental health both by health and statutory services and voluntary organisations seems clear. Discussion of the need for this project also went ahead with relevant professionals including Locality Development & Gender/ Women’s health lead for the National Institute of Mental Health in England (North East, Yorkshire and Humber regions) and Youth Networks Co-ordinator for Newcastle, Northumberland and North Tyneside Mental Health Trust (delivering psychological and educational interventions in schools) as well as workers from the Child and Adolescent Mental Health Service. 2) What we set out to do Drama workshops… Through a series of drama workshops the company aimed to gain insight into around 100 women’s experiences and opinions relating to the topic of mental health and wellbeing and mental ill health and its contributory factors. The methodology we use in our workshops is outlined in the next section. We intended to support and empower some of the region’s most disadvantaged communities and give them an opportunity to express their concerns/ views with regards to Mental Health and contributory factors. Awareness raising professional Theatre Open Clasp aimed to produce an entertaining, high quality piece of professional theatre in its own right which would be as popular as previous productions which include “Falling Knives & Runaround Wives”. Through the play, we aimed to give a unique voice to the women who took part in our workshops during phase one of the project and their experiences. We hoped to reach audiences of around 3500 people, many of whom do not ordinarily access theatre as an art form, and to challenge audiences, encouraging them to think about and question their own views, opinions and preconceived ideas, gain new insight into the experiences of others and the inequalities that need to be addressed and can see that we all have a role in doing this. We aimed to perform over 60% of performances to women only audiences and for over 80% of performances and 100% of workshops to take place in community venues. Post-show workshops We wanted to accompany many of the performances with post-show drama workshops designed to encourage audience members to examine the issues covered in the show. During this report we will examine how well the project has met these aims and look at the impact the play and workshops have had on women in the North East of England. 5 The Office for National Statistics, 2001 May, 2007 (updated Nov 2007) www.openclasp.org.uk 4 Open Clasp Theatre Company “Mind the Gap” – The Report METHODOLOGY This section outlines the unique method of work that Open Clasp applies to our projects. There are 2 main parts to this method, devising workshops and a theatrical production (informed by the devising workshops and followed by post-show workshops to further explore the issues raised): Phase 1 – Devising workshops The devising workshops use drama to break down barriers and relax and engage participants so that they can safely access and examine difficult issues. Workshops are carried out with existing women and girls’ groups to allow safety and ensure that the groups are supported in the long term as well as throughout the projects by their own, trusted community/ youth or mental health workers. The sessions help develop the empathic skills of participants as well as equipping them with skills relating to problem solving and assertiveness. Human rights education also comes as an important part of the package. The control of the workshops remains with the participants at all times. Whilst Open Clasp facilitators give participants a focus (in this case, mental health and wellbeing) and provide them with information on services available, participants are valued as the real experts in the issues that they have experienced. Open Clasp’s role is to give women the time and tools to make their voices heard, analyse their problems and work collectively on strategies for change. This is very empowering for participants, raising confidence and self-esteem and allowing discussion, debate and plans of action to promote personal and/ or social change. In practical terms, this happens through the creation of a character within each group’s series of workshops. This process allows participants to talk about (and address) negative experiences in the 3rd person so that they are safe and do not have to disclose their own situations. This model also provides an effective stimulus through which community/ youth workers and other group members can support individual participants to move on and improve those situations. May, 2007 (updated Nov 2007) www.openclasp.org.uk 5 Open Clasp Theatre Company “Mind the Gap” – The Report Below is a picture of a ‘role on the wall’ which begins the workshops – to start with this is a blank character. The group name the character and give her characteristics and experiences relating to their own characteristics and experiences. They also consider questions they will examine and answer about the character relating to her mental wellbeing during the series of workshops. May, 2007 (updated Nov 2007) www.openclasp.org.uk 6 Open Clasp Theatre Company “Mind the Gap” – The Report The groups continue to build on this through the series of workshops giving the character a life story leading up to present day on a timeline, shown below: May, 2007 (updated Nov 2007) www.openclasp.org.uk 7 Open Clasp Theatre Company “Mind the Gap” – The Report Workshops then focus on significant events on the timeline in detail, building on the depth and authenticity of their characters (this also serves the invaluable purpose of allowing participants to explore issues that they personally need or want to address in a productive way that does not put them under any pressure). The workshops conclude with a technique, which encourages groups to reflect on the issues highlighted during the workshop process, identify gaps in support and conclude on solutions (what is needed). This takes the form of a ‘bridge’ which allows the group to build their character a bridge of helpful people/ actions/ services in order to improve the character’s situation and, in this project, their mental health. Some examples of elements workshop participants may suggest in the building of the bridge are well trained GPs, self-help groups, supportive friends or even a more tolerant society which doesn’t stigmatise. Throughout the process, great care is taken by the experienced facilitators to keep participants safe and protected and reduce any vulnerability they may feel whilst addressing difficult issues by using dramatic techniques and games to begin and end sessions with positivity. Phase 2 – The play Culminating our long-term projects with a touring professional play reflecting and representing the experiences of women in our region is valuable in a number of ways. Using the play we can reach large numbers of people at once. This bonds audiences as well as initiating discussion, debate and action. An example of this is the Gender specific Mental Health Steering group that is being set up in Middlesbrough using Middlesbrough Social Services’ “Tonic” performance as a springboard and to engage members. Content/ plotlines are always focused on issues in the daily lives of women in the North East which makes the theatre accessible, allowing audiences to relate to the issues and characters. This quickly engages audience members who can then begin to understand the issues they may not have first hand experience of more easily than they would through traditional information sharing. I will not write at length about drama methodology and practitioners in this report but it is important to mention that our Theatre is Brechtian in style. This means that we work to ensure that our audiences are not passive spectators on a dramatic experience, that they view the stage events critically, question the plays events and review the options brought forward in the performance, therefore enabling audiences to see the individual within the wider context of society. In short, although they are being entertained, informed and supported, audience members are deliberately placed outside of their comfort zone to encourage them to address issues which are ordinarily hidden and act where they may normally turn away. The workshop participants who created the characters who appear in the plays gain a huge sense of achievement when they watch the performances as the shows are their creation and give a stage to their collective voice. This ownership has a profoundly positive effect on participants’ confidence and self-esteem. May, 2007 (updated Nov 2007) www.openclasp.org.uk 8 Open Clasp Theatre Company “Mind the Gap” – The Report The plays produced by Open Clasp are high quality, professional touring plays so when a group hosts a performance they are provided with a set, lights, music and professional performers. The plays also visit mainstream venues selling out and getting rave reviews as theatrical productions in their own right. It is an important part of the company’s ethos that all performances, whether they are in community centres or theatres, are of the same high quality. PROJECT OVERVIEW 1)Groups worked with West Denton Association (Play & Youth Service) Throckley (Play & Youth Service) Lemington (Play & Youth Service) Galafields Youth Project Women 4 women (a social group for all women who are lesbian, bisexual or unsure of their sexuality’) West End Women & Girls Centre – The Foundation Project West End Women & Girls Centre – Granny’s Group Bridge Education Centre (Chester-le-Street) WHIST (Women’s Health in South Tyneside) Hetton Learning Centre (Hetton le Hole) Smart Justice (women & young women from Sunderland) These groups are made up of women and young women from rural and urban communities between the ages of 13 and 60+yrs. Some participants had experience of mental ill health and mental health services, some did not. 2)April – May 2005 – Taster Sessions Open Clasp worked intensively with the groups above, plus a day’s consultation in partnership with the Smart Justice Campaign. This report will acknowledge the one off session facilitated but will focus on the ten main groups worked with. On three flip chart papers groups where asked to answer the following questions concerning mental well being What do we need to ensure that we have healthy mental well being? What things damage it and how? Outcome of Taster Sessions % Identified causes of damage to mental health participants 87.5% negative and abusive relationships (including domestic abuse, child abuse and unsupportive partners in relation to parenting) 75 % Stress and worry Alcohol and drug abuse 62.5% Bullying – including ridicule, persecution and criticism Problems with the family i.e. divorce. Low self esteem, lack of confidence and/or self worth 50% Losing a job, or having one that you hate (concluding in a lack of purpose) Abuse (physical and sexual) Lack of money Bereavement May, 2007 (updated Nov 2007) www.openclasp.org.uk 9 Open Clasp Theatre Company “Mind the Gap” – The Report 37.5% 25% 12.5% A physical trauma (this could be a life changing event out of your control) An unintended pregnancy Post Natal Depression (being pregnant) Being physically ill Failure/rejection Sleeplessness Environmental – fear, burglary, poor housing, people in your community, rats, Harassment, vandalism. Bereavement Not dealing with things from your past Being negative Discrimination/stigma (including homophobia & Heterosexism) Isolation & being lonely Falling out with friends Fear Anger Religion Rape Homelessness Inappropriate television programs Guilt because your not coping and you feel you should be Having children Being a single parent Bad diet Weather Betrayal/trust Negative intervention by professionals Being disabled Lack of control Not fitting in (image/clothes/size) 3)September 2005 – March 2006 – Devising workshops During these workshops, 127 women and young women spent approximately 96hrs in drama workshops. The sessions enabled women and girls to create characters within their groups and then piece together their characters’ life stories according to experiences of those in the group. ‘If it wasn’t for these workshops I probably wouldn’t have got out of bed – They’ve kept me going.’ Characters created: Organisation Age Galafields Youth Centre. Newcastle. West Denton. Newcastle Throckley rec Newcastle 13-15yrs 13-18yrs 13-14yrs May, 2007 (updated Nov 2007) Character Main issues explored Created Tegan Domestic Abuse and the impact on the Aged 15yrs child. Self harm. Zoe Aged Domestic Abuse and the impact on the 15yrs child. School response. Amber Bullying. Culture/gender, peer pressure Aged 13yrs www.openclasp.org.uk 10 Open Clasp Theatre Company “Mind the Gap” – The Report Lemington youth centre Newcastle West end Women & Girls Centre. Newcastle W4W. Newcastle 13-18yrs Josie Aged 15yrs Drug misuse, crime, child abuse, and abusive relationships. 18-25yrs Suzy 25yrs The continued domestic abuse after she has left violent partner. 18+ Eleanor 45yrs Internal homophobia, bullying & discrimination in schools. Granny’s Group Newcastle Hetton-le-hole 50+ Fran 60yrs 18+ Susan 40yrs Domestic Abuse and the impact on different generations. Having a voice. Disability, poverty. Domestic Abuse via mother and partner, impact on the child. Mental ill health and the impact on the child. W.H.I.S.T 25+ Nina 48yrs Bridge (Chester-lestreet) 18yrs+ Sarah 35yrs Working class, aspirations, poverty, not having children & stigma attached. Affairs and the impact and family. Bereavement, alcohol abuse, affairs and the impact on the family. Confidence was gained through doing an activity that members wouldn’t ordinarily do i.e. drama exercises, role-play, speaking and/or performing in front of a group. The physical activity level of participants also increases during a drama workshop. “It was proper class. I loved the games and drama. It has made us listen to each other better”. Each group created an environment that enabled the individuals to trust in the experience, they felt safe and treated each other with equality and respect. Individuals learnt to give and receive support. Individuals felt safe enough to take risks, helping each other to develop and grow. “We have never done this before, I feel that we have grown and trusted and bonded together in a very positive way.” The devising workshops uncovered issues impacting on the mental health of young women and women in Newcastle, plus rural communities. Time was spent looking at the causes, what support is out there and what is needed. (More about this is included in the ‘findings’ section.) From the evidence gathered all the groups have gained knowledge on what mental health is and what impacts on it and what is needed in order to prevent and/or heal. May, 2007 (updated Nov 2007) www.openclasp.org.uk 11 Open Clasp Theatre Company “Mind the Gap” – The Report 4) April 2006 – September 2006 – “Tonic” created and scripted and taken back to groups During this time, Catrina McHugh took the characters created by the participants in devising workshops and the knowledge and input she had gained through her dialogue with professionals in the field of mental health and research and drafted the first script of “Tonic”. In this process some of the characters, with many commonalities of issues and similar experience, were merged together resulting in 5 final characters who would appear in the play. The original plan was to take the first draft of the script and perform it for the participants at a showcase event in October 2006. This would have given the groups an accurate idea of what the play would be like. They would then have continued to work with Catrina and the cast and crew to make changes to the script and action to ensure that “Tonic” represented their experiences and views. Unfortunately, Open Clasp were unsuccessful in gaining funding for this part of the project so the showcase was not possible. Due to the budgetary constraints imposed by this the company, who place great importance on the continued involvement of the women and young women, carried out this section of the project in a different way. More workshops took place during which Catrina McHugh presented monologues for the characters to the groups, introducing them to their developed characters and the characters created by other groups. During this process Catrina also went through the storyline with the participants. Mental Health service users and groups were also consulted about the characters and storyline at this stage. “We could see what we had put into Nina (character) – her husband was Bill, we named him, and it was good to see her come to life – I was beaming when they first said her name.” What issues were covered and why? As already discussed, during the devising drama workshops the women and young women worked with looked at mental wellbeing and mental ill health and what main contributory factors they have experience of in great detail, incorporating these issues and experiences into their characters. During the scripting process, these issues then carried through, along with the characters themselves, into the play’s storyline. In addition to this, post-show workshops were designed to allow the audiences to further explore the main issues following the play. To show why the specific issues in the storyline of the play made it to the stage, here is a breakdown of the feedback from initial phase one groups on what they felt the main contributory factor of mental ill health is: 60% of women in groups cited Domestic Abuse as being the main contributory factor to mental ill health 20% of women in the groups cited homophobia as being the main contributory factor to mental ill health 10% of women in the groups cited childlessness as being the main contributory factor to mental ill health 10% of women in the groups cited bereavement, parenting and childhood neglect as being the main contributory factor to mental ill health. May, 2007 (updated Nov 2007) www.openclasp.org.uk 12 Open Clasp Theatre Company “Mind the Gap” – The Report Catrina McHugh, playwright and Artistic Community Development Director of Open Clasp Theatre company, undertook extensive research and training into the main issues highlighted including attending training and consulting mental health professionals and mental health service users throughout the process to ensure that she represented the issues accurately in the play and workshops. During phase one of “Mind the Gap”, gaps in the mental health services were identified from the point of view of the workshop participants (many of whom had direct experience). These gaps are also represented in the play to help audiences to see how women experiencing mental ill health or contributory factors relate to the available services and the stigmas and stereotypes that are imposed on them by society. An example of this is that women stated that they had little confidence in discussing issues relating to their mental health due to the stigma attached and that this can be exacerbated by the apparent unapproachable nature of some GPs. This is represented in the play as Suzy, a character who experiences an Obsessive Compulsive Disorder (OCD) reveals why she feels unable to tell her GP what is happening to her – she suspects he will say it is all in her head, that she is mad and then tell social services to put her children into care. During the play, Nina, a friend of Suzy’s helps her to approach a more understanding GP and offers support to help her to do this. One of the post-show workshops then examines the scenario of Suzy’s visit to the doctors in detail which proved to be a very useful tool for the health professionals who attended it as well as women who were approaching the workshop from Suzy’s perspective. This workshop also included a look at Suzy’s experience at work – being discriminated against due to mental ill health – another topic highlighted by the women in the phase one workshops. Other workshops were created to look at bullying/ homophobic bullying, domestic abuse and childhood sexual abuse, alcohol and drug use and parenting in relation to mental wellbeing. “Thank you for bringing to life the issues that people are either afraid or embarrassed to talk about.” 5) September 2006 – January 2007 – production phase During this time the script was worked on with groups, actors were cast, stage crew, set designer and lighting designer recruited and contracted and equipment planned and hired. The tour also required detailed planning and coordination – 36 individual performances were planned with groups and host venues, vehicles were hired, health and safety requirements put into place. It was at this point that the University of Northumbria collaborated with us on the play providing us with our visiting director, Fiona MacPherson (their Programme Leader, BA(Hons)Performance), who has also directed all of Open Clasp’s plays to date. The university also provided valuable help and support with set materials, design and writing. Rehearsals took place throughout January including further devising and development of the script - during this process, Catrina McHugh, “Tonic”’s writer, continued to speak to mental health service users and professionals about the storyline/ characters/ issues in the play. May, 2007 (updated Nov 2007) www.openclasp.org.uk 13 Open Clasp Theatre Company “Mind the Gap” – The Report At the end of January a preview evening was held for groups and professionals involved in the creation of “Tonic”. Audience members were asked for feedback so that any of the content of the play not seen to represent the experience of the groups/ information given by professionals could be addressed before the tour commenced. Feedback from the preview indicated that those involved in its creation felt that the play represented the lived experiences of women and girls in the North East relating to mental health and wellbeing accurately as well as entertaining an audience. ‘Excellent performance highlighting issues face by many people every day – well done!’ 6) February and March 2007 – The Tour In February 2007 “Tonic” hit the road with a cast and crew of 7 and a van full of heavy set, sound and lighting equipment. The play toured regionally to some of the North East’s most disadvantaged communities for 8 weeks, giving women and young women an opportunity to express their concerns/ views with regards to Mental Health and contributory factors (including domestic violence and child abuse). Most of the 36 venues were community centres, youth centres or schools. Performances also took place at the University of Central Lancashire with the involvement of Comensis, a Preston mental health service user group and the University of Northumbria. “Didn’t think I’d enjoy it so much. I was afraid you were going to be very “earnest” about yourselves. I was proved wrong!” 20 of the performances were also accompanied by post-show drama workshops designed to encourage audience members to examine the issues covered in the show using drama methodologies. ‘I was amazed by the subjects it covered and highlighted the good reasons for early intervention’ 7) Evaluation As well as this report, Sue Hacking, Senior Research Fellow in Evidence Based Practice the University of Central Lancashire will also be looking at further evaluation of this project as part of the collaboration between Open Clasp and the Universities (Northumbria and UCLAN) relating to mental health. May, 2007 (updated Nov 2007) www.openclasp.org.uk 14 Open Clasp Theatre Company “Mind the Gap” – The Report FINDINGS Throughout the project we gathered information in the following ways: At the end of each session the groups where invited to say what they found positive or negative about each session facilitated. 200 comments where recorded. Evaluation questionnaires were sent out to groups following their community performances and/ or workshops. Comments Books were available to audience members and workshop participants at every performance. Case Study interviews took place with 7 women to track the differences the project made to them from their feelings prior to starting the project , following the workshop stage and after seeing the performance and or a post-show workshop. We will also speak to these women again in a few months to see what they feel the long term impact has been on them. Opportunities given to feedback to the company personally or by email/ post. This section evaluates the project using the information participants and audience members gave us. 1) Who did we reach? Devising workshop participants “Mind the Gap” phase one (2005 – 2006) reached over 127 women in groups based in the North East of England. The groups contained older women, young women, lesbians, women with experience of mental ill health, lone parents, women with experience of domestic abuse, child abuse, alcohol and drug misuse and crime. Summary Total (Phase One) Total number of women and girls Total number of young women Total number of women 25+ Workshops Total 127 59 68 52 Audience members and post-show workshop participants During the “Tonic” tour, audience and workshop participant numbers, background and gender were recorded wherever possible to enable us to see how many people we reached with the tour and how many were women. For instance, we know that around 25% of our audience members and 37% of workshop participants were young women. Despite the fact that we had not worked with any women from BME backgrounds on this play, women from BME backgrounds were audience members at around 28% of our performances and made up 9% of our workshop participants (a workshop was devised to explore cultural differences around mental health). The following summaries also show the ratio of mainstream performances to community performances and the location of the communities we took our theatre to. Groups were also sent evaluation questionnaires following their performances in order for us to gain an idea of the backgrounds of their members. May, 2007 (updated Nov 2007) www.openclasp.org.uk 15 Open Clasp Theatre Company “Mind the Gap” – The Report Performances and workshops Total 2333 451 2784 Audience members Workshop Participants Total Venues Community Venues Mainstream Venues Total Performances Total 33 3 36 Percentage 92% 8% 100% Total 20 16 36 Percentage 56% 44% 100% Audiences Women only performances Mixed performances Total Performances Audience members (excludes 1 mainstream performance with 410 audience members) Female audience members Male audience members Total Percentage Total 1747 176 1923 91% 9% 100% The Community groups we performed to and an indication of their area are as follows: Back on the Map Surestart East & Fossway Sunderland Voluntary Sector Youth Forum The Linx Project Riverside Community Health Project University of Northumbria Raby St Play and Youth Service North Tyneside Youth Services Newton Ayecliffe Youth Service UCLAN mental health user group (Comensis) Angelou Centre Montague community facility Queen Elizabeth School, Hexham* Sandhill View School Northumberland Women’s Network West End Women and Girls Centre* Women’s Health in South Tyneside Bridge Project Hetton Centre, Hetton-le-hole Shiremoor Centre White Swan Whitley Bay CVS Teams Community Centre Surestart Ford Havelock Lemington Centre (play and youth) Chopwell Youth Club Wansbeck Council Community Development Middlesbrough teaching and learning centre May, 2007 (updated Nov 2007) NE6 4NU SR3 4EW TS8 9QW NE4 8XS NE1 NE6 2FF NE28 8RH DH5 4HX NE4 5NR NE5 3UT NE46 3JB SR3 4EN NE66 1AX NE4 6SQ NE33 1TA DH3 3AW DH5 9NG NE27 0HJ NE12 6SS NE26 1LZ NE8 2PW SR4 6HY NE15 8DE NE17 7HS NE22 5TU TS3 8PB www.openclasp.org.uk Hendon, Sunderland Byker Sunderland Middlesbrough Benwell, Newcastle Newcastle Byker, Newcastle Wallsend Co Durham Preston Fenham, Newcastle Cowgate, Newcastle Hexham Sunderland Alnwick Elswick, Newcastle South Tyneside Chester-le-street Sunderland Newcastle Killingworth North Tyneside Gateshead Sunderland West of Newcastle Chopwell Wansbeck Middlesbrough 16 Open Clasp Theatre Company “Mind the Gap” – The Report *more than one performance and/ or workshop As is evident from the above table, our community performances and workshops reached people from areas subject to some of the highest levels of social and economic disadvantage in the North East. 2) What impact did we have? Devising workshop participants Verbal evaluation Groups were asked to score the Open Clasp experience, marks out of 10 1 being bad and 10 being excellent. 85% 5% 10% 2.5% gave the company 10+ gave 9 out of 10 gave 8 out of 10 gave 7½ out of 10 77% said that they had gained in confidence and/or self esteem. When asked about the impact on the individual: 50% stated that they had learned more about themselves and other people’s experience. “Really good to look at issues that relate to lesbians…we all come from different backgrounds…but we’ve experienced similar things. Things that are different…it’s good to hear them…its all part of our community.” When asked about what the groups thought society needed to learn about (W4W) mental ill health and/or any other issues discussed in the workshops. 75% stated that there needs to be more understanding, awareness and knowledge gained with regards to Mental Health, Domestic Abuse and Bullying and its impact on young people. Groups also stated that: o Society needed to be challenged on discrimination. o awareness needs to be raised with regards to the need for services provided for women’s/young people, that funding should be prioritised for this work. o individuals experiencing hardship should be encouraged and supported to feel better. o professionals need to support survivors of domestic abuse. The evaluation indicates that the sessions helped and encouraged listening skills, teamwork, understanding and helped prevent feelings of isolation, which can damage mental health. I have learnt that …“What I say could make a difference and my confidence has grown stronger and I have opened up more and I believe in myself.” May, 2007 (updated Nov 2007) www.openclasp.org.uk 17 Open Clasp Theatre Company “Mind the Gap” – The Report The evaluation suggests that the problem solving empowered both groups and individuals. Using drama the groups where able to examine situations and issues with the aim of solving problems. In evaluation some participants indicated that they would then use these skills and the knowledge gained to look at their own lived experiences. Groups felt they had been given an opportunity to have a voice. Participants enjoyed the experience in itself “I thought it was good, and I don’t normally like drama, so if I liked it, that’s saying something.” Women used the experience to mark their own progress with Mental Ill Health, seeing they have moved on, or what they still need, and what is preventing them from living a positive and happy life, and used the experience to help formulate an action plan for change. “At first I thought it was for nutters (mental ill health) but now I know what mental health really means – every one has it”. Case Study analysis There were 7 case studies completed during the project. The women who participated in the case studies have all been involved throughout phase one and phase two of “Mind the Gap” (and therefore all created a character in their group) and have also all seen the play “Tonic”. Here is a breakdown of the information gathered. All case study participants were between the ages of 25 and 65yrs. 5 of the women were parents (1 was also a grandparent). 2 of the women had no children. 5 case study participants were not in employment and 2 of the women work part-time. 4 of the case study participants had no previous experience of taking part in drama workshops of any kind. 3 had experienced drama workshops before with 1 participant having taken part in Open Clasp workshops before. “Good to wear the cloak of someone else and behave how you wouldn’t normally without it reflecting on you.” 5 case study participants stated that they did not feel that there was enough support in their community. The other 2 women felt that their community was well supported by their women’s centre. Unfortunately the future of this centre is now in jeopardy due to severe funding difficulties which may leave these 2 participants feeling differently about how well they are supported. All 7 case study participants stated that they enjoyed taking part in the project. “I enjoyed being someone else but dealing with my problems at the same time” All 7 case study participants felt that their confidence had increased during the project. To measure this, participants were asked to self-assess their May, 2007 (updated Nov 2007) www.openclasp.org.uk 18 Open Clasp Theatre Company “Mind the Gap” – The Report confidence level with 1 being very low and 10 being very high at different points in the project. “I was glad to be part of it – none of us regretted doing it even though we were shy and anxious”. All 7 case study participants felt that their level of nervousness in expressing their opinions and views in front of others had diminished during the project. This was measured using self-assessment at different points of the project. “I moved forward – dealt with my past” All 7 case study participants stated that their self – esteem had improved during the project. This was measured using self-assessment at different points of the project. “If more people interacted through drama there would be less mental health issues!” Case study participants were also interviewed 6 months after the end of the project to gauge long-term impact. Comments were overwhelmingly positive. I believe I found out more about myself and it gave me more confidence. Open Clasp has helped us all to grow and I love where it’s taken me (plus I am still growing). Thank you so much.’ Case Study interviews Sarah: “I have had support workers galore to no success but Open Clasp and Catrina (staff member) have worked wonders. Better than any self-esteem or confidence course.” Sarah* is a 28 year old mother of 3 who lives in a rural ex-mining community. She is not currently employed and has experience of OCD and domestic abuse. Sarah felt that she had often been judged in the past regarding her mental health, often feeling that she was spoken down to and unfairly treated by health professionals, family members and people in general. She had also felt unsafe and vulnerable with health professionals and some family members and friends because of her mental health and the attitudes she felt people had towards her because of it. Sarah didn’t trust other people and tried to block out or bottle up her problems, feeling that she everything was out of her control and she couldn’t ask for help. Sarah feels that most of her support has come either directly from or through her local women’s centre which provides support, counselling and signposting. Sarah had no previous experience of being involved in drama workshops or going to see theatrical productions. She felt very nervous and unconfident prior to the start of the workshops and could not imagine herself ever acting or expressing her opinion in front of others. She also rated her self-esteem at a 1 out of 10. Sarah saw depression, domestic abuse, being put down or bullied and family/ childhood issues as being the main contributory factors to mental ill health. Sarah’s told us about her aspirations before the project - to get some qualifications and a job and to be helping people but she said she felt unmotivated, as if she couldn’t focus on the future. May, 2007 (updated Nov 2007) www.openclasp.org.uk 19 Open Clasp Theatre Company “Mind the Gap” – The Report “To hear other people talking about things I’ve also been through made me feel less alone” During the project Sarah’s self-assessed self-esteem and confidence grew consistently and following the performance of the play that she watched she rated her self-esteem, confidence and ability to act/ express her opinion to others at 10 out of 10. She also rated the experience as a 10+ out of 10. “They (Audience members) will have learnt what it is like to have OCD” Following the project, Sarah applied for a job and was shortlisted for interview. She found this very empowering as she felt that previously she wouldn’t have had the confidence to apply. 6 months on from the project end, Sarah has been successful in gaining a place on a teacher training course at university: “I was quite ill when I met the Mind the gap project and Open Clasp. I could not plan daily tasks or even think long term. I could not be in a crowded room before and now I am stood at the front of a class! I had only dreamt of it 15 years ago! Thank you will never be enough!” Alison: Alison* is a 38 year old woman with experience of mental ill health. She has no children and is currently unemployed. Her mental ill health impacted on her ability to work. Alison was severely bullied at school and has also experienced domestic abuse in several of her relationship. Alison feels that these factors contributed directly to her feeling like she needed to please everyone else which ultimately lead to a breakdown and suicidal thoughts. Alison had no previous experience of taking part in drama but has enjoyed watching productions in the past. Before the project started Alison felt unconfident and nervous, stating that she was worried people wouldn’t like her. Alison rated her self-esteem at 0 out of 10. When asked about what she thinks the main contributory factors to mental ill health are, Alison sited that other people’s/ society’s opinions and expectations as a major factor as she often felt she was not meeting expectations and she attributes her breakdown to this. She also felt that being disadvantaged in a major way affects your mental health and wellbeing. During the project, Alison’s self-esteem and confidence improved from a 0 out of 10 to 6/7 out of 10. “Staff were brilliant, supportive, didn’t assume they knew everything – asked us because we know about mental health” Alison suffered with her mental health during the tour of ‘Tonic’ but she went to see the play and also took part in the post-show workshop. During this workshop she got up on the stage and whilst she was empowered, she also inspired others: “(One group member) hasn’t been well for a while. She can’t attend her classes due to her mental health but in one evening with Open Clasp she was up on that stage and getting involved with the group. It’s applaudable.” *Names have been changed May, 2007 (updated Nov 2007) www.openclasp.org.uk 20 Open Clasp Theatre Company “Mind the Gap” – The Report Audience members and post-show workshops participants ‘TONIC was absolutely brilliant. The characters and story was able to raise awareness of loads of emotive issues in a humorous, sensitive way. During February and March, 2007, 36 performances and 20 accompanying drama workshops took place on Open Clasp Theatre Company’s 8 week tour of “Tonic”. In total, 2784 people were directly reached by the tour and 92% of performances and 100% of workshops took place at community venues. Feedback during and following the tour was overwhelmingly positive. Comments Books ‘Absolutely fantastic! Very funny but very serious. Thank you for teaching me a little more and opening my mind to a topic I’ve previously heard little about. Keep up the work!!’ 2 comments books accompanied the tour giving the audience a chance to tell us what they thought. We received 593 comments from audience members at various venues and of varying backgrounds and ages. 591(99.7%) of the comments were positive centred around the following themes: 73 audience members’ comments asked to see more from Open Clasp 121 audience members’ comments stated that the play covered many important issues 69 audience members’ comments found “Tonic” to be true to life 109 audience members recorded that they were impressed with the quality of the theatre 188 enjoyed the performance/ found it funny and entertaining 69 found “Tonic” thought provoking/ moving/ poignant/ powerful At the 1st performance (attended by 60 people), in addition to making comments people were also given the opportunity to complete a quick survey to say whether they felt the show had changed the way they think. The results are as follows: 34 audience members said that the play had raised their awareness of mental health issues. 34 audience members said that the play had raised their awareness of child abuse. 35 audience members said that the play had raised their awareness of domestic abuse. 18 audience members said that the play had raised their awareness of homophobia. 23 audience members said that the play had raised their awareness of bullying. May, 2007 (updated Nov 2007) www.openclasp.org.uk 21 Open Clasp Theatre Company “Mind the Gap” – The Report 25 audience members said that they had direct experience of the issues in the play. 24 people also said that they felt less alone in the issues they face following seeing the play. 32 audience members said that the play made them rethink their preconceived ideas about mental health and mental illness. 26 people said that they had had their awareness regarding issues faced by lesbian parents raised. 30 audience members felt that TONIC has made a big difference to them. 40 audience members wanted to see another performance by Open Clasp. ‘Absolutely fabulous. Great to see serious issues being addressed so positively and with such hope for resolution. Wonderful to see the characters grow together.’ Questionnaires All community groups who hosted the play received questionnaires on which to feedback about the affect they think “Tonic” has had on their service users. Most workers do this as a group exercise and fill in the form using not only their views but primarily those of the group members. The Community Group Questionnaires which have been returned to date have provided us with further insight into the background of our audiences. 23 questionnaires have been returned so far, representing 10 performance only and 10 performances accompanied by workshop (20 in total – occasionally multiple questionnaires are returned per performance if several community groups attend). In all, these questionnaires represent the response from 969 audience members and 228 workshop participants, all of whom saw the show or participated in workshops at community venues. Below is an analysis of the audience information on questionnaires returned to date.. Women only 20 (87%) Mixed 12 (52%) Known to include BME audience members 10 (43%) Known to include people with experience of Domestic Violence 16 (70%) Known to include people with experience of Mental Ill Health and or Disability 14 (61%) Known to include people identifying as Lesbian, gay, bisexual or transexual 7 (30%) May, 2007 (updated Nov 2007) www.openclasp.org.uk 22 Open Clasp Theatre Company “Mind the Gap” – The Report Known poor level of education 11 (48%) Known to include people from disadvantaged/ marginalised/ isolated communities 16 (70%) Known to include people with experience of addiction 12(52%) Known to include older women 14 (61%) Known to include younger women 18 (78%) Known to include people who do not usually have access to professional theatre 20 (87%) Known to include people who have low self confidence 13 (57%) NB These figures are guideline amounts passed on from group leaders and are only an indication of how many performances definitely included people from these groups. It is possible that percentages for factors other than gender and ethnicity may have been, in reality, higher as audience members were not required to divulge any personal information. Community/ Youth Workers 23 (100%) workers stated that their group gained greater knowledge of the issues covered in the play Specifically to mental health Specifically to domestic violence Specifically to Bullying Specifically to Relationships Specifically to Homophobia/ sexuality Specifically to Sexual abuse/ child abuse Specifically to alcohol and drug misuse Specifically to parenting 21 (91%) 20 (87%) 16 (70%) 19 (83%) 19(83%) 16 (70%) 20 (87%) 15 (65%) “There has been a great deal of discussion from the young people who attended and from most of them, a high level of understanding.” 17 (74%) of workers stated that their group gained greater knowledge of ways to seek help with the issues in the play “It has a major impact on raising awareness of the variety of support services which can be used to meet needs. It provided an excellent platform for developing a steering group and support network to take forward work towards more gender sensitive services in the town (Middlesbrough)” “The workshop gave a really good insight into ways of tackling problems that look huge!” 21 (91%) of workers stated that they want to see more from Open Clasp “ There were people in the audience who work with women in a health and lifestyle advisory context and they seemed interested in exploring possible ways of working with Open Clasp in the future” May, 2007 (updated Nov 2007) www.openclasp.org.uk 23 Open Clasp Theatre Company “Mind the Gap” – The Report 21 (91%) of workers stated that the play/ workshops are a good starting point for further work “I think the women who attended found it easier to discuss certain topics eg OCD when relating it to the performance” Worker who has already begun to undertake further work 20 (87%) of workers stated that the work made a difference/ can change attitudes “I feel drama is an excellent tool for encouraging not only participation but to raise self esteem & confidence. Open Clasp’s (professional) approach to sensitive topics allows women to discuss openly issues they may have thus encouraging women to find their own solutions to their own problems.” Professionals The performances were attended by a number of mental health organisation representatives (many of whom are included in the questionnaires above) and mental health/ health professionals. Here are some of their comments: “The characterisation and the representation of mental health issues within the characters was excellent.” “I particularly liked the mix of comedy with the realities of daily life for lots of people. I certainly found all the characters really interesting, in particular with reference to mental distress and how mental distress touched each of their lives. Although it was obvious that one character in particular was really suffering, I found it really important that as an audience we saw clearly how all of us, whatever our situation, can get stressed and at times suffer from mental health problems and mental distress. I think that this is a really important message for all of us. Thank you, once again you have written, directed and performed a ground breaking piece of community theatre, that touches lives in a very real sense, whilst also informing, education and entertaining us. I look forward to more of Open Clasp.” “Absolutely breathtaking! I do hope you realise just what an amazing thing you’re all doing. Stunning and positive. Please keep trying to get into NHS streams. There’s so much you could do there” (GP in rural Northumberland) 3) Obstacles and possible solutions identified by the project Each workshop (both the devising workshops and the post-show workshops) concludes with a technique, which encourages groups to reflect on the issues highlighted during the workshop process/ play, identify gaps in support and conclude on solutions (what is needed). They are asked to look at where they would like their character to be in the future, and what obstacles lay in her path that may prevent her from living a positive and healthy life, therefore giving Open Clasp insight into the groups lived experiences in direct relation to the issues discussed in the workshops. May, 2007 (updated Nov 2007) www.openclasp.org.uk 24 Open Clasp Theatre Company “Mind the Gap” – The Report Devising workshops Obstacles identified The majority of groups identified professionals that don’t listen and/or give the support needed. Professionals identified included: o GPs/Drs o Counsellors o Psychiatrists o Social Workers o health visitors o Domestic Violence Officers o Teachers (Lack of effective anti-bullying policy at schools). All identified the need for access to more good community and youth centres staffed by well-trained workers. The lack of positive communication between children and parents Drug/crime culture. Parental breakdown and the impact on the child/ children. Lack of confidence/self-esteem. Isolation Lack of energy Discrimination and stigma in relation to mental ill health Discrimination and stigma in relation to sexuality Possible Solutions identified in devising workshops That professionals have appropriate training in order that they can listen, understand and offer the right support. In order to gain self-esteem and confidence women and young women need to have continued access to youth/community work*. That communities have access to group work and one to one support from community/youth workers, plus counsellors. That centres receive enough funding to support this work. Finances and knowledge with regards to a healthy diet. Communication skills gained via youth and community centres. Giving individuals the knowledge that others have experienced the same difficulties helps to prevent feelings of isolation. For professionals and families to understand and protect the child in relation to abuse. The young people are listened to, have access to learning mentors and that schools have effective anti-bullying policies. Knowing your legal and human rights Places and ways to make friends, therefore preventing isolation, which can damage mental well being. To change a culture that colludes with violence against women and children. Access to training to get qualifications, to have a job, money and better housing. To have positive sexual health education. To have your family, friends and professionals listen and understand. *This stepping stone was highlighted with every group as the most vital one to physical and mental well being, these organisations act as a life line, a link to other help and support and stated that without this women and young women would struggle to survive. May, 2007 (updated Nov 2007) www.openclasp.org.uk 25 Open Clasp Theatre Company “Mind the Gap” – The Report Post-show workshops As mentioned earlier, one of the post-show workshops sees the character Suzy, a single mum who recently broke up with her violent husband, suffering from worsening Obsessive Compulsive Disorder. During the workshop, audience members can interact with Suzy and ask her questions and identify the factors affecting her mental health as well as offering her solutions/ ways forward. 2 examples of the content of these workshops follow: Workshop 1 Suzy’s feelings in her current situation: Desperate, judged, alone, disillusioned, bad Steps to a more positive future: a friend who listens A Dr who listens and doesn’t judge her because of how often she’s been or the area she lives in. A positive counsellor who offers emotional help and can sign post her onto organisations that can offer practical support. Specific training for professionals regarding Domestic Abuse and OCD – and gender specific training. Courage to pick up the phone – its not easy. Courage to leave the house – and a friend who’ll be there for her regardless. A support worker who is consistent and offers continuous support – they’ll make regular visit and ensure Suzy gets out of the house. To get counselling and specific support for OCD – enable her to live and control the effects – not offer and unrealistic cure. To join a support group for those who’ve experience Domestic Abuse – such as the freedom programme. Access to such a worker and organisations 24-7 – so no matter when Suzy feels desperate/brave she can just speak to someone – not an answering machine. For the local CAB to be re-opened at least 5 full days a week –they can often be a first port of call for people. No more closures of valuable voluntary organisations. Government funding to support such projects effectively – not just start up grants but money to keep them going. Part time job – not in the fruit shop though – something new, sociable to help build her confidence with child friendly hours. Time Out – for herself. Self belief. Self respect. How Suzy will feel with these measures in place: Proud of who she is. ________________________________________ May, 2007 (updated Nov 2007) www.openclasp.org.uk 26 Open Clasp Theatre Company “Mind the Gap” – The Report Workshop 2 Suzy’s feelings in her current situation: Scared, Alone, Isolated, No hope Steps to a more positive future: A friend who is there for her. Access to Open Clasp workshops so she can recognise her problem and know she is not on her own – and feel valued because of who she is. Dr that has positive and effective training, therefore listens, supports and refers. A Counsellor who can give you all the emotional support you need regarding the DV experienced and also on how to live with and manage OCD. To know there are people she can ring – organisations and friends. Courage to pick up the phone and to get out of the house. Access to Hetton – “Come to us. We’ll look after you.” She would get emotional and practical support (about housing and benefits etc). The knowledge she really isn’t on her own –“If she comes her, she’ll hear how we talk and know we’ve been there.” Her children to get support at school via learning mentor, teachers – for youth workers to be involved. They need to feel supported and that will help them understand what their mother is going through/living with. Keep active – involve her children too – maybe all go jogging or play football. Her mother to understand and support and stop colluding with John. And to give her extra childcare so she can socialize with friends – and have time for her. Self belief – “You are amazing.” Time – it doesn’t matter how long it takes, or if you re-lapse. Mess your cupboards up! Friendship. Hope – “I’ve been through it and I’m on the other side. Sometimes I’ve found it hard and gone back, but I always pull through. You can too.” A big hug – “It’s ok.” How Suzy will feel with these measures in place: Happy, Content, Loved, Hopeful, As if she’s living! ___________________________________________________________ It may be of interest to note that in all of the workshops carried out, the volunteer portraying the GP (based on their experience/ expectations) played them as: male having been in the practice for 20 yrs plus the surgery is in a deprived area they live outside of the area and commute in their car every day (jag/Mercedes/4x4) well off financially good at their job clearly is frustrated by the ‘moaning minnies’ and trivial cases put to them believes the surgery would not be the success it is with out them. May, 2007 (updated Nov 2007) www.openclasp.org.uk 27 Open Clasp Theatre Company “Mind the Gap” – The Report ACHIEVEMENTS “Tonic” raise awareness of important issues relating to mental health. “Thank you so much – you have done more to raise awareness in one hour than in 10 years!!” Group leaders/ workers felt that the show and workshops gave them an excellent platform on which to build with important and necessary future work on the themes in the play and workshops. “The performance gives the youth workers a perfect opportunity to discuss and identify some of these issues which can often be difficult to approach in sessional group work” Following “Tonic”, a mental health Steering group is to be set up in Middlesbrough to look at gender sensitive mental health care. “We will use the play as a springboard to develop gender sensitive services for people with MH problems by setting up a steer group/ forum” That people enjoyed the show and workshops as well as learning from them. “Missed Emmerdale tonight… but WELL worth it. GREAT PERFORMANCE. Keep up the good work” Groups and individuals who saw the play and/ or took part in the workshops have told us that they would love to be part of Open Clasp Theatre Company’s work again. “We were impressed by the professional approach both the drama itself and within the workshop element to the event. Issues were clear but handled sensitively and with care” It is evident from the comments we have received that individuals felt empowered by the work we did with them. “Once again, thank you on behalf of my children and myself you have all moved me along that bridge (workshop technique) and saved my life. Excellent performance, fabulous workshops – keep saving other kids’ mams and sanity!” Through the participatory workshops, women gained the opportunity to voice their opinions and share their experiences and knowledge so that every one was able to learn from others. “ The mental health focus helped me to open up with likeminded people without ridicule – not being the local nutter” Audience members who had previously felt isolated by their own circumstances realised that they are not alone. “Thank you for showing OCD as it is. The fact that it can take over your life was portrayed excellently. Please continue to help people understand that we can all be afflicted with a condition such as this. As always the show was brilliant, keep up the good work and thank you very much” Through the character of Suzy from ‘Tonic’, a workshop has been created as an exercise to examine the obstacles faced by a woman with undiagnosed mental distress/ ill health and to explore and discuss strategies for change and available services to improve things. “Open Clasp’s workshop should be compulsory for people working in the care and community development arena” Adult and community Education worker May, 2007 (updated Nov 2007) www.openclasp.org.uk 28 Open Clasp Theatre Company “Mind the Gap” – The Report With “Tonic”, Open Clasp Theatre Company have succeeded in entertaining and informing audiences who are not regular theatre goers and in giving a voice to some of the most disadvantaged women in our region. The impact of Tonic does not stop with the impact demonstrated in this report. We now hope that “Tonic” continues to contribute to the achievement of the following goals: Giving a voice to those most disadvantaged and marginalised by society. Helping to inform service providers and policy makers in the interests of reshaping and improve service provision Dispelling myths and addressing stereotypes surrounding mental ill health Alleviating stigmatisation, fear and isolation CONCLUSION In response to requests from beneficiary groups and new health and government strategy and research relating to mental health and wellbeing of women6, Open Clasp Theatre Company aimed to use drama and theatre in order to gain insight into the views, concerns, pre-conceived ideas and experiences of women and young women in our region regarding mental health through “Mind the Gap”. We wanted to know what factors women had first hand experience of that had negatively and positively affected their mental wellbeing. We also wanted them to inform, support and empower each other during the process. Through the creation of the play “Tonic”, Open Clasp aimed to give a powerful voice to women and young women in order to raise awareness on the topic of mental health and mental ill health and promote discussion and debate around what needs to happen to improve the region’s services. During the project, 127 participants fed into the creation of “Tonic” and 2784 people saw the play and/ or took part in post-show workshops. 10 community groups took part in the initial workshops and 29 groups hosted a performance. Around 20 professional artists (including cast, crew, director and drama facilitators) took part in the project and 3 mainstream venues booked the show. 37 performances and 20 post-show workshops took place during the 8 week tour. It was clear from the initial devising workshops and their resulting play “Tonic” that ‘hidden’ issues such as domestic abuse, child abuse, bullying and parenting issues are negatively affecting the mental health of women and young women in our region (as well as their families, friends and communities) on a regular basis. As also discussed in Women’s Mental Health: Into the Mainstream, most of the contributory factors sited were those experienced differently by women than by men, highlighting the need for gender specific services. Evidence suggests that “Mind the Gap” was effective in giving participants the space and stimulus to explore the topic of mental health and related issues in depth, and to debate and conclude on barriers and gaps relating to it and possible solutions. It was apparent during this process that society-wide stigmatisation of mental health issues and the taboo nature of problems such as child abuse and domestic violence are seen by participants as being hugely detrimental to mental health as these factors result in people being Including Women’s Mental Health: Into the Mainstream, Department of Health May, 2007 (updated Nov 2007) www.openclasp.org.uk 6 29 Open Clasp Theatre Company “Mind the Gap” – The Report unsupported and alone. When discussing the importance of employment, participants largely believed that the majority of employers do not understand mental ill health and discriminate against sufferers. They surmised that this is largely due to the ‘hidden’ nature of mental illness and the stigma associated with it. During workshops focussing on actions which can be taken in order to get help regarding mental health, a subject participants often commented on was the worry that their communities do not always have access to approachable GPs, trained in mental health issues and supportive of early intervention. It was common for women in the groups to have had a negative experience while seeking help from a general practitioner, or to expect that this would be the case if they did take the step of telling their GP what they were experiencing. The evidence gathered from this project strongly suggests that the main source of valuable (and in some cases life changing) support experienced by the participants were community and youth groups/ centres and women’s centres most of which are voluntary organisations. The importance of these resources was in no doubt throughout the project with women being supported through counselling, informal support and activity/ education provided at centres as well as outreach activities run by voluntary organisations (such as Open Clasp’s workshops). With this in mind it is a growing concern that funding for such organisations is being consistently cut (2 of the centres worked with on this project are currently in serious jeopardy and very few can feel secure in their finances for the future). “Mind the Gap” was itself subject to budget cuts necessitated by failure to secure funds. As community and voluntary organisations are vital to women who experience, or are at risk of, mental ill health, in could be argued that their uncertain future is a concern that warrants serious consideration by everyone involved in the planning and provision of mental health services. The evaluation process showed the project to have been successful in enabling groups to inform, validate and support each other whilst also having support from Open Clasp’s workers and their own groups’ community/ youth workers. Participants told us that they experienced increases in their selfesteem and confidence, were more aware of others’ experiences relating to mental health and had more knowledge of ways to get support and give support to others. Many participants also told us that this was the first effective arena they had experienced in which to talk about these issues in a safe, accessible way. This report, along with “Tonic” represents the voice of women and young women of our region and as such, it can give us an indication of what they want and need. They want the stigmatisation associated with mental illness to stop. They want mental health to be a topic which can be discussed and addressed. They want to have access to appropriate, gender specific, high quality, non-judgemental support from statutory and voluntary organisations (preferably at the early stages of mental distress). This report will be sent to relevant health, public and voluntary organisations where we hope that the information it contains will assist in influencing and informing positive change for women and young women in the North east of England and their families, friends and communities. Please pass on this report to anyone else you think it may benefit or enlighten. May, 2007 (updated Nov 2007) www.openclasp.org.uk 30 Open Clasp Theatre Company “Mind the Gap” – The Report Thank You This project and the play ‘Tonic’ could not have happened without the brave and wonderful women and young women who worked with us over the past 2 years, letting us into their lives and experiences and creating some amazing characters in Josie, Zoe, Nina, Lorraine and Suzy. The groups who took part are: Bridge, women’s education centre, Chester-le-Street Galafields Youth Centre Hetton Centre Lemington Girl's Group Throckley Rec West Denton Girl's Group West End Women & Girl's Centre – Granny's Group West End Women & Girl's Centre – Young Mother's Group WHIST (Women’s Health in South Tyneside) Women 4 Women Open Clasp Theatre Company is a charitable company limited by guarantee. None of Open Clasp’s income is from sources relating to the health service. Open Clasp would like to thank the following funders who’s support has allowed the “Mind the Gap” project to happen: The Trusthouse Charitable Foundation Open Clasp are: Trustees: Caroline Airs (Chair) Jane Tarr (Treasurer) Shamshad Iqbal Anna Flood Jan Vincent Annie Rigby Workers: Catrina McHugh Roma Yagnik Sally Allen – Artistic Community Development Director – Company Development Manager – Administrator 36 Lime Street, Ouseburn Valley, Newcastle upon Tyne, NE1 2PQ T 0191 2301698 F 0191 2617144 E info@openclasp.plus.com My very first “experience” of Open Clasp and what a “Tonic” it has been, I laughed and cried, WOW!’ ‘Long may Open Clasp continue! Thanks’ worker, youth group. May, 2007 (updated Nov 2007) www.openclasp.org.uk 31 Open Clasp Theatre Company “Mind the Gap” – The Report Appendix Additional quotes and comments : Case Study Participants “I moved forward – dealt with my past” “We could see what we had put into Nina (character) – her husband was Bill, we named him, and it was good to see her come to life – I was beaming when they first said her name.” “I was glad to be part of it – none of us regretted doing it even though we were shy and anxious”. “I was anxious before watching the play but once it started I relaxed. It was excellent and I couldn’t stop laughing!” “Has given me confidence I didn’t have before” “I was given the chance to speak even if I was quiet – if unable to speak in front of the group, always got a chance in a separate room” “Good to think that speaking of our issues could help to change things” “Great to think that negative issues can be used for the good of others.” “It helped me to speak. I want to speak” “I feel a different person now” “It could be emotional at times, a few triggers but was supported and I coped.” “Good to wear the cloak of someone else and behave how you wouldn’t normally without it reflecting on you.” “I more people interacted through drama there would be less mental health issues!” “You benefit women in ways you don’t even know – can turn you around” “I learnt that I am not alone in the emotions that I go through, especially with my OCD and issues with my teenaged son.” “Proved that I’m not making up my OCD” “Funny on the surface but you hear the message behind it” “Brought things out that needed to be expressed” May, 2007 (updated Nov 2007) www.openclasp.org.uk 32 Open Clasp Theatre Company “Mind the Gap” – The Report “Was difficult to watch but the mood was lifted by the end and I wasn’t left feeling upset. The workshop helped as well then it showed me how solutions were possible.” “I think others will learn that OCD exists and that abuse happens – these issues need bringing to the fore” “The workshop was great – we could ask Abby (character) questions and see ways forward from the situation she was in” “Showed us how to involve helpful other parties so that we can know how to get help” “You give women the opportunity to grow”. “A real sense of achievement” “We were always given time and space” “I enjoyed being someone else but dealing with my problems at the same time” “Open Clasp are like Lucozade” “I still have a buzz now! Especially because I helped create it” “So well portrayed” “Great that the world cup, something that’s so male dominated can be the theme for something like this” “Absolutely wonderful. Belly-wrenching funny!” “The workshop was endearing. We built a bridge to bring the mother and daughter together. Great that everyone had different solutions to contribute. Touching.” “Shows your experiences, negative or otherwise can bring you to a better place” “If we could have had this when we were 16 life may have been a lot better” “Topics pulled and pushed you but the humour made it all okay. I could relate to a lot of the issues” “I could see how our workshops had informed the play” “The scene with the sisters really got to me and I did cry but it was short enough to be productive and not destructive. To put something funny afterwards and keep up momentum meant the scene helped me but didn’t stay with me negatively afterwards.” May, 2007 (updated Nov 2007) www.openclasp.org.uk 33 Open Clasp Theatre Company “Mind the Gap” – The Report “I feel unmotivated as if I’m going nowhere. Can’t really focus on the future” (before beginning work on the project). “I have had support workers galore to no success but Open Clasp and Catrina (staff member) have worked wonders. Better than any self-esteem or confidence course.” “I’m off my tablets now. Open Clasp gave me the strength” “Great to see other audience members changing their opinions about OCD” “They will have learnt what it is like to have OCD” “To hear other people talking about things I’ve also been through made me feel less alone” “Strangers who hadn’t been in our workshops got up on the stage and their reactions were amazing” “(One group member) hasn’t been well for a while. She can’t attend her classes due to her mental health but in one evening with Open Clasp she was up on that stage and getting involved with the group. It’s applaudable.” “Everything we said and did in the workshop has been represented on that stage through Suzy (character) but through other bits as well” “I thought that the workshop could have been a little bit more realistic as things were not necessarily in the right order – mental health services and the route you go down but because we were all contributing it was put right. It is also important that your workers reiterate that people begin to learn to live with their conditions and they may take the odd step back but that’s okay and they will now have a support network.” “I’ve just been shortlisted for interview for a job, I didn’t get it but I’ve the confidence to apply now” “If you can change the lives of people in other groups like ours then you will make a massive difference” May, 2007 (updated Nov 2007) www.openclasp.org.uk 34 Open Clasp Theatre Company “Mind the Gap” – The Report “I am glad that the Open Clasp staff moved rooms to help me feel safe” “The group supported everyone. Everyone was included and used their strengths” “Staff were brilliant, supportive, didn’t assume they knew everything – asked us because we know about mental health” “They took the time out to listen and didn’t judge” “Real events but we could speak through our character – good to open up but feel safe at the same time” “I was encouraged in a very positive way” “This has helped me deal with some of my issues and I learned to trust others through working with other women on this project.” “What you do is really important – carry on opening issues that get hidden away” “I wish more CPNs (Community Psychiatric Nurses) could have seen it!” “My self-esteem really increased – I challenged myself and did well” “I have more understanding of painful issues – some of which I have personal experience of” “The OCD character touched me – my daughter has OCD and it gave me more understanding and the rest of the audience. The character was great” “This will educate people who have no experience of the issues” “This educates and entertains” “Even if one person goes for help after this that is worth it” “I go to church and there is a lot of homophobia – I wish this could be shown to catholic priests” Community workers ‘it brings issues out in the open for young people so that they feel comfortable discussing them’ ‘Peoples’ attitudes can be challenged in a safe environment’ ‘The performance encouraged people to think! The workshop afterwards gave the women a real opportunity to further their thinking in these areas and the way it was presented made it really easy for them to participate.’ ‘A rare opportunity to discuss the issues in a safe environment’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 35 Open Clasp Theatre Company “Mind the Gap” – The Report ‘People who took part in the workshops gained confidence in their ability to put their views forward. They also gained knowledge on others’ attitudes and how if affects their lives’ ‘The performance was powerful, thought provoking and human’ ‘It was an eye opener for our students who wouldn’t normally reflect on these issues’ ‘Entertaining as well as hard-hitting’ ‘The play gives women the confidence and ability to talk more about the issues that affect them and be able to see others going through the same as them.’ ‘(During the workshop) one consultant psychiatrist said that Suzy (character) would need child care. This person is not known for his understanding of wider family issues, so that was great to see’ ‘By presenting some of these faceless “problems” as real people just like the rest of us, this can make a difference to people’s attitudes’ ‘This may help people to realise that there are lots of people who may have problems similar to them and help them to open up and talk to others’ ‘This was a fantastic community event for local women. This event has been a catalyst for more community opportunities which has been hugely supported by the women i.e. attendance or participation.’ ‘I feel drama is an excellent tool for encouraging not only participation but to raise self esteem & confidence. Open Clasp’s (professional) approach to sensitive topics allows women to discuss openly issues they may have thus encouraging women to find their own solutions to their own problems.’ ‘The play validated young women’s experiences’ ‘I think the women who attended found it easier to discuss certain topics eg OCD when relating it to the performance’ Worker who has already begun to undertake further work ‘We currently offer training (awareness raising) for Domestic Violence, Parenting & Mental Health Issues. I feel the drama performance will help us to promote the training and had a higher level of response.’ ‘ There were people in the audience who work with women in a health and lifestyle advisory context and they seemed interested in exploring possible ways of working with Open Clasp in the future’ ‘It has a major impact on raising awareness of the variety of support services which can be used to meet needs. It provided an excellent platform for May, 2007 (updated Nov 2007) www.openclasp.org.uk 36 Open Clasp Theatre Company “Mind the Gap” – The Report developing a steering group and support network to take forward work towards more gender sensitive services in the town (Middlesbrough)’ ‘The workshop gave a really good insight into ways of tackling problems that look huge!’ ‘Through Tonic, I signed up to be involved in a network/ steering group for gender sensitive mental health services in Middlesbrough’ ‘There has been a great deal of discussion from the young people who attended and from most of them, a high level of understanding.’ Audience members ‘Play was great really enjoyed it ‘ ‘Sensationally emotive –rollercoaster of emotions – OCT are the only organisation brave enough to tackle real issues!!’ ‘Great storyline (Suzy) sensitively done and raised the issue of how hard it is for other people to understand. ‘ ‘Loved the football scene very well thought out and well done the choreographer. Love it haven’t laughed so much for a long time. Well done everyone’ ‘Fantastic. It brought alive lots of things I put to the back of my mind’ ‘What a fab play it touches every nerve in my body. Very emotional but brill ending! ‘ ‘What a fab show can’t wait to see it again at Hetton Centre’ ‘Very well done, as usual, thought provoking Interesting, challenging. Entertaining’ ‘Fantastic wonderful women! Well done!’ ‘Brilliant well worth coming from Suffolk for!! ‘ ‘Speechless. What can you say about this play. Who ever is giving funds to this project you must keep it up. I don’t think you can understand how many lives have been saved by this workshop in this area!’ ‘Really good. I have experienced some of the issues and your acting was spot on’ ‘Really enjoyed it. Very engaging and really raised my awareness of mental health issues and child abuse. Well done.’ ‘Wow!!! Possibly the best performance I have ever experienced. Wonderful cast – fantastic mix of serious issues and comedy. Thank you!’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 37 Open Clasp Theatre Company “Mind the Gap” – The Report ‘Great! Loved the fast pace and comedy surrounding the issues’ ‘Excellent! Really good combination of humour and seriousness, sensitive and realistic about mental health.’ ‘Mint! Absolutely hilarious – really enjoyed it – was really sympathetic but still real when dealing with all issues. Fab!’ ‘That was absolutely ‘spot-on’. What terrific observations, and the balance between pathos and humour was fantastic. Couldn’t take my concentration off any one person there was so much going on! Every women needs to experience your show.’ ‘Superb balance between the serious issues and the humour – and what energy! Powerful but not heavy.’ ‘Issues with style and energy – great stuff’ ‘Thanks for the wonderful spirit in your show – I understand the ranting and constant lip – but I love the stillness, focus and reality at the real feelings in the real situations. More please.’ ‘Excellent way to engage the audience enabling them to reflect on their experiences – allowing them to look at other venues for support. Thank you.’ ‘Brilliant!! Brilliant!! Brilliant!! Laughed so much I peed myself.’ ‘Fantastic play – another one! Open Clasp’s work is absolutely essential for all women to experience!’ ‘It was truly inspirational. Well acted and thought provoking. You are the best group of women I have ever seen to act out such powerful scenes. Kathryn and Lisa’s sexual abuse scene was amazing. Well done girls.’ ‘You’ve done it again. Pulled me, pushed me, ripped my sides - & touched me in my hidden places – fantastic – thank you’ ‘Excellent show – very pleasantly surprised!! Great approach to such sensitive issues. Thanks for an excellent evening. You made us laugh and cry!’ ‘Thought you’d not top last year’s as it was so good but I was wrong’ ‘My very first “experience” of Open Clasp and what a “Tonic” it has been, I laughed and cried, WOW!’ ‘Yet again another fantastic production. All the young women I brought laughed out loud and thoroughly enjoyed it. Said they can’t wait for the next one as they’re definitely coming!’ ‘really good right opens your eyes to what people hide and really do feel’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 38 Open Clasp Theatre Company “Mind the Gap” – The Report ‘Thank you for showing OCD as it is. The fact that it can take over your life was portrayed excellently. Please continue to help people understand that we can all be afflicted with a condition such as this. As always the show was brilliant, keep up the good work and thank you very much’ ‘Really good. It was so realistic and I wanted it to go on longer so like real life and I would definitely would come again but I loved the characters and it reminds parts of my house. Mint. Loved it’ ‘Thought it was very thought provoking. Loved all the characters, could really empathise with them in a short space of time. It was an excellent impression of being pissed and the kids really related to the “geordi-isms”’ ‘Excellent performance, very entertaining and superb emotional impact regarding the crucial issues to women’s lives.’ ‘Wonderful performance and I thought the issues were dealt with sensitively and effectively. Can’t wait for the next performance.’ ‘Relevant points truly expressed in a sensitive and funny way. Keep on doing this please!’ ‘Fabulous performance. I felt guilty watching this in work’s time it was so good’ ‘An excellent performance touching many issues – thought provoking and enlightening.’ ‘Fantastic way of sharing problems. Great stuff’ ‘Well done! You shouldn’t be struggling for funds – you are brilliant – issues can be dealt with with humour.’ ‘Amazing, breathtaking. Makes me proud to be A)Northern B)Female! Stunning performances – thank you.’ ‘Absolutely breathtaking! I do hope you realise just what an amazing thing you’re all doing. Stunning and positive. Please keep trying to get into NHS streams. There’s so much you could do there’ (GP in rural Northumberland) ‘This needs to be documented! O.C. are without a doubt the most sensitive, inclusive and enlightening theatre company. Please please fund this company this work must be continued.’ ‘Such a fantastic show, such an incredible performance, such a valuable piece of theatre.’ ‘As usual brilliant work, that is really relevant to today’s audiences – brilliantly written – wonderfully acted. Well done for being so sensitive and being able to combine comedy and issues such as child abuse, homophobia etc.’ ‘Very interesting, funny yet moving. Second piece I’ve seen by Open Clasp. Look forward to more.’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 39 Open Clasp Theatre Company “Mind the Gap” – The Report ‘I was amazed by the subjects it covered and highlighted the good reasons for early intervention’ ‘Fantastic – full of thought provoking stuff and much that is personal to us all. Acted with passion and humour. Great performance!’ ‘Very moving, very powerful – excellent – wish you well in whatever you do’ ‘How do you do it? So many links to so many women’s experience. Thank you’ ‘Once again Open Clasp amazes me! Great stuff. Thanks’ ‘You always manage to come up with the goods – funny, caring, sensitive and send us home again feeling alive.’ ‘Fab! It touched on the emotive side of females and experiences in life. Even the husband laughed’ ‘Really enjoyed your performance – a magic night’ ‘Another powerful piece showing the strength and humour of women’ ‘Great stuff 4 the soul’ ‘Amazing, laugh so much, very uncomfortable at times, makes you feel. Love it ‘ ‘A great show – you had the characters on their issues off to perfection! My friend and I could even see ourselves in there! Well done!’ ‘Absolutely fabulous. Great to see serious issues being addressed so positively and with such hope for resolution. Wonderful to see the characters grow together.’ ‘Loved it. Was really funny and brought things to life.’ Young person ‘Great as usual! The bit with the two sisters brought a lump to my throat’ ‘The play was great, exploring different issues in a diverse way. I loved the humour. You were fantastic, the acting was v realistic and it’s very touching that the women were able to visually see the issues apparent.’ ‘Excellent – making all the material work so well – great entertainment but full of passion. So good to see live theatre of this quality.’ ‘What an inspiration to women both young and old. Refreshing, entertaining sensitive and realistic. The girls are a credit. What performances.’ ‘This was a fabulous play, well acted, funny, thought invoking and very enjoyable.’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 40 Open Clasp Theatre Company “Mind the Gap” – The Report ‘Fabulous performance – cried and laughed – so much that rings true to women’s lives. Thanks again’ ‘The performance was exceptional and hilarious. I think the story was very emotional. Drama is a good way to show people that don’t have any big problems personally how people who do have problems feel because for people without problems I can imagine it being hard for them to understand people who do.’ 12 yr old audience member ‘Absolutely fantastic – so funny and totally captured my imagination’ ‘Both informed and informative. Both funny and poignant. Excellent’ ‘Didn’t think I’d enjoy it so much. I was afraid you were going to be very “earnest” about yourselves. I was proved wrong!’ ‘Once again, thank you on behalf of my children and myself you have all moved me along that bridge (workshop technique) and saved my life. Excellent performance, fabulous workshops – keep saving other kids’ mams and sanity!’ ‘I thought that the play was excellent and you have a lesbian and things. My mother got hit off my dad for 15 years. Ps. I hope to see you again. I understand a bit more about things like being safe and getting rid of violence and expecting (respecting?) lesbians and gay people etc and that people should not put themselves in danger by drinking loads of beer etc’ ‘Top drawer performance – loads of stuff for us to talk about later. Thought the scene between the two sisters about the abuse was really sensitively handled.’ ‘Excellent performance highlighting issues face by many people every day – well done!’ ‘Excellent – delivered a very serious agenda in an entertaining and thought provoking manner’ ‘Well above expectations, professional approach and excellent portrayal of serious issues’ ‘As a worker I believe that these sort of mediums can do more good and reach more people in a short time than we, as workers, can reach in months and months.’ Community worker From 6 month on evaluation (participants asked if the project has had any longer term impact on them: ‘The Mind the Gap project has helped me 100% in the long term’ ‘I was quite ill when I met the mind the gap project and Open Clasp. I could not plan daily tasks or even think in the long term. Now, I am at university and May, 2007 (updated Nov 2007) www.openclasp.org.uk 41 Open Clasp Theatre Company “Mind the Gap” – The Report a volunteer. I could not be in a crowded room before, now I am stood at the front of a class! I had only dreamt of it 15 years ago! Thank you will never be enough! Keep saving families, women and fighting the stigma of mental health and other issues. You’re all fantastic!’ ‘I believe I found out more about myself and it gave me more confidence. Open Clasp has helped us all to grow and I love where it’s taken me (plus I am still growing). Thank you so much.’ ‘We have had a book published and 8 libraries in the borough have a copy each to lend out. (Mind the Gap) has given me more courage to try new things out.’ ‘Being involved in the workshops helped me to speak out in a group of people. Being shy and having low confidence I found speaking in groups difficult/ impossible. I was gently encouraged and did join in. This helped me a great deal and increased my confidence.’ ‘I rejoined my writing group less afraid of reading out my work. Without the Open Clasp experience I would not have rejoined.’ ‘Open Clasp give help and support in a way no one else does. Their work has been very important to many people. I have benefited through the workshops by talking about things most people don’t mention. The plays have also helped me by hearing taboo subjects discussed openly on stage. This gives others knowledge and people like me feel it is okay to speak the unspeakable.’ May, 2007 (updated Nov 2007) www.openclasp.org.uk 42