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A new commitment to collaboration

The MOU was formally signed at the National Art Centre, Tokyo (NACT) on May 23^rd.  It brings together three organisations with a shared ethos around the power of creativity and culture to support health and wellbeing, and with a research focus on the infrastructure, cross-sectoral partnerships and strategic support required for this work to flourish. Creative Health and Wellbeing is a key research theme for Creative 91直播, and we work closely with Greater 91直播 Combined Authority and local partners in the delivery and evaluation of creative health across Greater 91直播. At Tokyo University of the Arts (TUA), the carries out collaborative research across the fields of art, welfare, healthcare, and technology. The team at TUA already work closely with the , which strives to become a driving force in the sustained advancement of art, improve the social value of art, and work toward a future in which everyone can discover new values and potential through art.

The team in Japan have explored international approaches to creative health and social prescribing, including previous study visits to Greater 91直播, whilst developing the concept of cultural prescribing, which aims to create connections between people through culture and move towards a more inclusive society, 鈥榳here everyone has a space to belong, a role to fulfil, and the chance to lead a full, healthy, and meaningful life on their own terms.鈥�  Find out more about cultural prescribing here -

Given the similarities between creative health and cultural prescribing, there are many opportunities to learn from each other as we strive to demonstrate and articulate the value of fully integrating creativity and culture into our health and social care systems.

Whilst in Japan for the signing ceremony we were invited to speak at the NCAR Co-creation forum 鈥樷�� at the National Art Centre, Tokyo, and the International Social Prescribing Conference at Kyoto University. At both events we encountered enthusiasm for this work across the creative and cultural sectors, but also from healthcare, local authorities and policymakers keen to develop innovative approaches to social issues.

Creative Health and Cultural Prescribing in Japan

During the trip we were introduced to varied examples of creative health and cultural prescribing in practice in Japan, and we began to build a picture of the infrastructure supporting this work, along with ideas for future collaboration.

Creative Ageing

A key driver of cultural prescribing in Japan is the super-ageing population. With over 30% of the population over 65, this brings challenges for health and social care systems and local authorities. Although average life expectancy is among the highest in the world, healthy life expectancy is on average ten years less, and many older people live with long term conditions. For example, one in five over 65s live with dementia.

is a joint project between Tokyo University of the Arts and Tokyo Metropolitan Art Museum based in Ueno, Tokyo, developed in collaboration with nearby healthcare and social welfare institutions. Clinicians, curators and researchers worked together to design a creative ageing programme that could promote wellbeing and social connection through the museum collections, and that was fully accessible to people living with dementia and their carers.

 A further programme, Uenobi, has been newly launched based on the cross-sectoral collaboration fostered by Zuttobi to include other assets in the Ueno district, including the Zoo and local and national museums of Japan, establishing a cultural prescribing network. The team have published a handbook to support implementation and through the Art-Based Communication Platform for Co-Creation are exploring how the model could be replicated in other parts of the country.

At prefectural level, local government funded-cultural institutions are supporting residents to age well in their communities. During our visit we were introduced to the work of Kanagawa Arts Theatre, which, among of range of activities designed to promote inclusion, runs popular theatre and dance programmes specifically for older residents, including the internationally recognised .  Similarly, Saitama Arts Theatre runs a Dance for Parkinsons programme, working closely with the local public health office, and has expanded its long-standing Saitama Gold Theatre programme for older adults to an experimental programme, designed to be fully inclusive of residents of all ages, abilities and backgrounds.

Fostering connection

Alongside a rapidly ageing population, loneliness and isolation is a priority area for Japanese policymakers. Whilst this can be linked to older age, particularly in rural areas where younger people are moving away to larger cities for work, it is an issue affecting people of all ages. Latest statistics gathered as part of a national strategy to address loneliness and isolation found that 40% of the population report feeling lonely.

Many of the projects we heard about were therefore focused on community-building, connection and providing a sense of meaning and purpose. Examples included initiatives such as community allotments, communal studio spaces, neighbourhood festivals and community arts groups. A more unusual example was Tokyo University of the Arts鈥� project, which aimed to build links between residents and the student population through the care of community goats at Toride campus, north of central Tokyo. As well as providing a focus for shared activity, the project has sparked several new creative initiatives, including a calligraphy club (using goat hair to make the calligraphy brushes) pottery club (using goat droppings to produce a glaze) and a culinary club, where residents explore recipes based on the wildflowers and crops consumed by the goats.

Museums and galleries supporting health and wellbeing  

Similar to the Whitworth Art Gallery, and 91直播 Museum, museums and galleries are recognising their potential to support wellbeing and rethinking their relationships with their local communities, working to ensure their programmes and offers are inclusive and accessible to all. In Fukushima, to the north of Tokyo, the has played a vital role in supporting those affected by the 2011 Tohoku earthquake and tsunami and the subsequent nuclear incident. The museum has been central to capturing the way of life and preserving the memories of communities evacuated as a result of the nuclear incident. The relationships formed through this process have informed new ways of working with residents that link local heritage, nature and wellbeing.

Common goals and next steps

Whilst in our brief trip we were only able to scratch the surface of the wealth of creative health activity taking place, we identified some themes that were common to both Japan and the UK. In particular, creative programmes targeting older adults, creative activity to promote and support mental health and wellbeing and creative and cultural assets as central to community-building and placemaking. We could also observe similar challenges related to the development of a sustainable infrastructure for creative health, including the need to build cross-sectoral partnerships and work across different policy domains, and to articulate the evidence and value of this way of working.

Building on UoM鈥檚 existing research evaluating the integration of creative health into systems, and TUA鈥檚 focus on joined-up system design, the MOU provides an excellent opportunity for comparative policy research. We can also look across the University鈥檚 cultural institutions, and our partners in the wider Greater 91直播 creative health ecosystem to identify where we might co-create programmes and interventions with our counterparts in Tokyo and develop new approaches to design, implementation and evaluation. For example, CreaTech (the combination of creativity and technology) is an area with significant potential for collaboration as a growing element of Greater 91直播鈥檚 Creative Industries, a key theme of Creative 91直播 and a specialism of Tokyo University of the Arts.

We look forward to fostering new links between researchers in both universities to build an interdisciplinary, cross-sectoral and international creative health collaborative, evidencing the value of creativity and culture for health and wellbeing.