PIECEs Research site visits round-up: Arts & Community Engagement week in Pakistan

After a week long site visit in India ( which you can read all about it in our previous blog post here), the team flew to Karachi, Pakistan, for another week of activities regarding our Arts and Community Engagement work package.

The three members of UK team (Paul Heritage, Arts Co-I in the PIECEs Research; Renata Peppl, PIECEs Programme Manager and Mariana Steffen, Arts Projects Manager) joined the main partner on site, IRD Pakistan, and the Arts partner, IRC, during the first week of June.

After a week long site visit in India (which you can read all about it in our previous blog post here), the team flew to Karachi, Pakistan, for another week of activities regarding our Arts and Community Engagement work package.

Below you’ll find the highlights of the site visits.

Clinical site visit: Karwan-e Hayat and Forum Theatre session at Korangi Zia

The team started their first day of activities with a site visit to Karwan-e-Hayat (KEH), one of the local clinical partners in the PIECEs research project, and a long-time research partner with IRD. KEH was established in 1983 as a not-for-profit welfare organization, providing psychiatric treatment and rehabilitation services for people with experience of severe mental illness (SMI). It has both private and free of charge services. Inpatients and Outpatients are seen in the same facility.

During the site visit, the team was greeted by the organisation’s directors board and marketing team. They also had the opportunity to speak with both female and male inpatients on site about their experiences and challenges faced navigating SMI. Also, there was an opportunity to meet the clinicians who will take part in the PIECEs RCT (currently in the recruitment phase).

The visit was followed by a visual presentation of the site, and Professor Paul Heritage presented QMUL’s and People’s Palace Projects work within research and community engagement, which was received with excitement by the local team.

From there, the team followed to a Community Forum Theatre performance at Zia Colony in Korangi, one of the most deprived neighbourhoods in Karachi, in which IRD has been developing a number of outreach programmes, including the PIECEs Arts & Community engagement pilot phase.

A local church had kindly agreed to host the community engagement sessions, leading to the performance the team witnessed, which engaged the audience – formed mostly by young people and women – in discussion about mental health, stigma and networks of support.

Clinical site visit: Jinnah Post Graduate Medical Centre

The second day was marked by the site visit to our other clinical partner: Jinnah Postgraduate Medical Centre (JPMC), a government-run public general hospital, with a dedicated psychiatry department treating inpatients and outpatients. One of the biggest hospitals in Pakistan, JMPC was founded in 1963. It offers services for over 500 hundred mental health patients per day.

We were greeted by the clinical team who has been working on the PIECEs pilot and RCT recruitment, and visited the sites, within both the outpatient and inpatient facilities. Although facing a number of difficulties regarding public funding, the local team stressed the importance of the activities proposed by the PIECEs research and were extremely interested in developing the ideas around arts and community engagement within the facility.

Following a successful morning, both Pakistan and UK teams spent the afternoon on a strategic planning session, where the teams reviewed the arts and community plan, proposed a timeline and the team to work on the development of the activities.

Strategic Arts Meetings and Arts Advisory Board meeting

The third day in Karachi was a very strategic one, where the UK team had the opportunity to take part in the very first Theatre and Arts Advisory Panel meeting. The panel invited by IRD is formed by local artists, performers, community engagement experts and drama academics who gave provoking and thoughtful feedback around the initial programme proposed by the PIECEs research team. The meeting was key to understanding the local arts environment, building relationships with the advisory panel and exploring synergies for the Theatre of the Oppressed pilot company.

Using Performing Arts to Change Communities – Mehfil-e-Izhar

For the fourth day of activities, IRD Pakistan welcomed public health professionals, arts students, and theatre practitioners to a vibrant day of performances and discussions at the National Academy of Performing Arts (NAPA). The event showcased the work IRD Pakistan is doing in participatory arts (theatre) aimed at social change, mental health, and improving vaccine confidence.

Co-I Paul Heritage spoke about the utilisation of Theatre of the Oppressed and Arts as a tool for socio-political change and Mohammad Waseem (Founder of Interactive Resource Center) discussed the impact of Theatre of the Oppressed methodology in tackling social issues like child marriage, and bonded labour in Pakistan. Paul Heritage Queen Mary University of London, on the occasion spoke at IRD Pakistan’s #MehfileIzhar, about the use of participatory arts research in the realm of public health; “Arts can be a powerful tool to engage and activate communities for action against social injustices.”

IRD Pakistan’s project teams of PIECEs & #JeeloDobara performed moving pieces at the #MehfileIzhar at NAPA, Karachi, exploring how people with psychosis face stigma and discrimination, along with raising awareness and understanding about vaccinations.

NAPA’s own theatre and arts students performed at IRD’s #MehfileIzhar showcase in Karachi, through a series of performances, namely ‘Parivartan’, ‘Lahazil’ & ‘Ghootan’, using the arts to highlight the impact of societal pressure and discrimination on the mental health of individuals. Both guest speakers urged public health implementers, media students and policy makers to work together to strengthen the impact of their work for creating resilience in Pakistan.

Forum theatre workshops to end the week

To close our week long visit, Professor Paul Heritage led a Forum Theatre methodologies workshop with a number of IRD’s team members and arts facilitators, inspiring processes and techniques that will be used not only on the PIECEs projects, but in other projects where community engagement and arts as a research method are required.