Expressive arts in pediatric orientation groups

Area of Science:

• Pediatric Psychology
• Child Life Services
• Hospital-Based Intervention

Background:

• Pediatric admissions often involve separation from support systems and distressing hospital environments.
• Children experience significant stress during medical tests and procedures.
• There is a need for effective interventions to mitigate hospital-related distress in children.

Purpose of the Study:

• To pilot a novel intervention for children experiencing unplanned pediatric admissions.
• To explore the use of group activities and improvised skits to help children process hospital stress.
• To assess the impact of the intervention on children's emotional and behavioral responses.

Main Methods:

• A multidisciplinary hospital team conducted a pilot project with children undergoing unplanned admissions.
• Children participated in postadmission orientation groups.
• Group activities included improvised skits for sharing experiences, listening to feelings, and problem-solving.

Main Results:

• Primary care staff provided clinical judgments before and after the group sessions.
• Staff reported improvements in children's fears, anger, and withdrawal post-intervention.
• The shared group activities facilitated children's sense-making of the hospital environment.

Conclusions:

• Group-based, creative interventions can be effective in addressing pediatric hospital stress.
• Improvised skits provide a valuable medium for children to express and process difficult experiences.
• This pilot project suggests a promising approach for supporting children's emotional well-being during hospitalization.