Live Music for Mental Health: A Pilot Study of How Concerts Influence Mental Health Stigma, Empathy, and Resource Utilization.

Abstract

Mental illness, affecting one in eight people worldwide, is often exacerbated by stigma-which can result in self-stigmatization, isolation, and loneliness and negatively impact access to health care, education, and social connection. Previous research has found that stigma is best reduced through a combination of education about the stigmatized population and intentional contact with individuals from that population. Studies also note the benefits of community-based, culturally-relevant interventions and cultural experiences such as live music. Thus, this study posited that community-centered sources of contact and education, such as live music concerts, could offer effective, sustainable opportunities to reduce stigma and increase empathy about mental illness. To explore this approach, researchers evaluated Sound Mind Live's "Road to Recovery" (RtR) program, which addresses mental health stigma by training musicians to discuss the topic from stage, and by providing concert attendees with resources to improve education, awareness, and access to mental health supports. This pilot study evaluated RtR's impacts on stigma, empathy, knowledge, and actions related to mental illness. Using a pre-/post-survey design at two concerts in New York City, researchers measured changes in participants' attitudes, behaviors, and understanding of mental health issues. Findings indicate that concert attendance reduced stigma and negative behavioral assumptions related to mental illness, increased affective empathy, improved knowledge about mental illness, and increased attendees' likelihood of seeking support. This study informs further use of community-based arts experiences to address stigma, cultivate empathy and social connection, and improve care access.