Hairdressing, image and body work in care services to older people

Lead Research Organisation: University of Manchester
Department Name: Nursing Midwifery and Social Work

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.
 
Title Multi sensory appearance biographies 
Description This is a training video for practitioners in Australia which details the use of multi-sensory biography method developed for the Hair and Care project. It will be offered as part of a larger toolkit for working with people with dementia. 
Type Of Art Film/Video/Animation 
Year Produced 2016 
Impact Currently in production 
URL http://www.dementiadynamics.com.au
 
Description The 'Hair and Care' study explored appearance and how it is managed by and for people with dementia in receipt of care. A particular focus was upon the care-based hair salon and the relationships that unfold between hairdressers' and their clients. Findings for the study are clustered according to three main themes: i) the management and meaning of appearance for people with dementia; ii) care-based hairdressing as a distinctive field of labour and; iii) the role of the hair salon in dementia care.

i) Managing appearance is a way of telling an on-going story of who we are. We found appearances held significance to people with dementia as a source of biographical continuity; as a marker of personal and cultural histories; and as a way of showing a connection to others, particularly a spouse, partner or other family members. Aspects of appearance were used to hold onto the memory of people who had died, and were a way of communicating aspects of a person's character and marking milestones in their life. Following the onset of dementia, we found couples often managed appearance jointly as a way of sustaining couplehood. The research findings pose a challenge to current care practice where maintaining the appearance of people with dementia is often reduced to a set of task-based activities.

ii) Care-based hairdressing (CBH) is a distinctive field of labour; a hybrid of care and hairdressing. We found that hairdressers operate on the margins of the care system; receive little if any training; have minimal involvement in the wider care settings where they work; and tend to operate independently with few opportunities for contact with fellow care-based hairdressers. As a workforce they are largely invisible within policy and research. And, while CBH is valued and beneficial to clients its full potential to support person-centred care is currently unrecognised by care providers. Our research has helped to identify aspects of good practice and reveal diverse outcomes for people with dementia that offer useful insights for social care.

iii) The care-based salon is a unique space in dementia care valued by the people who use it. It opens up new contexts for communication, often being a place where people share insights into their own lives, support one another, and show interest in each other's lives. The salon space can feel familiar and reassuring to people who have used salons throughout their lives but was also found to serve different purposes according to context. In some cases it can be a place of sanctuary from a busy hospital ward, in others it provides opportunities for socializing and peer support. In other care settings the salon offered a safe space for people to voice their concerns and views of the care they receive. Often salons have to be staged when the hairdresser arrives in spaces as diverse as bathrooms, corridors or communal day rooms. Hence, we were given insights into how people with dementia and hairdressers work together to redefine spaces in care and create the salon as a distinct social and material place for coming together.
Exploitation Route With regard to potential impact on the 'user community' our intention is to use the findings of the study to promote change within health and social care in terms of how care-based hairdressing is understood, and the potential integration of hairdressers into the wider therapeutic objectives of different care settings. There are a number of levels at which we intend to work for change. First, there is a compelling case for raising the profile and awareness of care-based hairdressing with care providers who currently have limited understanding of the nature of this work and its outcomes for clients. We intend to work with organisations such as the National Association for Providers of Activities for Older People (NAPA), the My Home Life network and Alzheimer Scotland to communicate with providers. Second, our findings offer insights into potential developments in social care practice with people with dementia. This applies particularly to recognising the significance of sensory and embodied experience as a domain for meaningful communication and the maintenance of relationships and we intend to pilot a tool to promote this in dementia care. Third, we plan to address the current situation and status of care-based hairdressers themselves, who currently receive no training, minimal workplace support and have no opportunities for peer support. We will be providing guidance on good practice based on the project findings, and working with HABIA to create a networking resource for care-based hairdressers to share insights, experience and good practice with fellow workers. To ensure maximum impact for our findings, a planned series of academic outputs in the form of journal papers is currently being produced, alongside on-going presentations at high profile national and international conferences. During the life of the research we developed a network of individuals with shared research interests and through this will be collaborating on paper-writing and a book proposal. An end of project academic conference was also held to disseminate our findings and locate our work in the context of related research.

In terms of non-academic outputs, we have successfully bid for funding to develop and pilot the 'appearance biography' interview method, developed for the project, as a tool for dementia care practice. We plan to produce a series of briefings for care providers to raise the profile of care-based hairdressing and its benefits to person-centred care and will be publishing a number of articles in practitioner journals including the Journal of Dementia Care. We have successfully advocated for the introduction of an award for care-based hairdressing as part of the Annual Care Awards in the UK to raise the profile of CBH. We will also be working in collaboration with the Hair and Beauty Industry Authority (HABIA) to develop good practice guidance for care-based hairdressing and will contribute to training materials for hairdressers in raising awareness of dementia. In upcoming research on dementia friendly communities we plan to take forward our findings and apply them to understanding the role of hair salons in the lives of people with dementia residing in the community.
Sectors Communities and Social Services/Policy,Education,Healthcare

URL http://thehairandcareproject.com/
 
Description Our research has influenced the set-up and design of a care-based hair salon in a care home. We have also heard from care-based hairdressers to say they have shared our published work with their employers. We made a connection with a community organisation 'Kissing it Better' who run hair salons with student hairdressers in a number of hospital environments. Our work was used to by them to provide evidence of the impact that hairdressing has for people in hospital and to advocate for an expansion to the service.
First Year Of Impact 2016
Sector Education,Healthcare
Impact Types Policy & public services

 
Description Contrubution to practitioner education
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Fostering and encouraging transformative research within the social sciences Seed Corn Funding
Amount £8,000 (GBP)
Organisation University of Manchester 
Sector Academic/University
Country United Kingdom
Start 12/2013 
End 07/2014
 
Description Academic collaboration with the ESRC funded Dress and Dementia project 
Organisation University of Kent
Country United Kingdom 
Sector Academic/University 
PI Contribution We have teamed up with a research study investigating related issues on dementia and appearance. So far this has led to each team participating in the end of project conferences for the one another and we have also collaborated on the production of practitioner briefings based upon findings for each study. Most recently we co-authored an article for a practitioner journal.
Collaborator Contribution See above
Impact Presentations at end of project conferences and a journal article (in press) for the Journal of Dementia Care
Start Year 2013
 
Description 'So much more than just a hairdo' paper given to practitioner event for the Dress and Dementia Project 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This presentation was part of an end of project event aimed at practitioners for the ESRC funded Dress and Dementia project. It sparked discussion and questions and was part of an on-going collaboration with the Dress and Dementia project.

It led to networking and connections with service providing organisations with plans for future collaboration.
Year(s) Of Engagement Activity 2014
 
Description Appearance on local radio station for the African-Caribbean community 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact We discussed the Hair and Care project on air and raised issues concerned with black identities and hair. This led to follow-up contact from a number of organisations working with African and African-Caribbean communities.

The presentation raised issues of diversity and care for people with dementia from black and minority ethnic communities.
Year(s) Of Engagement Activity 2013
 
Description Consultation for performance piece on ageing and appearance 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact We were consulted by a performance artist in the development of a performance#lecture on the theme of appearance and ageing which was performed at the Royal Academy of Arts and is now uploaded to Youtube

Our input was based upon discussing the findings and insights from the Hair and Care project to inform development of this work.
Year(s) Of Engagement Activity 2014
URL http://smallthings.org.uk/performance-projects/how-do-you-see-me/
 
Description Dementia and Everyday Lives: Creative Approaches event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Postgraduate students
Results and Impact This event was run in collaboration with the Morgan Centre at University of Manchester. It was aimed at offering a workshop on creative methods in dementia research.
Year(s) Of Engagement Activity 2016
 
Description Interview on Thinking Allowed Radio Programme 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact A publication from the Hair and Care project was picked up by Radio 4 and we were invited to give an interview to discuss our project findings.
Year(s) Of Engagement Activity 2016
 
Description Participation in 'Task and Finish' panel for the Alzheimer's Society 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This panel will ultimately inform policy and service delivery by a national charity for people with dementia

Participation in the panel has only just commenced
Year(s) Of Engagement Activity 2014
 
Description Presentation at the 9th Annual Scottish Caring and Dementia Congress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact We will give a paper at this Congress (April) which is attended by dementia care practitioners from across Scotland. The purpose is to raise awareness of care-based hairdressing in the sector.
Year(s) Of Engagement Activity 2017
 
Description Presentation to the Residents and Relatives Association AGM 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Patients, carers and/or patient groups
Results and Impact Following media coverage we were invited to speak at the AGM for this charity which supports care home residents and their relatives.
Year(s) Of Engagement Activity 2016
 
Description Sharing of findings and insights with a local charity 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact We were approached by a local charity that ran a residential care facility for military veterans and asked for advice and input to the development of an on-site barber-shop facility.

The activity led to visits and consultation with the residential care home and sharing of advice and findings from the study.
Year(s) Of Engagement Activity 2013
 
Description Sharing of findings and insights with a local council 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact We were approached by a local council who were building a new supported housing scheme and were seeking advice on good practice for an on-site hairdressing facility. We shared information and findings from the project and signposted the council to further sources of support and advice.

The information shared was used in developing an on-site facility for residents of a supported housing scheme
Year(s) Of Engagement Activity 2013
 
Description Use of new social media to attract an audience to the project 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact using a project website, a blog and twitter we have built up a following of 357 groups, organisations and individuals with a shared interest in the issues we have explored in the project.

Examples of impact from this engagement work include making connections with two specialist hairdresser companies serving people with dementia in care - one of which co-authored a short article for a practitioner journal the other presented at our care-based hairdresser consultation event.
Year(s) Of Engagement Activity 2012,2013,2014
 
Description two shared learning workshops on multi-sensory life story work with health and social care practitioners 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact These two workshops were part of our follow-on activity from the project where we have developed briefings for practitioners on the topic of multi-sensory life story work with people with dementia. In these workshops we wanted to consult practitioners on an early draft of the briefings and stimulate discussion on sensory issues and care

The workshops led to honing and refining the practitioners briefings.
Year(s) Of Engagement Activity 2014