Reimagining communities of care in the performing arts: A call for a community-based task-sharing approach to address the mental health needs of performing artists

Performing artists are known for playing a critical role in the cultural and intellectual richness and wellbeing of society. Additionally, whereas engaging in art and performance can offer a myriad of mental health benefits, mental health and substance abuse disorders are common in this industry yet significant barriers, such as stigma, financial constraints, and lack of relevant training, appear to negatively impact access to mental healthcare. Moreover, the profound changes and uncertainty in the performing arts sector throughout the COVID-19 pandemic highlighted the need to enhance systems of mental health support in this community. Although changing perceptions around mental health and increasing access to care are complex and multi-faceted, approaches from global mental health may offer novel solutions to promote greater access and equity to mental healthcare for performing artists. In particular, capacity building strategies, such as task-sharing, may help to facilitate both the identification of individuals in need of care, and the delivery of basic forms of support, through training of individuals working in the performing arts community. If adopted, task-sharing approaches in the performing arts, could lead to the introduction of new roles that performers can adopt, which in turn, may lead to new job categories within this industry, while still contributing to the sociocultural fabric of the arts. Efforts to engage performing artists in the co-design and adaptation of materials and intervention strategies will play a critical role in the translation of current evidence-based and evidence-informed interventions to contexts and cultures within the arts. Importantly, while certain aspects of the entertainment industry have long been associated with poor mental health, movements among artists and performers are calling for a change in culture. Integrating scalable mental health strategies into the spaces in which the performing arts take place, may offer a critical framework for reimagining mental health support within the arts community.