Expressive Arts Intervention for Older Carers of Adult Family Members with Intellectual Disabilities

Abstract Expressive arts-based interventions have proven effective in facilitating discovery, healing, and change across diverse client populations, and particularly in deepening older individuals’ connection with their own creativity, resulting in improvements in physical and mental well-being. In this study, expressive arts-based interventions were utilised in ten groups of Chinese older carers of adult family members with intellectual/developmental disabilities. Focus group interviews were used to investigate the effectiveness. Amongst the forty-seven participants, the majority were mothers between sixty-one and seventy years old. More than half of the care recipients were over the age of thirty. The emergent themes included breakthroughs in self-expression, exploration of existential meaning, and confrontation with impending mortality. Participants had great worries about the future care arrangements, leading to immense feelings of frustration which were suppressed in accordance with prevailing Chinese values. Expressive arts were found effective in facilitating the expression of concealed emotions and expectations. The creative process was therapeutic in reconnecting the participants with forgotten events and relationships to discover positive meanings for change, enlightening them to embrace end-of-life as natural, treasure the present, and re-focus on self. Without a care arrangement solution, they resorted to maintaining health for life extension. Implications for service are included.