Meet Me at the Movies and Make Memories Interactive Film Program
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Meet Me at the Movies…and Make Memories™ Interactive Film Program By Peggy Cahill; John Zeisel, PhD; and Sean Caulfield Photographs by Daniel Colucci ‘Meet Me at the Movies…and Make Memories’ (MMATM) is a replicable film‐based treatment program for people living with Alzheimer’s and related dementia. The therapeutic aim is to reduce symptoms through reminiscence, group discussion, and image recognition. MMATM is an ARTZ created program, but is done in collaboration with film institute’s and theatres. Since the program’s inception, ARTZ has primarily worked with the Tribeca Film Institute in New York City (www.TribecaFilmInstitute.org) and the Coolidge Corner Theatre in Brookline, Massachusetts (www.Coolidge.org). Both of these institutions are not‐for‐profit/charity organizations. In June of 2006, MMATM held its first public showing at the Tribeca Film Institute (TFI). Since then, ARTZ and the TFI hold an annual spring program. In 2009, ARTZ began a quarterly MMATM program with the Coolidge Corner Theatre. This quarterly program serves more than one thousand people living with dementia per year. This free program gives those living with memory loss an expressive outlet and forum for dialogue by viewing pre‐selected film scenes, immediately followed by group discussion. Volunteers from ARTZ work with audience members to engage in reminiscence and to highlight themes, such as family, love, the Great Depression, World War II, and Old Hollywood. Focusing in depth on icons from Hollywood’s Golden Age, the program includes performances by legendary stars Jimmy Stewart, Humphrey Bogart, Judy Garland, and Lucille ball among others. During the film programs people seem to thrive and achieve a greater sense of selfhood, and their partners experience this as well. With my colleague and ARTZ co‐founder John Zeisel, we developed this program by conducting focus group interviews with potential participants to determine which films would most resonate with the audience. Volunteers acting as ushers and greeters are given special training to learn about dementia and to develop specific approaches to bring about engagement. “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 1
In addition to Tribeca and the Coolidge, the program has been performed successfully for over four years at care homes, senior centers, theatres, universities, adult day programs, and assisted living residences. Before and after each of ten 4‐minute film clips projected during the performance, two "guides" on stage gently coax memories, opinions, and feelings from the audience, leading to increased focus of attention and participation. Evaluation of the program has employed two main methods: Focus groups of participants with Alzheimer’s at Alzheimer’s adult day and assisted living programs in New York City and Massachusetts, and post‐performance group interviews with program staff. These methods have demonstrated the effectiveness of each film clip and helped to fine‐tune and shape subsequent performances. Purpose of Program ARTZ movie events are specially designed for people living with memory loss and their care partners. Some of these people with memory loss may have Alzheimer’s disease, and others may have other diseases that cause dementia. Dementia is the umbrella term for a cluster of symptoms that include memory loss, intellectual loss, difficulty with language, and problems interpreting the environment. People progress in dementia at different rates, and at all stages of dementia there are remaining abilities for communication and creativity. ARTZ designs this program to capitalize on those remaining abilities. For example, because many people with dementia can exhibit a shorter attention span, ARTZ shows only a clip from a movie instead of the entire movie. The audience therefore does not have to follow the thread of the entire plot or remember characters from one scene to the next. Also, the chosen clips are famous or iconic. Many people remember these famous scenes, which are embedded in their long‐ term memories, and so they naturally become engaged in the process. Goals of Program • Stimulate and engage individuals experiencing memory loss, enhancing emotional health by reducing symptoms associated with the disease while improving focus “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 2
of attention, mood, emotional connectedness, memory access, and future orientation. • Promote more meaningful interaction and a deeper understanding between those diagnosed, their care partners and family members. • Demonstrate through research the effectiveness of film to capitalize on remaining abilities of those living with dementia, increasing the health and well being of participants. • Strengthen community partnerships. • Effectively evaluate and replicate the program. Meet Me at the Movies Facilitator Guide by Lauren Volkmer, Program Coordinator, ARTZ New York City This is a general guide for facilitators of ARTZ movie events. Every facilitator will have a different style and personality; what is most important is the communication between co‐facilitators, awareness of the audience, and the ability to flow and adapt in the moment. What follows is information about the facilitating structure, improvisation, and the special needs of audience members with dementia, as well as a brief example of what a script might entail. Congratulations on being a co‐creator of an experience that will be magical, memorable, and fun for all! The Facilitating Structure There can be either two or three facilitators. More than three facilitators are not recommended because the audience will have to work harder to focus on who is speaking and may lose focus entirely. One facilitator could potentially work in a pinch, but we recommend at least two because the interplay between facilitators is an integral part of how the audience is engaged. Whether there are two or three facilitators, each person should know what their “role” is in the facilitating structure. Since the script is largely improvisational, it is very helpful for each person to know what is expected of them and to be able to get back on track if the event starts to veer off course. “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 3
Think of the old comedy teams when one person was the “straight man” and the other was the “funny man,” really zany and off the wall. The straight man sets up the jokes, or “feeds” them, to the funny man. It’s like a volleyball team—one person gets the ball up in the air, and the second one hits it over the net. Both roles are crucial to the game. In our case, let’s call the two facilitator types the “director” and the “actor.” If you have three facilitators, then two of them can be actors. The director is responsible for ensuring the flow of one clip to the next, introducing each film clip, and cueing the projectionist to start the clip by saying, “Roll ‘em!” The actor is responsible for leading the post‐clip discussion with the audience. Both roles have scripted and improvisational elements and both are interactive with the audience and with each other. During the clip introduction, the director takes the lead and the actor offers support. During the post‐clip discussion, the actor takes the lead and the actor offers support. If the co‐facilitators are comfortable with the “straight man/funny man” comedy dynamic, this offers an extra level of humor and entertainment for the audience. Improvisation or “Being in the Moment” The degree to which the event is scripted depends on the facilitators’ level of performing or public speaking experience and comfort with the material. The more the facilitator is able to look up from their script and adapt to what is going on in the moment, the more engaged the audience will be. However, beware of going off on tangents too often. Remember that the audience members with dementia may have difficulty following you if you stray too much from the topic. A central part of improvisation is going along with what your facilitating partner presents to you. Many teachers of improvisation call this “yes, and...” Be prepared to accept your partner’s ideas and add to them appropriately. Before you begin the actual event, it may be helpful to meet with your co‐facilitator(s) and practice this a few times. Remember the volleyball analogy—if someone hits the ball up in the air for you, it doesn’t do any good for the game to let it fall back down to the ground or hit it off in a different “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 4
direction. Think in terms of teamwork and flexibility for the common goal of making the movie event an enjoyable and stimulating experience for the audience. Being in the moment also requires a certain level of energy. It is always good to have a lot of energy devoted to listening, both to your co‐facilitator(s) and to the audience. Visual cues should be paid attention to as well. As with any performance situation, you should infuse your words and actions with energy. However, remember that you are sharing the spotlight with both your co‐facilitator(s) and with the audience. They need to have the chance to shine as well. Therefore, we advise you not to try to fill up the whole room with your energy. You should leave room for the other people to experience the event and add their own energy to it. You are a co‐creator of the event, along with your fellow facilitators and the participants in the audience. Each event will be unique and special because of this. The Audience ARTZ movie events are specially designed for people living with memory loss and their care partners. Some of these people with memory loss may have Alzheimer’s disease, and others may have another form of dementia. Dementia is the umbrella term for a cluster of symptoms that include memory loss, intellectual loss, difficulty with language, and problems interpreting the environment. People progress in dementia at different rates, and at all stages of dementia there are remaining abilities for communication and creativity. ARTZ designs this program to capitalize on those remaining abilities. For example, because many people with dementia have a diminished attention span, we show only a clip from a movie instead of the entire movie. The audience therefore does not have to follow the thread of the plot or remember characters from one scene to the next. Also, the clips we choose are usually famous or iconic, such as the final scene in ‘Casablanca.’ Many people remember these famous scenes, which are embedded in their long‐term memories, and so they naturally become engaged in what is going on. “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 5
The specialized nature of the event is not just in the selection of the film and TV clips. The presentation of the facilitators should also take into account the specialized needs and abilities of the audience members. This is why scripts generally do not include a great deal of trivia—recalling things like specific dates or number of Academy Awards are not as engaging as provoking memories of the way a movie makes us feel. When in doubt, especially during the post‐clip discussion, focus on the emotion of the clip rather than the small details. This doesn’t mean that you can’t also go along with an audience that wants to talk about the details. Each group will be unique, and you may be surprised at the memories and ideas stimulated by the clips. In terms of the logistics of the event, you should have a microphone and good speaker system if possible. Speak clearly and distinctly. Remember that many audience members may have trouble with their hearing, so if someone responds to your question from the audience and they are not speaking into the microphone, always repeat what they said in the microphone so that everyone can hear. In fact, it is a good idea to get in the habit of repeating what someone says because that repetition will help people with dementia understand and retain the information better. Resist any temptation to correct someone’s answer or syntax. Repeat it just as they said it so that their voice will be heard. If an answer is “wrong,” simply say yes, and does anyone else have an idea? Make room for everyone to be correct in that moment. Depending on your level of experience in relating to people with dementia, you may be unsure of how to best communicate with them. In this section we have discussed many of the limitations that people with dementia may be experiencing. The person, however, is far more than their deficits. The audience will be individuals with histories, “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 6
families, and unique personalities. Above all, it is vital to convey respect for your audience through your tone and your words. Although co‐facilitators must be energetic for these events, be careful not to patronize your audience. They are not children and must not be treated as such. If the audience members are not respected, they will not be engaged. If the audience is respected and included in the sense of fun and playfulness, they will rise to meet your expectations and beyond. “Meet Me at the Movies...and Make Memories’ Program, Copyright 2011‐2012, ARTZ: Artists for Alzheimer’s® 7
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