THERAPEUTIC ACTIVITIES FOR PSYCHIATRIC NURSING EXPOSURE:

ART THERAPY

Concept Paper

In partial fulfillment of the requirements in Care of Clients

With Maladaptive Patterns of Behavior,
Acute And Chronic Lecture

Submitted to
Ms. Melba Irene Gabuya, RN, MN

Submitted by
BSN 3E

February 1, 2023
 I. Activity Title
“Paint Your Thought”

II. Introduction

Mental illnesses are conditions that affect emotion, thought, and behavior. Distress and
difficulty coping with daily duties at work, in the family, or in social situations can be symptoms of
mental diseases. Nearly one in five (19%) U.S. adults experience some form of mental illness.
One in 24 (4.1%) has a serious mental illness. One in 12 (8.5%) has a diagnosable substance
use disorder. Regardless of age, gender, location, income, social standing, race, ethnicity,
religion or spirituality, sexual orientation, family history, or other aspects of cultural identity,
anyone can be affected by mental illness. While mental illness can strike anyone at any age,
three-fourths of cases start before the age of 24. Overall well-being includes mental health thus,
physical health both influences and is influenced by it (Njoku, I., 2022).

The WHO estimated that 154 million Filipinos suffer from depression, 1 million from
schizophrenia, and 15.3 million from substance use disorders, while 877,000 die due to suicide
every year (Department of Health, 2018). Thus, mental disorders could greatly affect
employment and levels of education, most especially in ages 25 to 52 years (Hakulinen et al.,
2019). It was found in a study by Hakulinen et al. (2020) that individuals with a severe mental
disorder had notably lower levels of employment before, and more especially after, the
diagnosis of their disorder. Their overall incomes came primarily from transfer payments, and
the most affected were those diagnosed with schizophrenia. After receiving a mental disorder
diagnosis, more than half of these individuals received no employment earnings (Lally et al.,
2019; Martinez et al., 2020).

In Davao City, The Philippine Mental Health Association (PMHA) and mental health
proponents vowed to boost the awareness campaign and intervention programs to prevent the
rise of teenage suicide and depression. City Councilor Joselle Villafuerte remarked that Davao
City was among the cities with increased teenage suicide and depression cases. SPMC's
psychiatry institute has a 60% out of 100% who seek medical advice because of suffering from
depression (Sunstar, 2018). The institute caters to more than Region 11 and their patients come
from Zamboanga, Agusan, Butuan, and Cagayan de Oro. However, not all 60% of patients are
admitted to the institute because they only accept those who are already suicidal. Many
conditions affect the spike in suicide and depression incidence, such as bullying in schools, the
councilor said. She also indicated the city's rapid urbanization, which creates circumstances that
stress people, as one of the major culprits. In January 2022, Mental Wellness Center for
Homeless Building was constructed in Davao City. Duterte, I.S. (2022) stated that the
establishment is a welcome initiative of the local government not only to deliver a comfortable
refuge for homeless and mentally ill residents but also to manage the stigma encircling mental
health and boost awareness in the community. Since its recent launch, the center has already
recorded 76 admissions and discharged 55. Of the 55 discharged, 22 are from the Caraga
Region and Cotabato (Philippine News Agency, 2022).

With mental health needs increasing worldwide, psychiatric nursing would be a huge help for
patients who are suffering from such conditions. In psychiatric nursing, it offers understanding
and empathy for the patient who requires healing. They work in a variety of settings and provide
comprehensive care to individuals, families, groups, and communities. Also, they form strong
therapeutic relationships with individuals across the lifespan becoming familiar with their stories
and challenges to transform lives in a positive way. According to the American Psychiatric
Nurses Association, only psychiatric nurses are equipped to deal with a patient’s medical and
mental health needs. Along with the assessment, diagnosis, care, and treatment of mental
health and substance use disorders, they also work to promote well-being through prevention
and education (American Psychiatric Nurses Association, n.d).

III. Rationale for Exposure

In 2019, 1 in every 8 people, or 970 million people worldwide were living with a mental
disorder, with anxiety and depressive disorders as the most common (WHO, 2022). During the
pandemic, there was a rise in the number of people diagnosed with these mental disorders, with
an estimate of 26% to 28% increase in 2020. With these information, it is evident that mental
disorders are rampant in our society, and many individuals are in need of psychological help.

As a requirement under the School of Nursing curriculum, this exposure allows the student
nurses to explore nursing practice terms of psychiatric nursing. Thus, enabling them to hone
their skills particularly their therapeutic communication skills and their roles as both a caregiver
and an educator. Students will be provided first-hand experiences where they could learn and
execute the appropriate nursing interventions, procedures and therapeutic activities to help in
the management and/or recovery of patients. Through this, student nurses will be able to
develop their readiness and capability to engage patients with mental conditions and to respond
appropriately to the patients' holistic needs.

As aspiring AdDU Sui Generis Leaders, the proponents hold the university's vision of being
Men and Women for others. Through this exposure, student nurses could contribute to the
inadequate care patients with mental conditions receive. According to Moneymax (2021), there
are around 1,000 psychiatric nurses in the Philippines. With this, it is evident that there is a
deficiency in the nursing care practice. Moreover, the exposure would be valuable to the student
nurses to strive to lay a good foundation for a trusting relationship for it is a core component of a
caring relationship. Thus, maintaining and protecting the autonomy of a patient with mental
health conditions.

Tagged as “Paint Your Thought” this event hopes to be both a transformative and informative
learning exposure to the student nurses as well as to the clients for it would aim to become their
safe space that allows them to share their insights, emotions, and experiences through art
activities and feel comfortable to be cared for. Furthermore, in caring for patients with mental
health conditions, it is important to note that art therapy is established to be an effective
approach in expanding one’s self-perception, self-interaction, and communication with others
(Würzburg, 2021). The aim is to manage behaviours, process feelings, reduce stress and
anxiety, and increase self-esteem. Thereby, encouraging patients with mental conditions to
interact and communicate with student nurses through their own unique arts.

IV. Goal and Objectives

General Objectives
During the three-day exposure, the group will impart knowledge to patients with mental
conditions about the importance of art therapy. Additionally, the group will provide a venue for
the patients to share their insights on their achievements and/or failures in life through art by
expressing their emotions through their actions while making the proposed activity. With this,
they will be able to express themselves, which will provide them a sense of identity. Thus,
through providing health education, the clients will attain an optimal knowledge on art therapy
that is effective in establishing their self-identification and self-expression.
Specific Objectives
At the end of this therapy, clients will be able to:

A. Cognitive
1. Understand the value of using the arts as a different form of self-expression,
2. Determine clients state of creativeness,
3. Discuss the importance of creative therapy,
4. Distinguish the appropriate art activity for patients with mental health condition
5. Enumerate the steps on the distinguished physical activities,
6. Discover the experiences (positive/negative) of someone who is mentally ill,
7. Recognize the relevance of each client’s experiences to their present selves,
8. Examine the ability of the individual who are mentally ill to follow the prepared
activities,
9. Correlate the needs of the clients with the proposed activities, and
10. Conclude the event’s outcome (successful, unsuccessful, need for
improvements, etc).

B. Psychomotor
1. Assign specific tasks to group members for the activity proper,
2. Design an art therapy for mentally ill clients,
3. Integrate modern activities and ability of mentally ill clients to mobilize,
4. Facilitate an open-forum for mentally ill clients to vent out their insights on their
life experiences,
5. Establish rapport with the mentally ill clients,
6. Interact with the nurses, staff, and/or family members of the clients,
7. Integrate modern activities and the ability to mobile of mentally ill clients,
8. Maximize the given time period to conduct the activity,
9. Assist the clients in performing the appropriate art activities, and
10. Simulate the appropriate art activity with the clients.

C. Affective
1. Value the essence of teamwork,
2. Acknowledge the client’s insights and experiences,
3. Respect client’s privacy,
4. Reflect on the experiences of the mentally ill clients,
5. Empathize with the clients regarding their insights,
6. Allow the clients to express their insights regarding their life experiences,
7. Appreciate the clients’ time, and effort in cooperating with the activities,
8. Display an amiable attitude towards the nurses, staffs, and clients,
9. Contemplate on the event’s outcome, and
10. Recognize the need for psychiatric nurses in providing appropriate and
individualized nursing care to clients with mental illness.
 V. Calendar of Activities (begin from week 2)
ACTIVITY SCHEDULE
Format for the Calendar of Activities – Detailed Day to day Activities (include dates of marketing, correspondence,
follow-up, invitation of speaker, preparation of visual aids)

WEEK 1. January 29, 2023 - February 04, 2023 (Week before the exposure)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

January 29, 2023 January 30, 2023 January 31, 2023 February 01, February 02, February 03, February 04,
2023 2023 2023 2023

— — - Group - Presentation - Finalizing the - Finalization of - Buying the

conference of Concept program/ the revised materials
- Dissemination Paper activity topic, concept needed
of assigned - Revisions of theme, title paper; - Start of
tasks concept - Finalization of submitted to making visual
- Planning of paper committee the clinical aids and
detailed day - Conceptualiz Formation instructor background
to day ation of the - Finalization of - Group preparations
activities group program conference: - Writing of
- Writing the continues contents and “updates from Invitation
concept paper emphasizing budget each Letters
for the whole budget planning committee”
exposure planning - Writing of
Invitation
Letters
- Price
canvassing for
price
materials’ cost
 WEEK 2. February 05, 2023 - February 11, 2023 (First week of psychiatric nursing exposure)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

February 05, February 06, February 07, February 08, February 09, February 10, February 11,
2023 2023 2023 2023 2023 2023 2023

- Continue - Dissemination - Finalization of - Test all PSYCHIATRIC PSYCHIATRIC PSYCHIATRIC

making the of invitations the visual aids materials NURSING NURSING NURSING
visual aids to the SON and including the EXPOSURE EXPOSURE EXPOSURE
and dean, background sound
background speakers, preparations system
preparations clinical - Finalization of - Final run
- Writing of instructors’, the content through
Invitation and outline
Letters participants’ (speakers) for
- Creation of a - Continue the
content outline making the programs/acti
(speakers) for visual aids vities
the and
programs/acti background
vities preparations
- Creation of a
content outline
(speakers) for
the
programs/acti
vities
 WEEK 3. February 12, 2023 - February 18, 2023 (Second week of psychiatric nursing exposure)

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

February 12, February 13, February 14, February 15, February 16, February 17, February 18,
2023 2023 2023 2023 2023 2023 2023

REST DAY PSYCHIATRIC PSYCHIATRIC PSYCHIATRIC PSYCHIATRIC PSYCHIATRIC WRAPPING UP

NURSING NURSING NURSING NURSING NURSING OF ACTIVITIES
EXPOSURE EXPOSURE EXPOSURE EXPOSURE EXPOSURE
- Refreshments &
Conduct the Conduct the Conduct the Conduct the Conduct the Reflections for
program program program program program the one-week
program
conducted
 VI. Action Plan

Activity Title and Expected Tasks to

Objectives Target Outcome Materials Needed Assigned Person
Description be Delivered

Morning Groove is The morning The clients will be ● Speakers ● Music ready
a morning exercise groove helps in able to encompass ● Microphone and
equipped with steps reducing anxiety the importance of ● Downloaded downloaded
such as deep and negative mood the exercises and music ● Space ready for
breathing, and and improving present a sense of the exercise
exercising full self-esteem and attentiveness and ● Facilitators
range of motion. cognitive function. happiness. have the whole
exercise
rehearsed and
ready to
execute
● Clients ready to
participate and
engaged.
Clay-tionary is an Students will be The clients will ● Microphones ● Sound system
art therapy done able to spend have a positive ● Sound system up and ready to
with touching and quality time with the effect on their ● Tables and use
modeling clay. participants. The self-confidence, chairs ● Modeling
activity will enhance aesthetic sensibility, ● Modelling clay bought and
the cognitive patience, and their provided for the
functions of the sense of participants
participants and cooperation and ● Tables and
gain their solidarity. chairs set up
cooperation and and ready to
attention to perform use
and complete the ● Participants
activity. engaged with
the activity
Memory Match is a This activity is to The clients will ● Cards ● flashcards
matching game that show their memory have a positive containing prepared and
requires retention and relationship with the pictures ready to use
participants to display their participants as well ● Sound system ● Tables and
match two cognitive skills. as the facilitators. ● Tables and chairs set up
flashcards that chairs and ready to
contain a similar use
picture or element. ● Participants
engaged with
the activity
Telephone is a fun To display their The clients will ● Microphones ● Paper for the
game where a affective and have an improved ● Sound system message/ being
message is being cognitive abilities sense of self ● Tables and vocally stated
passed from one and how well they perception, will chairs as an
person to another. work with their develop their ● Paper alternative.
peers. attentiveness and ● Tables and
comprehension. chairs set up
They will rely on and ready to
themselves and to use
their peers to value ● Participants
the essence of engaged with
teamwork. the activity
Finger Painting is To allow Participants will ● Microphones ● Buy paper
a therapeutic participants to develop their ● Sound system ● Buy paint
activity where express themselves thinking imagination ● Tables and ● Buy canvas
participants get to through art without and engage in chairs ● Tables and
paint using their fear of rejection. creative efforts. ● Paint chairs set up
hands. Aids in growth They will utilize ● Canvas and ready to
regarding their paint and paper for use
critical thinking their artwork to ● Participants
abilities. improve engaged with
self-esteem. the activity
 VII. GANTT Chart

WEEK 1
January 31 February 01, February 02, February February 04,
2023 2023 2023 03, 2023 2023
Group Conference
Dissemination of assigned tasks
Planning of detailed day to day
activities
Writing the concept paper for the
whole exposure

Presentation of Concept Paper

Revisions of concept paper
Conceptualization of the group
continues emphasizing budget
planning
Finalizing the program/activity topic,
theme, title

Finalization of committee Formation

Finalization of program contents

and budget planning

Finalization of the revised concept

paper; submitted to the clinical
instructor

Group conference: “updates from

each committee”

Writing of Invitation Letters

Price canvassing for price materials’
cost

Buying the materials needed

Start of making visual aids and

background preparations

Week 2
February February 06, February 07, February 08, February 09, February 10, February 11,
05, 2023 2023 2023 2023 2023 2023 2023

Continue
making the
visual aids and
background
preparations
Writing of
Invitation
Letters
Creation of a
content outline
(speakers) for
the
programs/activi
ties
Dissemination
of invitations to
the SON dean,
speakers,
clinical
instructors’,
and
participants’
Continue
making the
visual aids and
background
preparations
Creation of a
content outline
(speakers) for
the programs/
activities
Finalization of
the visual aids
and
background
preparations
Finalization of
the content
outline
(speakers) for
the programs/
activities
Test all
materials
including the
sound system
Final run
through
PSYCHIATRIC
NURSING
EXPOSURE
 Conduct the
program
PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program
PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program

Week 3
February 12, February 13, February 14, February 15, February 16, February 17, February 18,
2023 2023 2023 2023 2023 2023 2023
Rest day

PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program
PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program
PSYCHIATRIC
NURSING
 EXPOSURE

Conduct the
program
PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program
PSYCHIATRIC
NURSING
EXPOSURE

Conduct the
program
Refreshments
& Reflections
for the
one-week
program
conducted
B. STRUCTURED ACTIVITY (INVITATION)
Cover
Nurses Prayer
Florence Nightingale’s Pledge
Rationale for the Theme
Throughout history, people have utilized art as a tool of self-expression, group interaction,
diagnosis, and conflict resolution. Sacred paintings and symbols, as well as carved idols and
charms, have been used in the healing process for thousands of years by various civilizations
and religions.

People of all ages have been demonstrated to benefit from art therapy. According to
research, art therapy can enhance communication, increase focus, and lessen feelings of
loneliness. Additionally, it has been demonstrated that this kind of therapy promotes
improvements in self-worth, confidence, and self-awareness.

Overall Objectives of the Theme (General and Specific)

Goal and Objectives:
The purpose of the activity is to use the imaginative ideas of the clients and to assist
them in improving their self expression through art-related activities, as well as to build new
perspectives and coping mechanisms

General Objectives:
Art therapy is an effective treatment for people experiencing developmental, medical,
educational, social or psychological impairment. It primarily aims to improve and restore the
client's functioning and his or her sense of personal well being

Specific Objectives:
At the end of the therapeutic activity, the clients will be able to:

I. Cognitive
● Understand the significance of utilizing arts as a way of self-expression
● Describe their feelings with regard to doing art activities as an alternative way of
self-expression
● Explore other creative and artistic methods of expression and coping mechanisms
● Discover new ways of self-expression and coping methods

II. Psychomotor
● Perform art activities that will aid in their self-expression.
 ● Make use of materials in crafting their artwork
● Create art pieces that will showcase their own understanding of their art.

III. Affective
● Reflect on the deeper meanings that they are trying to convey in their artworks.
● Evaluate the effectiveness of using art therapy in expressing their thoughts and feelings.
● Realize the significance of expressing their thoughts and feelings

Program Schedule

Time Activity Persons Involved

6:00 am Morning Circle ● BSN 3-E

6:01 am - 6:30 am Class Debriefing ● BSN 3-E

6:31 am - 7:00 am Preparation ● BSN 3-E

7:01 am - 7:40 am Orientation by Host ● Host

(group/team) ● BSN 3-E

7:41 am - 8:10 am ADL (Exercise) ● BSN 3-E

8:11 am - 8:30 am Socialization ● BSN 3-E

8:31 am - 9:00 am BREAK ● ALL

9:01 am - 10:00 am Therapeutic Activities ● BSN 3-E

10:01 am - 11:00 am One-on-One with the Patient ● BSN 3-E

11:01 am - 11:20 am Patient Reorientation and ● BSN 3-E

End of Activity ● Patients

Masters of Ceremony
Exercise
Title: Morning Groove
Description: The benefits of morning groove for physical and mental health for people with
mental illness allows them to enhance their wellness thus, improving the mood, emotions, sleep,
and energy and it will greatly improve their functional productivity. Having a secure environment
allows the patient to move their body freely that will improve their mobility, balance, and
coordination.

Objectives: The morning groove helps in reducing anxiety, negative mood, improves
self-esteem, and improves cognitive function. By doing this physical activity, the patient will
present a sense of happiness and attentiveness. Furthermore, the patient will be able to
encompass the importance of the exercises that are prepared for them.

Materials:
● Speakers
● Microphone
● Downloaded Music

Mechanics:
1. The facilitator will demonstrate the morning groove without music. Thus following the
steps will be:
● Deep breathing
● Gently roll head clockwise
● Gentry roll head counterclockwise
● Stretch left arm
● Stretch right arm
● Stretch both arms front, up, side, down
● Shoulder flexion
● Shoulder abduction, adduction
● Roll shoulders clockwise
● Roll shoulders counterclockwise
● Rotate waist arms flexed
● Overhead pendulum
● Lift up knee
 ● Bend knee toward buttocks
● Side kick
● Heel raise
● Deep breathing

2. After demonstrating the movements, the facilitator will encourage the patient to execute with
music.

Socialization/ Activity
Title: Clay-tionary (Clay Therapy)
Description: According to (Suputtitada, 2021), Clay art therapy is frequently used in medicine
to treat patients. Touching, modeling, developing a sense of creativity, and nonverbal
communication are all medical benefits of clay. It has a rehabilitative neurological effect on an
individual's self-confidence, aesthetic sensibility, patience, a sense of cooperation and solidarity,
disciplined working, eliminating fighting impulses, and a sense of anger and vengeance.

Rationale: Clay has been seen to lessen depressive mood and anxiety, inspire creativity,
develop socializing, and heal from trauma through a variety of art therapy uses of clay activity.

Objectives:
Cognitive:
● To spend quality time with the participants and the student nurses
● Enhance the cognitive functions of the participants through the said activity

Psychomotor:
● Gain the cooperation and attention of the participants to perform and complete the
activity
● Make use of materials in crafting their artwork

Affective:
● Participants exhibit a sense of enjoyment to the activity
● Participants are able to express their emotions or feelings through verbalization or non
verbal communication
● The participants are able to reminisce happy memories through clay therapy
Materials needed:

● Microphone (for the emcees)

● Speakers or Sound system
● Tables and Chairs
● Modeling clay

Mechanics:

1. The student nurses will gather the participants

2. The participants will be seated in their designated tables and chair
3. The student nurses will explain the activity and its importance to the participants
4. Modeling clay is distributed to the participants to be used in the activity
5. The participants will be given 10-15 minutes to create something with the given modeling
clay
6. After the 10-15 minutes, the participants will share and present their work to the other
participants and to the student nurses

Game 1 - Memory Match

Description: Memory match is a matching game that requires participants to match two
flashcards that contain a similar picture or element. This game requires all players to utilize their
memory to complete the game.

Rationale: Playing memory games can improve other brain functions, such as attention,
concentration, and focus (Wynne, 2019) This can also stimulate good memories and motivate a
person.

Objectives:
Cognitive: Improve memory through pairing identical flash cards
Affective: To build a positive relationship for the client to interact with
Psychomotor: Align the activity according to the patient’s mental ability to participate.

Mechanics of the game

1. Gather 5 participants for the game
2. 10 cards will be shown to the participants.
 3. 30 seconds will be allotted for the participants to memorize the placement of the similar
flashcards that contain the similar element
4. Cards will be flipped down away from the participants
5. 1 participants will be chosen to find the identical cards
6. The participant who garnered the most identical cards, in one round, wins

Materials
● Flash cards
● Table
● chairs

Game 2 - Telephone
Description: Just like the fun game called Telephone, this game may have been referred to as
"telephone," "whisper," or "pass the message" (Mcilroy, 2023). The Telephone Game is a great
team game, especially with a large group. The Telephone Game's primary goal is to amuse its
participants. However, those who play also reap some additional advantages. The Telephone
Game makes it crystal clear how even seemingly insignificant misunderstandings can have a
significant impact. It makes people laugh, is enjoyable for the players, and promotes group
relaxation. And serves as a starting point for talking about the value of attentive listening (Mann,
2021).

Rationale: They will have fun while improving their ability to relate to and interact with one
another via communication exercises. This will provide them the opportunity to interact with one
another, which will make them feel less depressed and teach them to understand rather than
defeat one another. (Ackerman, 2019).

Objectives (General and Specific):

Cognitive: Enhance skills in interpersonal interaction with the other patients and the community
through their participation.

Affective: Exhibit a sense of enjoyment and attitude towards the other patients and the
community.

Psychomotor: Align the activity according to the patient’s mental ability to participate.
Materials:
1. Paper
2. Marker

Mechanics:
1. The participants will form a group of five (5)
2. A clean sheet of paper and different colored markers will be provided for each group
3. The host will give a noun, a character, or a topic to the four participants who are facing
forward so that they know what to draw, while the fifth participant will face backward so
that he or she will try to guess it later
4. Based on the given noun, character, a topic, the participants will draw whatever is
related to it
5. The first member in the group will begin small, and the following participant will continue
the same drawing up to the last participant, to finish the picture for 10 seconds each for
the four participants who know the secret word.
6. The fifth participant who is facing at the back that does not know the secret word, will try
to guess the illustration on the paper drawn by his/her team and will say it out loud to be
corrected by the host.

Therapeutic Activity - Finger painting

Description: Modern finger painting was developed by Ruth Faison Shaw. This was initially
developed as a tool for fostering young children’s creative and imaginative abilities, but as time
went by this has become a hobby that people of all ages learned to enjoy (Britannica Kids, n.d.).
Unlike other forms of painting, training and technique is not necessary for this. The painter only
needs their fingers and paint to show their creativity. This activity triggers an interesting
connection between the sense of touch felt when touching the paint and connecting with what is
inside you that somehow shows your thoughts and feelings. Furthermore, finger painting has a
spiritual component that will help an individual to transcend to different places within themselves
allowing themselves to embrace their body, mind, and soul deeper (Downs, 2008).

Rationale: Finger painting will help the body and brain integrate information, it also activates
reward pathways such as reduce stress, lower anxiety levels and improve mood. It is also a
most relaxing and creative way to express feelings.
Objectives: The goal of this exercise is to allow the participants to express themselves via art
without fear of rejection, and it will also aid in the growth of their critical thinking abilities.

At the end of this activity, the client will be able to:

Cognitive:
● Develop their thinking and imagination by engaging it.
Psychomotor
● Engage in creative efforts that allow for expression.
● Utilize paint and paper for their artwork.
Affective
● Improve self-esteem
● Provide positive praise in clients' effort in expressing their creativity.

Materials:
● Canvas art board/White Painting Paper
● Acrylic Paint/ Water Color Paint
● Paint Brush

Mechanics:
1. Bring a clean sheet of paper and different colored paint
2. Draw an image to their liking and express their current emotions
3. Use hands to paint
 REFERENCES

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City Government of Davao.
https://www.davaocity.gov.ph/health/davao-city-opens-mental-wellness-center-for-ho
meless/

American Psychiatric Association. (2023). What is Mental Illness?. Retrieved from

https://www.psychiatry.org/patients-families/what-is-mental-illness

Mann, S. B. (2021, April 21). The Telephone Game. IcebreakerIdeas.

https://icebreakerideas.com/telephone-game/

Moneymax Editorial. (2019). Mental Health in the Philippines: Cost of Therapy and Medication.
Www.moneymax.ph.
https://www.moneymax.ph/personal-finance/articles/cost-of-therapy-philippines#:~:text=
At%20present%2C%20there%20are%20around%2060%20psychiatric%20facilities%2C

“Psychiatric-Mental Health Nursing - Psychiatric Nursing | APNA.” APNA,

www.apna.org/about-psychiatric-nursing.

Special report: Depression steadily rising. (2018, June 4). SUNSTAR.

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Retrieved from:
https://www.researchgate.net/publication/353445946_Clay_Art_Therapy_for_Physical_P
sychological_and_Cognitive_Improvement
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text=Music%20and%20art%20therapy%20have%20become%20established%20as