'To be heard': The social and mental health benefits of choir singing for disadvantaged adults

Compared with other members of the general population, adults living with a chronic mental illness or disability tend to participate less frequently in occupational and social interactions. This may exacerbate problems such as emotional flattening and social isolation. Supported activities like choir singing present an opportunity for meaningful activity and social connectedness for these individuals. The aim of this study was to explore the personal experiences of choir members (89% of whom experienced chronic mental health problems, 28% physical disabilities and 11% intellectual disability) in relation to their wellbeing using interpretative phenomenological analysis (IPA). Semi-structured interviews were carried out with 21 members of the choir at three time points in the choir's inaugural year: at the inception of the choir, after six months, and after 12 months. Three content themes emerged: (1) personal impact (positive emotions, emotional regulation, spiritual experience, self-perception, finding a voice); (2) social impact (connectedness within the choir, connection with audience, social functioning); and (3) functional outcomes (health benefits, employment capacity, and routine). A fourth theme of time was also apparent in the data. Results of this study were consistent with the social identity theory notion that forming a new and valued group identity (as a choir member) was associated with emotional and health benefits for the participants.