Clown Care, also known as hospital clowning, is a program in health care facilities involving visits from specially trained clowns. They are colloquially called "clown doctors" which is a trademarked name in several countries. These visits to hospitals have been shown to help in lifting patients' moods with the positive power of hope and humor. There is also an associated positive benefit to the staff and families of patients.[1]
Background
Patch Adams, considered the first hospital clown, started being a hospital clown in the 1970s. He was portrayed in the 1998 film Patch Adams by Robin Williams, bringing attention to hospital clowning.[2]
Clown Doctors attend specifically to the psycho-social needs of the hospitalized child but in some hospitals they also visit adults.[5] They parody the hospital routine to help children adapt to their surroundings, they also distract from and demystify painful or frightening procedures.[6] The atmosphere of fun and laughter can help children forget about the illness and the stress for a moment.
Clown Doctors use techniques such as magic, music, storytelling and other clowning skills to empower children with doses of fun that help them deal with the range of emotions they may experience while in hospital: fear, anxiety,[7][8] loneliness, boredom.
According to Tan, Metsälä, and Hannula,[9] "Clown care creates a positive emotional state, promotes interaction between parents and child, and fosters affirmative environmental conditions."
Research on the physiological health benefits on laughter has been conducted for decades and continues to be carried out by medical physicians internationally. There is also a growing group of researchers that are exploring the psychological benefits of laughter, and specifically the work of Clown-Doctors.[10][11][12]
^Battrick, Cath; Glasper, Edward Alan; Prudhoe, Gill and Weaver, Katy. 2007. “Clown Humour: The Perceptions of Doctors, Nurses, Parents and Children.” Journal of Children's and Young People's Nursing 1(4): 174-179.
^Nuttman-Shwartz, Orit; Scheyer, Rachel and Tzioni, Herzl. 2010. “Medical Clowning: Even Adults Deserve a Dream.” Social Work in Health Care 49: 581–598.
^Tener Dafna; Lev-Wiesel Rachel; Lang-Franco Nessia; Ofir Shoshi (2010). "Laughing Through This Pain: Medical Clowning During Examination of Sexually Abused Children: An Innovative Approach". Journal of Child Sexual Abuse. 19 (2): 128–140. doi:10.1080/10538711003622752. PMID20390783.
^Vagnoli Laura; Caprilli Simona; Robiglio Arianna; Messeri Andrea (2005). "Clown Doctors as a Treatment for Preoperative Anxiety in Children: A Randomized, Prospective Study". Pediatrics. 116 (4): 563–567. doi:10.1542/peds.2005-0466. PMID16199685.
^Golan G, Tighe P, Dobija N, Perel N, Keidan I (2009). "Clowns for the Prevention of Preoperative Anxiety in Children: A Randomized Controlled Trial". Pediatric Anesthesia. 19 (3): 262–266. doi:10.1111/j.1460-9592.2008.02903.x. PMID19143948.
Clark, Cindy Dell. 2013. Clark, Cindy Dell (2013). "A Clown Most Serious: Patch Adams". International Journal of Play. 2 (3): 163–173. doi:10.1080/21594937.2013.849139. International Journal of Play 2(3): 163-173.