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During the past 15 years, artists have established a remarkable record of innovation and success in institutional settings. Their work with hospital patients, prisoners, the elderly, the disabled, the mentally ill, and others has shown that the arts can have a significant positive impact on the lives of these people. This book recounts the histories of 22 institutional and community arts programs across the country pioneering this approach through activities such as creative writing and the performing and visual arts. Consisting largely of first-hand accounts, the book demonstrates how the creative processes have been used to address and solve some of society's most pressing problems. Included are case studies, research, and descriptions of the wide variety of artistic, educational, and therapeutic approaches utilized by each of the 22 programs. Also described are many of the financial and political strategies used to build and sustain support for these unlikely endeavors. This work will provide valuable insights for artists, educators, social service providers, and community leaders.