The dilemma of the elderly in elderly nursing institutions and the current thoughts of creative aging have prompted researchers to think how to combine "artistic creation" and "institutional care for the elderly". This study is to assess the effectiveness of the elderly nursing institutions art creation program. The elderly interview with social workers and students involved in the program of observation and reflection through agencies. The findings of this study are listed below: The elderly generally express the sense of accomplishment due to complete works. They have forgotten the physical pains, show more self-confident and interact with people. After service and reflection, we analyze the success factor of the program, includes adopting a systematic program of art, the strengths perspective on elders, group dynamics lead to positive interaction, the link of family member and community resource. In the end of the paper, we also propose subsequent suggestion for institution, social workers, the elderly and their families.