Placing Survivor Wellbeing on the Policy and Evidence Map

将幸存者福祉纳入政策和证据地图

• 批准号: AH/V012916/1
• 负责人: Caroline Bradbury-Jones
• 金额: $ 31.98万
• 依托单位: University of Birmingham
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FV012916%2F1
• 关键词: Placing; Survivor; Wellbeing; Policy; Evidence

This project will update the evidence base on survivors' access to psychological recovery assistance. Under law, survivors of modern slavery are entitled to assistance with 'psychological recovery.' In 2013, the Anti-Trafficking Monitoring Group reported that survivors were not receiving their entitlement. Eight years later, we will examine if that gap still remains and the impact of any remaining gap on the psychological recovery of survivors. In so doing, we will test, implement and evaluate a new process for engaging and collaborating with survivors as peer-researchers-towards increasing the capacity and capability of the anti-slavery research effort, and positively impacting the wellbeing of the collaborating survivors.UK law does not define psychological recovery and provides little guidance as to the appropriate minimum level of psychological assistance. Developed from mental health service users and activists, Anthony (1993) define recovery as "as a deeply personal, unique process of changing one's attitudes, values, feelings, goals, skills, and/or roles... a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness." This project focus on mental wellbeing as an element of recovery-a term is often used interchangeably with the term mental health. There is no consensus regarding the definition of either but for the purpose of this study, we use the World Health Organisation's definition of mental health: "a state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community" (WHO, 2001). In this definition, wellbeing is an indicator for mental health and shares similar components to recovery. The current literature on survivors of slavery does not provide data on wellbeing; rather it provides data on mental illness and defines mental health as the absence of illness. We instead operate from a definition that includes the presence of wellbeing.We will adapt for our project's process and method a Mental Wellbeing Impact Assessment (MWIA) to understand if and how the UK government is supporting survivors' mental wellbeing. A key principle of the impact assessment is that it is participatory, multidisciplinary, and open to new voices. It therefore lends itself our project's unique implementation of this evidence discovery in collaboration with survivors of modern slavery as peer-researchers. The project's starting point for its methodological approach is that work to support and promote survivors' wellbeing needs to be survivor-led and survivor-informed, if it is to be effective. For too long, policy and practice in the area of survivors' after-care has relied on an evidence base produced by people without lived experience. Where survivors are involved in research and policy-making on modern slavery and survivor support, the involvement tends to be piecemeal and tokenistic, rather than fully collaborative and participatory. We therefore bring together survivor experience and academic scholarship throughout the project's knowledge production process. Survivor peer-researchers will engage in research design, data collection, and analysis. Through training and support, we will develop peer researchers who will be a legacy of the project. Not only delivering this project's new evidence-base about survivors' access to recovery support, they also will be equipped to consult, engage with, and become employed in future research looking at survivor needs. We engage and build upon the concept of coproduction developed in the AHRC-led, cross research council Connected Communities programme, and the notion of Patient-Public Involvement (PPI). These concepts are used widely in medical and health research but have not yet been systemically applied to research with survivors of modern slavery.

该项目将更新幸存者获得心理康复援助的证据基础。根据法律，现代奴隶制的幸存者有权获得“心理康复”援助。2013年，反贩运监测小组报告称，幸存者没有得到应有的权利。八年后，我们将研究这一差距是否仍然存在，以及任何剩余的差距对幸存者心理康复的影响。在这样做的过程中，我们将测试、实施和评估一个新的过程，使幸存者作为同行研究人员参与和合作，以提高反奴隶制研究工作的能力和能力，并积极影响合作幸存者的福祉。英国法律没有定义心理康复，对于适当的最低心理援助水平也没有提供多少指导。由心理健康服务使用者和积极分子发展而来的Anthony（1993）将康复定义为“改变一个人的态度、价值观、感情、目标、技能和/或角色的一个非常个人化的、独特的过程……这是一种令人满意的、充满希望的、有贡献的生活方式，即使疾病造成了限制。”这个项目关注的是心理健康作为康复的一个要素——这一术语经常与心理健康交替使用。对这两者的定义都没有达成共识，但为了本研究的目的，我们使用了世界卫生组织对精神健康的定义：“一种幸福的状态，在这种状态下，个人认识到自己的能力，能够应付正常的生活压力，能够富有成效地工作，并能够对他或她的社区作出贡献”（卫生组织，2001年）。在这个定义中，幸福是心理健康的一个指标，与康复有着相似的组成部分。目前关于奴隶制幸存者的文献没有提供关于幸福感的数据；相反，它提供了关于精神疾病的数据，并将精神健康定义为没有疾病。相反，我们从包含幸福存在的定义出发。我们将根据项目的流程和方法进行心理健康影响评估（MWIA），以了解英国政府是否以及如何支持幸存者的心理健康。影响评估的一个关键原则是参与性、多学科性和接纳新声音。因此，它使我们的项目与现代奴隶制幸存者作为同行研究人员合作，独特地实现了这一证据发现。该项目方法论的出发点是，要想有效，支持和促进幸存者福祉的工作需要由幸存者主导和知情。长期以来，幸存者善后护理领域的政策和实践依赖于没有亲身经历的人提供的证据基础。在幸存者参与有关现代奴隶制和幸存者支持的研究和决策时，这种参与往往是零碎的和象征性的，而不是充分的合作和参与。因此，在整个项目的知识生产过程中，我们将幸存者经验和学术奖学金结合在一起。幸存者同行研究人员将参与研究设计、数据收集和分析。通过培训和支持，我们将培养同行研究人员，他们将成为该项目的遗产。该项目不仅为幸存者获得康复支持提供了新的证据基础，他们还将具备咨询、参与和参与未来研究幸存者需求的能力。我们参与并建立在由ahrc领导的跨研究理事会连接社区项目中开发的合作生产概念以及患者-公众参与（PPI）概念的基础上。这些概念广泛用于医学和卫生研究，但尚未系统地应用于对现代奴隶制幸存者的研究。