Social Prescribing For All (SP4ALL): Increasing diversity in cultural and natural social prescribing programmes through shared training.

鉴于少数民族群体的预期寿命和整体健康状况报告更差（PHE，2017），有必要制定包容性战略，以减轻少数民族群体的健康不平等。社会处方提供了一种廉价解决这些不平等的手段，这有利于NHS（例如，只有当这些不平等受到挑战而不是简单地得到加强时，才能做到这一点。然而，在英格兰，来自少数民族群体的人在创造性和基于自然的社会处方（SP）计划中作为提供者和接受者的代表性严重不足。该提案的主要目标是为少数民族群体的人提供从业人员培训，并为从业人员提供文化能力培训，以便通过与我们的合作伙伴建立现有的SP网络和治疗培训来共同学习。我们将试行一个培训模式（基于共同导师的方法），以支持少数民族群体的人作为自己文化知识的拥护者，并与接受治疗培训的从业人员一起担任共同主持人。首先，通过我们的合作伙伴和合作者，我们将招募来自不同背景，经验丰富的从业人员和组织的志愿者。两名参与者（文化冠军）将与一名导师合作，导师是一名经验丰富的从业者，他参加了治疗培训计划和定制的文化能力培训。培训还将包括源于参与者文化的创造性活动，这有助于打破障碍，增加乐趣。在完成这两项培训课程后，我们会进行问卷调查，以评估参加者的满意程度和能力。第二，导师和两名文化冠军将与当地社区组织合作，共同开发和共同提供为期10周的基于资产的计划。与研究团队合作，他们将制定一个工作框架，确定治疗目标，使用基于资产的方法解决这些问题的方法，重点是包容性。该框架还将包括文化冠军的角色：他们将如何利用治疗沟通技能和文化能力与参与者互动，以促进他们的健康和福祉。在为期10周的课程结束时，我们将与文化冠军、他们的导师和参与者进行三次焦点小组讨论，以更深入地了解联合导师培训的运作方式。此外，与参与者一起，我们将利用经过验证的问卷来评估个人，人际和社会福祉的变化。研究小组将利用行动研究会议的记录，确定培训的关键要素。研究小组将结合学员和导师的焦点小组讨论数据，完善框架，并编写培训手册草稿，在完善过程后，将用于扩大干预措施。最后，我们将向一个小组提交培训手册，该小组由文化冠军，他们的导师，社区组织，国家社会处方学院（NASP），SP网络和志愿者，社区，信仰和社会企业部门的代表组成。通过讨论和以决策为重点的会议，我们将确定和完善优先事项。这些会议将被用来完善培训手册，这可以通过其他从业人员和组织在英国。与我们的合作伙伴和合作者合作，我们还将通过NASP为SP网络提供有关包容性资产创新方法的政策建议。这些调查结果和手册的解释将通过一个免费的虚拟会议传播，以扩大这一干预措施的规模

Given the much worse life expectancy and overall health reported in people from ethnic minority groups (PHE, 2017), there is a need to develop strategies for inclusivity to mitigate the health inequalities experienced by people from ethnic minority groups. Social prescribing provides a means to address these inequalities inexpensively, which benefit the NHS (e.g., in terms of Accident and Emergency and outpatient visits) with few side-effects, but only if these inequalities are challenged and not simply reinforced. However, in England people from ethnic minority groups are severely underrepresented in creative and nature-based social prescribing (SP) programmes both as providers and recipients. This proposal's main objective concerns creating practitioner training for people from ethnic minority groups and cultural competence training for practitioners to learn together by building on existing SP networks and therapeutic training with our partners. We will pilot a training model (based on co-mentorship approaches) to support people from ethnic minority groups as champions of their own cultural knowledge and co-facilitators alongside practitioners with therapeutic training. First, through our partners and collaborators, we will recruit willing individuals from diverse backgrounds, experienced practitioners and organisations. Two participants (cultural champions) will work with one mentor, an experienced practitioner after taking part in a therapeutic training programme and tailored cultural competency training. The training will also include creative activities stemming from participants' cultures, which can help break down barriers, and increase enjoyment. Upon completion of these two training programmes, we will use a survey to assess participants' satisfaction and competency. Second, mentors and two cultural champions will work together to co-develop and co-deliver a 10-week asset-based programme in collaboration with a local community organisation. Working with the research team, they will develop a working framework, identifying therapeutic goals, ways to address them using asset-based approaches with a focus on inclusivity. The framework will also include cultural champions' roles: how they will utilise both therapeutic communication skills and cultural competency when engaging with participants to promote their health and wellbeing. At the end of 10-week programme, we will conduct three focus groups with cultural champions, their mentors and participants to gain a deeper understanding of how the co-mentorship-based training worked. Additionally, with the participants, we will utilise a validated questionnaire to assess the changes in personal, interpersonal and social wellbeing. Using the recordings of the Action Research sessions, the research team will identify key elements of the training. Combined with the focus group discussions data from both mentees and mentors, the research team will refine the framework and produce a draft training handbook, which will be used to scale-up the intervention after a refinement process. Finally, we will present the training handbook to a panel, which consists of cultural champions, their mentors, representatives from community organisations, National Academy for Social Prescribing (NASP), SP networks and the Voluntary, Community, Faith and Social Enterprise sector. Through discussions and decision-focused meetings, we will define and refine priorities. These meetings will be used to refine the training handbook, which can be adopted by other practitioners and organisation across the UK. Working with our partners and collaborators, we will also produce policy recommendations for SP networks through the NASP in relation to inclusive asset-based creative approaches. These findings and explanation of the handbook will be disseminated via a free virtual conference to enable scaling-up of this intervention