Imagining mental healthcare: engaging underserved local communities in Kent (INTERACT)

想象心理保健：让肯特郡服务欠缺的当地社区参与其中 (INTERACT)

• 批准号: AH/X012603/1
• 负责人: Lisa Dikomitis
• 金额: $ 5.04万
• 依托单位: University of Kent
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FX012603%2F1
• 关键词: Imagining; mental; healthcare; engaging; underserved

The UK is facing two major crises: economic and health, which impact on the mental health and wellbeing of everyone. Adding to this, experiences of public services have worsened in recent years and regularly fall short of people's expectations: increasing budget constraints have resulted in cuts to healthcare funding. These, in turn, led to reduced accessibility and availability of healthcare with unprecedentedly lengthy waiting lists. Consequently, people have had to reassess their expectations of their healthcare system, reorienting themselves and their everyday life towards more and more precarious futures. Despite low satisfaction with healthcare services, an overwhelming majority of the UK population still expresses unwavering support for a national health service (NHS). To capture people's emotions and re-imaginations of what the future NHS might look like, we propose INTERACT, an ethnographic enquiry underpinned by arts-based, creatives methodologies, with a genuine collaborative ethos and an inclusive interdisciplinary approach to co-producing knowledge around mental healthcare. INTERACT will synergise creative, scientific and applied perspectives of mental healthcare by amplifying the voices of those hardly reached in research. The interdisciplinary INTERACT team, led by Dikomitis, a medical anthropologist, is comprised of 1 medical anthropologist expert in creative ethnographic methods (Bonanno), 3 psychiatrists (Rodda, Shergill and Tracy), 1 media scholar (Declercq), 2 creative arts therapists working in Kent mental health services (Le Fleuve and Richardson) and 2 project partners (Turner Contemporary and the Kent-wide community mental health trust, KMPT).In INTERACT, Kent local communities will have an equal voice in the conversation of research. As such, INTERACT public engagement activities are designed to maximise the involvement of mental healthcare services' recipients and benefit from a bottom-up approach to community involvement. INTERACT researchers will engage members from underserved communities who face systemic mental health challenges. Our geographic focus is Kent, which faces particular challenges of deprivation and limited access to public healthcare services. Addressing these challenges are at the heart of the vision statement of new Kent and Medway Medical School, where the INTERACT team is located.We will work with four distinct communities, offering perspectives across the life course and from different demographic backgrounds, i.e., 1) young people; 2) new mothers; 3) older adults; and 4) migrants. Through a series of creative workshops, led by drama therapists working in mental health services, and using ethnographic methods, INTERACT will engage 4 groups, with 10 representatives from these underserved communities to capture their lived experiences. Through these activities, underserved communities will become meaningful stakeholders by communicating their needs and interests for the future of mental healthcare in Kent. Participants will be paid for their time involvement, following best practice in patient and public involvement (PPI), and will be recruited through the PPI team at the Kent-wide community mental health trust, the Kent and Medway NHS and Social Care Partnership Trust (KMPT). The workshops will be hosted in the Turner Contemporary Gallery in Margate, which has a track record of socially-engaged arts-based practice, and has been a driving force in the regeneration of the East Kent area. Insights from the workshops will be disseminated through a touring exhibitions, public talks, graphic media (zine), podcasts, Tik-Tok videos and other social media used by the INTERACT communities, a policy brief and a journal article.

英国正面临两大危机：经济和健康，这对每个人的心理健康和福祉都有影响。除此之外，近年来公共服务的体验恶化，经常达不到人们的期望：预算限制的增加导致医疗保健资金的削减。这些反过来又导致医疗保健的可及性和可用性减少，等待名单空前冗长。因此，人们不得不重新评估他们对医疗保健系统的期望，重新调整自己和日常生活，使其走向越来越不稳定的未来。尽管对医疗服务的满意度很低，但绝大多数英国人仍然表示坚决支持国民医疗服务（NHS）。为了捕捉人们的情绪和对未来NHS可能是什么样子的重新想象，我们提出了互动，一个以艺术为基础的民族志调查，创造性的方法，具有真正的协作精神和包容性的跨学科方法，共同生产围绕精神卫生保健的知识。互动将协同精神卫生保健的创造性，科学和应用的观点，通过放大那些在研究中难以达到的声音。由医学人类学家Dikomitis领导的跨学科互动团队由1名创造性民族志方法的医学人类学家专家（Bonanno），3名精神病学家组成。（Rodda，Shergill和Tracy），1名媒体学者（Declercq），2名在肯特心理健康服务机构工作的创意艺术治疗师（Le Fleuve和Richardson）和2个项目合作伙伴（特纳当代和全美国社区心理健康信托基金，KMPT）。在互动，肯特当地社区将在研究对话中有平等的发言权。因此，INTERACT的公众参与活动旨在最大限度地提高精神保健服务接受者的参与度，并从自下而上的社区参与方式中获益。INTERACT的研究人员将让来自服务不足社区的成员参与进来，他们面临着系统性的心理健康挑战。我们的地理重点是肯特，它面临着贫困和获得公共医疗服务有限的特殊挑战。解决这些挑战是新肯特和Medway医学院的愿景声明的核心，INTERACT团队所在地。我们将与四个不同的社区合作，提供跨越生命历程和不同人口背景的观点，即，1)年轻人; 2）新妈妈; 3）老年人; 4）移民。通过一系列由从事精神卫生服务的戏剧治疗师领导的创意研讨会，并使用人种志方法，互动将吸引4个团体，来自这些服务不足社区的10名代表，以捕捉他们的生活经验。通过这些活动，服务不足的社区将成为有意义的利益相关者，沟通他们的需求和利益，为未来的精神保健在肯特。参与者将根据他们的时间参与获得报酬，遵循患者和公众参与（PPI）的最佳实践，并将通过PPI团队在全世界的社区精神卫生信托基金，肯特和梅德威NHS和社会护理伙伴关系信托基金（KMPT）招募。研讨会将在马尔盖特的特纳当代画廊举办，该画廊在社会参与艺术实践方面有着良好的记录，一直是东肯特地区复兴的推动力。将通过巡回展览、公开讲座、平面媒体（杂志）、播客、Tik-Tok视频和互动社区使用的其他社交媒体、政策简报和期刊文章传播讲习班的见解。