The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health

背景：在英国，黑人，少数民族和难民社区的心理健康（MH）结果远不如一般人群[1]，专业帮助的障碍更大[2，3]。超过95%的黑人，少数民族和难民社区居住在不健康的城市环境中[4]，其中城市压力因素，如空气污染，过度拥挤和有限的绿色空间[5]增加了常见的精神障碍[6]并导致严重的精神疾病[1]。新型冠状病毒肺炎[7，8]的不均衡影响以及生活成本的增加（比白色家庭高1.6倍）加剧了这些不平等（新经济基金会数据）。研究表明，当人们积极参与文化和绿色社区资产（CGCA）时，如艺术画廊[9，10]，博物馆，自然空间[11，12]和社区团体，这对他们的健康和幸福都有好处[13]。社会处方（SP）可能有助于指导服务不足的群体使用CGCA，这可能会减少MH差异[15，16]。挑战：黑人、少数民族和难民社区，居住在较贫穷的西南伦敦区（和英国其他城市），他们的不良MH风险最大，但他们是最不可能参与CCGA或SP系统的群体[4，17，18]。需要进行研究，以找到让CGCA参与卫生系统的方法[19]，并为黑人，少数民族和难民社区创造更多的机会，使他们从参与中受益。

Context:In the United Kingdom Black, minority ethnic, and refugee communities have far poorer mental health (MH) outcomes[1] and greater barriers to professional help compared to the general population[2,3]. Over 95% of Black, minority and refugee communities reside in unhealthy urban environments[4] where city stressors such as air pollution, overcrowding, and limited access to green spaces[5] increase common mental disorders[6] and contribute to severe mental illnesses[1]. These inequalities are increased by the uneven impact of Covid-19[7,8] and increased costs of living which are 1.6 times higher than white households (New Economics Foundation data).Research shows that when people actively engage with cultural and green community assets (CGCA), such as art galleries[9,10], museums, natural spaces[11,12], and community groups, this benefits their MH and wellbeing[13,14]. Social prescribing (SP) may help to direct underserved groups to CGCAs, which could reduce MH disparities[15,16]. Challenge:Black, ethnic minority and refugee communities, who live in poorer South West London boroughs (and other cities across the UK) are at greatest risk of poor MH but they are the least likely groups to engage with CCGAs or SP systems[4,17,18]. Research is needed to find ways to engage CGCAs in health systems[19] and to create more opportunities for Black, minority ethnic and refugee communities to benefit from engaging with them.