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Co-developing a method for assessing the psychosocial impact of cultural interventions with displaced people: Towards an integrated care framework

共同开发一种方法来评估文化干预对流离失所者的社会心理影响：建立综合护理框架

基本信息

批准号：
ES/P003818/1
负责人：
Helen Chatterjee
金额：
$ 22.5万
依托单位：
University College London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2016
资助国家：
英国
起止时间：
2016 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FP003818%2F1
关键词：
Co developing method assessing psychosocial

项目摘要

Stories of displaced people, migration and immigration continue to occupy headline news here in the UK and abroad. Less well documented are the huge efforts being made by displaced people and associated relief agencies to deal with the challenges of displacement and migration. There are a host of temporary 'pop-up', as well as more established arts, heritage and cultural programmes which are aimed at displaced people who are currently in transition, for example in camps, and those refugees who have reached their resettlement destination. The impact of these programmes on participants' health and wellbeing has often been overlooked in relation to their overall health and how such cultural programmes contribute to recovery, adjustment and other challenges associated with displacement. By working in collaboration with a UK based arts and mental health charity and a Palestinian refugee camp in Jordan, we wish to better understand the role of creative arts and cultural activities in improving the health and wellbeing. We will also explore the potential for the arts to play a central role in improving issues associated with resettlement, employability and learning new skills, and consider how this could feed into relevant policies such as those related to immigration.New research shows how damaging displacement is for people's physical and mental health, overall wellbeing and opportunities to flourish, such as employability. Along with issues such as the loss of a sense of belonging, identity and isolation, research shows that refugees and displaced people are more likely to experience mental health problems, such as major depression and Post Traumatic Stress Disorder. These problems arise from the trauma associated with exposure to violence and difficulties encountered in the migration journey, as well as migration-related difficulties in their countries of resettlement such as issues with immigration, employment and income. Jordan hosts the highest number of Palestinian refugees of all five fields of United Nations operations. Those 1.95 million registered Palestinian refugees constitute over 40% of all registered refugees in the Near East. The first Palestinian refugee camps in Jordan were established almost 60 years ago following the 1948 Israeli-Arab war. Since then, the refugees had to craft their lives away from their homeland and traditional support systems. The current situation of refugees is complex as the new generations suffer limited access to resources, poverty and poor environmental conditions while at the same time continue to live a non-ending temporary situation inside camps. The frustrations of alienation and poverty have led to depression, anxiety and frustration. This has been addressed through interventions in camps, usually partnering with local organisations, addressing mental health through arts or culture. However, these activities are usually conducted without a systematic assessment of process or impact. Similarly, in European camps and refugee organisations, the impact of arts programmes has not been assessed in relation to overall health and wellbeing.To understand the impact of creative and cultural activities we will collect evidence from displaced people by working closely with them and charities and organisations in the UK and Jordan. We will use this information to inform the development of a new method for collecting evidence which takes into account the health and wellbeing of displaced people and we will co-produce a toolkit which has a more integrated and holistic approach to care. This toolkit will be made widely available and will have relevance for anyone working with vulnerable audiences. We will also create a range of other outputs, including a short film to be produced by displaced people and refugees, which will provide an opportunity for them to decide which stories are told and to take back ownership of their own journeys of displacement.

流离失所者、移民和移民的故事继续占据英国和国外的头条新闻。关于流离失所者和相关救济机构为应对流离失所和移徙挑战所作的巨大努力，文件记载较少。有许多临时的“弹出式”方案，以及更成熟的艺术、遗产和文化方案，其目标是目前处于过渡期的流离失所者，例如在难民营中的流离失所者，以及已经到达重新安置目的地的难民。这些方案对参与者的健康和福祉的影响往往被忽视，因为这关系到他们的整体健康，也关系到这些文化方案如何促进恢复、调整和与流离失所有关的其他挑战。通过与英国的艺术和心理健康慈善机构以及约旦的巴勒斯坦难民营合作，我们希望更好地了解创意艺术和文化活动在改善健康和福祉方面的作用。我们还将探索艺术在改善与重新安置、就业能力和学习新技能相关的问题方面发挥核心作用的潜力，并考虑如何将其纳入相关政策，例如与移民相关的政策。新的研究表明，流离失所对人们的身心健康、整体福祉和蓬勃发展的机会（例如就业能力）有多么有害。沿着诸如失去归属感、认同感和孤立感等问题，研究表明，难民和流离失所者更有可能遇到心理健康问题，如重度抑郁症和创伤后应激障碍。这些问题产生于与遭受暴力有关的创伤和在移徙过程中遇到的困难，以及在重新安置国与移徙有关的困难，如移民、就业和收入问题。在联合国所有五个行动区中，约旦收容的巴勒斯坦难民人数最多。这195万登记的巴勒斯坦难民占近东所有登记难民的40%以上。约旦的第一批巴勒斯坦难民营是在1948年以色列-阿拉伯战争后近60年前建立的。从那时起，难民们不得不远离自己的家园和传统的支持系统。难民目前的状况很复杂，因为新一代人获得资源的机会有限，生活贫困，环境恶劣，同时继续在难民营内无休止地过着临时生活。疏离感和贫穷带来的挫折感导致抑郁、焦虑和沮丧。这一问题已通过在营地采取干预措施加以解决，通常是与当地组织合作，通过艺术或文化解决心理健康问题。然而，这些活动通常是在没有系统地评估过程或影响的情况下进行的。同样，在欧洲难民营和难民组织中，艺术项目的影响也没有被评估为与整体健康和福祉有关。为了了解创意和文化活动的影响，我们将通过与英国和约旦的流离失所者以及慈善机构和组织密切合作，从他们那里收集证据。我们将利用这些信息来制定一种收集证据的新方法，该方法将考虑到流离失所者的健康和福祉，并且我们将共同制作一个工具包，该工具包具有更加综合和全面的护理方法。该工具包将广泛提供，并将对任何与弱势受众打交道的人都有意义。我们还将制作一系列其他产品，包括由流离失所者和难民制作的短片，这将为他们提供一个机会，让他们决定讲述哪些故事，并重新拥有自己的流离失所之旅。