Help-seeking for substance use and mental health among justice-involved people in Scottish community contexts: An analysis of social network influence

苏格兰社区背景下参与正义的人们的药物滥用和心理健康寻求帮助：社交网络影响力分析

• 批准号: ES/W012448/1
• 负责人: Catriona Connell
• 金额: $ 28.05万
• 依托单位: University of Stirling
• 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=ES%2FW012448%2F1
• 关键词: Help; seeking; substance; use; mental

Context: Justice-involved people (people sentenced for a crime) are much more likely to have substance use (drugs and alcohol) and mental health problems than the general population. Yet, they are less likely to access support. This contributes to poor quality of life, high emergency care use, and, ultimately, elevated rates of substance related deaths and suicide.Reducing substance related deaths and suicides are Scottish Government priorities. Scotland has among the highest imprisonment and community supervision rates in Western Europe. Focusing on ensuring justice-involved people access effective support will make a valuable contribution to achieving policy objectives.To design effective solutions, it is vital to understand why justice-involved people do/do not access substance use and/or mental health (SU/MH) services. Current understandings do not fully consider the relational and community influences in context. Consequently, interventions may be under-optimised. Addressing this knowledge gap will bring a new perspective to policy and practice, contributing to shifting focus away from individualised solutions and towards innovative relational and community level approaches.Social Network Analysis (SNA) is an emerging methodology for studying the relational and community contexts that form individuals' social networks and influence behaviour. It is yet to be fully leveraged with justice-involved people in community contexts. This project applies mixed methods SNA, collecting network data from justice-involved people in Europe for the first known time.Aim: To identify how social networks influence help-seeking for SU/MH among justice-involved people in two community contexts in Scotland. This knowledge will be used to 1) develop recommendations for contextually-tailored relational and community level policy and practice responses; and 2) to document procedures in using mixed methods SNA with this population.Objectives:1. To apply theories of social capital to examine how help-seeking for SU/MH is influenced by attitudes, behaviours and network features among justice-involved people in Scotland.2. To address substantial gaps in knowledge concerning the influence of social networks, embedded in local contexts, on help-seeking for SU/MH among justice-involved people.3. To involve stakeholders (end users), people with lived/living experience of justice involvement and those who support them, throughout the research to produce impactful, evidence-informed recommendations for policy and practice that address contextual-tailoring and relational and community level influences.4. To demonstrate the utility, and provide methodological documentation on procedures, of mixed methods SNA for studying influences on behaviour among justice-involved people in community contexts. This will inform and provide practical guidance for future SNA studies with under-served and under-researched groups.Applications/benefits: The project will make an important contribution to knowledge, policy and practice in two ESRC priority areas: mental health, and innovation in health and social care. Recommendations can be applied in policy and practice to increase access to SU/MH services among justice-involved people. This benefits the individual by improving wellbeing, and reducing need for emergency care, SU/MH related crime and deaths. It benefits those who care about a justice-involved person, their community, and society, by reducing SU/MH related social and economic costs. The knowledge generated will inform those working with justice-involved people, whilst methodological learning will increase successful SNA research on sensitive topics with under-researched groups. The project is a first step in a body of work focused on improving health and social outcomes for justice-involved people.

内容：与司法有关的人（因犯罪而被判刑的人）比一般人更有可能使用药物（毒品和酒精）和精神健康问题。然而，他们不太可能获得支持。这导致生活质量差，急诊使用率高，最终导致与药物有关的死亡和自杀率上升，减少与药物有关的死亡和自杀是苏格兰政府的优先事项。苏格兰是西欧监禁率和社区监督率最高的国家之一。专注于确保公正参与的人获得有效的支持将作出宝贵的贡献，以实现政策目标。设计有效的解决方案，这是至关重要的，以了解为什么公正参与的人做/不获取物质使用和/或心理健康（SU/MH）服务。目前的理解没有充分考虑到背景中的关系和社区影响。因此，干预措施可能不够优化。解决这一知识差距将为政策和实践带来一个新的视角，有助于将重点从个性化的解决方案转移到创新的关系和社区层面的方法。社会网络分析（SNA）是一种新兴的方法，用于研究形成个人社交网络和影响行为的关系和社区环境。在社区环境中，参与司法的人尚未充分利用这一机制。该项目采用混合方法SNA，收集网络数据，从正义参与的人在European.Aim已知的第一时间：要确定社交网络如何影响寻求帮助的SU/MH正义参与的人在两个社区背景在苏格兰。这些知识将用于：（1）为因地制宜的关系和社区层面的政策和实践对策提出建议;（2）记录对这一人群使用混合方法SNA的程序。运用社会资本理论探讨苏格兰司法涉众的态度、行为及网络特征对SU/MH求助的影响. 3.解决关于社交网络的影响的知识方面的巨大差距，这些网络植根于当地环境，在涉及司法的人中为精神卫生工作者/精神卫生工作者寻求帮助。在整个研究过程中，让利益攸关方（最终用户）、具有司法参与生活/生活经验的人以及支持他们的人参与进来，为政策和实践提出有影响力的、有证据依据的建议，这些建议涉及背景定制以及关系和社区层面的影响。展示国民账户体系混合方法在研究社区背景下司法参与者行为影响方面的效用，并提供关于程序的方法学文件。这将为未来的SNA研究提供信息和实际指导，服务不足和研究不足的群体。应用程序/好处：该项目将在ESRC的两个优先领域：心理健康和创新的知识，政策和实践作出重要贡献卫生和社会保健。这些建议可以在政策和实践中加以应用，以增加司法所涉人员获得卫生部特别股服务的机会。这有利于个人改善福祉，减少对紧急护理的需求，SU/MH相关的犯罪和死亡。它有利于那些关心正义参与的人，他们的社区和社会，通过减少SU/MH相关的社会和经济成本。所产生的知识将为那些与涉及司法的人一起工作的人提供信息，而方法学学习将增加国民账户体系对研究不足群体的敏感专题的成功研究。该项目是一系列工作的第一步，这些工作的重点是改善涉及司法的人的健康和社会成果。