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Placing Survivor Wellbeing on the Policy and Evidence Map

Placing Survivor Wellbeing on the Policy and Evidence Map
将幸存者福祉纳入政策和证据地图
批准号:
AH/V012916/1
负责人:
Caroline Bradbury-Jones
金额:
$31.98万
依托单位:
依托单位国家:
英国
项目类别:
Research Grant
财政年份:
2021
资助国家:
英国
项目状态:
已结题
起止时间:
2021 至 --

项目摘要

项目成果

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中文摘要
翻译
该项目将更新幸存者获得心理康复援助的证据基础。根据法律,现代奴隶制的幸存者有权获得"心理康复"援助。2013年,反人口贩运监测小组报告说,幸存者没有获得应有的权利。八年后,我们将研究这种差距是否仍然存在,以及任何剩余差距对幸存者心理恢复的影响。在这样做的时候,我们将测试,实施和评估一个新的过程,参与和合作的幸存者作为同行研究人员-对增加反奴隶制的研究工作的能力和能力,并积极影响合作的幸存者的福祉。英国法律没有定义心理恢复,并提供很少的指导,以适当的最低水平的心理援助。安东尼(Anthony,1993)将康复定义为“改变一个人的态度、价值观、感受、目标、技能和/或角色的一个非常个人化的、独特的过程。一种即使因疾病而受到限制,也能过上满意、充满希望和有贡献的生活的方式。"这个项目的重点是心理健康作为恢复的一个要素-一个术语通常与心理健康一词互换使用。关于两者的定义没有共识,但为了本研究的目的,我们使用世界卫生组织对精神健康的定义:"一种幸福的状态,其中个人认识到他或她自己的能力,能够应对正常的生活压力,能够富有成效地工作,并能够为他或她的社区做出贡献"(WHO,2001)。在这个定义中,幸福感是心理健康的一个指标,与康复有着相似的组成部分。目前关于奴隶制幸存者的文献没有提供关于福祉的数据,而是提供了关于精神疾病的数据,并将精神健康定义为没有疾病。相反,我们的定义包括健康的存在。我们将根据我们项目的流程和方法调整心理健康影响评估(MWIA),以了解英国政府是否以及如何支持幸存者的心理健康。影响评估的一个关键原则是,它是参与性的、多学科的,并对新的声音开放。因此,它使我们的项目与现代奴隶制的幸存者作为同行研究人员合作,独特地实施了这一证据发现。该项目方法的出发点是,支持和促进幸存者福祉的工作要取得成效,就必须由幸存者领导,并让幸存者了解情况。长期以来,幸存者善后护理领域的政策和做法一直依赖于没有生活经验的人提供的证据基础。在幸存者参与关于现代奴隶制和幸存者支助的研究和决策的情况下,这种参与往往是零敲碎打和象征性的,而不是充分的合作和参与。因此,我们在整个项目的知识生产过程中将幸存者的经验和学术奖学金结合在一起。幸存的同行研究人员将参与研究设计,数据收集和分析。通过培训和支持,我们将培养同行研究人员,他们将成为该项目的遗产。不仅提供该项目关于幸存者获得恢复支持的新证据基础,他们还将有能力咨询,参与并在未来研究幸存者需求时就业。我们参与并建立在AHRC领导的跨研究理事会连接社区计划中开发的共同生产概念以及患者-公众参与(PPI)的概念之上。这些概念被广泛用于医学和健康研究,但尚未系统地应用于现代奴隶制幸存者的研究。
英文摘要
This project will update the evidence base on survivors' access to psychological recovery assistance. Under law, survivors of modern slavery are entitled to assistance with 'psychological recovery.' In 2013, the Anti-Trafficking Monitoring Group reported that survivors were not receiving their entitlement. Eight years later, we will examine if that gap still remains and the impact of any remaining gap on the psychological recovery of survivors. In so doing, we will test, implement and evaluate a new process for engaging and collaborating with survivors as peer-researchers-towards increasing the capacity and capability of the anti-slavery research effort, and positively impacting the wellbeing of the collaborating survivors.UK law does not define psychological recovery and provides little guidance as to the appropriate minimum level of psychological assistance. Developed from mental health service users and activists, Anthony (1993) define recovery as "as a deeply personal, unique process of changing one's attitudes, values, feelings, goals, skills, and/or roles... a way of living a satisfying, hopeful, and contributing life even with limitations caused by illness." This project focus on mental wellbeing as an element of recovery-a term is often used interchangeably with the term mental health. There is no consensus regarding the definition of either but for the purpose of this study, we use the World Health Organisation's definition of mental health: "a state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community" (WHO, 2001). In this definition, wellbeing is an indicator for mental health and shares similar components to recovery. The current literature on survivors of slavery does not provide data on wellbeing; rather it provides data on mental illness and defines mental health as the absence of illness. We instead operate from a definition that includes the presence of wellbeing.We will adapt for our project's process and method a Mental Wellbeing Impact Assessment (MWIA) to understand if and how the UK government is supporting survivors' mental wellbeing. A key principle of the impact assessment is that it is participatory, multidisciplinary, and open to new voices. It therefore lends itself our project's unique implementation of this evidence discovery in collaboration with survivors of modern slavery as peer-researchers. The project's starting point for its methodological approach is that work to support and promote survivors' wellbeing needs to be survivor-led and survivor-informed, if it is to be effective. For too long, policy and practice in the area of survivors' after-care has relied on an evidence base produced by people without lived experience. Where survivors are involved in research and policy-making on modern slavery and survivor support, the involvement tends to be piecemeal and tokenistic, rather than fully collaborative and participatory. We therefore bring together survivor experience and academic scholarship throughout the project's knowledge production process. Survivor peer-researchers will engage in research design, data collection, and analysis. Through training and support, we will develop peer researchers who will be a legacy of the project. Not only delivering this project's new evidence-base about survivors' access to recovery support, they also will be equipped to consult, engage with, and become employed in future research looking at survivor needs. We engage and build upon the concept of coproduction developed in the AHRC-led, cross research council Connected Communities programme, and the notion of Patient-Public Involvement (PPI). These concepts are used widely in medical and health research but have not yet been systemically applied to research with survivors of modern slavery.
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