Scaling-up Human Henge: Using prehistoric cultural heritage sites to enhance mental health well-being in marginalized communities

在英国，利用文化遗产资产作为增进健康和福祉的基础已经很好地确立了。尽管健康益处是显而易见的，但许多方案规模小、评估差、运行成本高。利用学术和第三部门合作伙伴网络，Scaling-Up Human Hengge将共同制定一项以地方为基础的文化遗产治疗计划(CHTP)，该计划将得到评估和记录，以便在全国推广。重点是通过社会处方进行预防和干预，以提高长期常见精神健康障碍(CMHD)患者的福祉。史前仪式景观形式的遗产资产，如威尔特郡巨石阵的纪念碑，将被使用，因为类似的地方广泛分布在英国各地，很容易到达和安全，并且为有组织地与文化遗产进行表演提供了理想的场所。心理健康福祉是当今社会面临的最紧迫的问题之一。NHS估计，在英国，四分之一的人在一生中的某个时候会经历精神健康状况不佳的情况，患有精神疾病会导致孤立，影响个人和社会关系。在英格兰，精神疾病每年造成的损失高达1050亿英镑。寻找解决方案，无论是临床上的，还是通过更广泛的社区活动和社会处方，都是政治议程上的优先事项，以联合国可持续发展目标3为首，即到2030年实现健康和福祉。利用遗产资产与新出现的地方和国家卫生干预结构很好地契合。这个创新和原创的项目以伯恩茅斯大学和埃克塞特大学为基础，包括与雅芳和威尔特郡NHS精神健康信托基金、英国遗产基金会、重新思考精神疾病基金和恢复信托基金的合作。作为一个多学科项目，它汇集了医疗保健、卫生经济学、公共服务、社会考古学、遗产研究和人类学方面的专家，以促进有关利用遗产资产增进精神健康福祉的知识和实践，作为公共卫生政策的一部分。扩大人类健康挑战解决了与健康不平等作斗争、社区内的治疗、减少社会隔离、治疗干预对社会的价值，以及如何使基于当地的CHTP网络从基层到战略层面在国家帆船上发挥作用的问题。在遗产彩票资助的名为人类Hengg的研究以及其他相关项目的基础上，由Tim Darvill教授和Vanessa Heaslip博士领导的经验丰富的项目组将共同制作一个CHTP，涉及古迹上的创造性活动和参与性活动。这将打开体验遗产的新方式，以便创建和建立关系，激发自我意识，并在一系列社会和物理环境中建立联系。共同编写的CHTP将作为一项试点研究，从交付、有效性、可扩展性和成本后果等方面对该方案进行评估。长期有心理健康问题的人将参加各种活动，包括在地面和网上，包括绘画，唱歌，跳舞，做东西，思考地方的力量。将使用国家认可的数量和质量措施对它们的经验进行正式评估，那些希望参与审查和修订方案的人将参与审查和修订方案，并分析总体效益在经济和社会方面是什么。利用我们的经验，将共同编制并与遗产组织分享良好做法指南，以支持未来CHTP的开发和交付。该指南将包括对促进文化治疗的工作人员的建议，以及如何在古代遗址成功实施CHTP的建议。

Using cultural heritage assets as the basis for enhancing health and well-being is well established in Britain. Although health benefits are clear, many programmes have been small-scale, poorly evaluated, and costly to run. Using a network of academic and third-sector partners, Scaling-up Human Henge will co-produce a place-based Culture Heritage Therapy Programme (CHTP) that will be evaluated and documented so that it can be rolled-out nationally. The focus is on prevention and intervention through social prescribing to enhance the well-being of people living with long-term common mental health disorders (CMHDs). Heritage assets in the form of prehistoric ritual landscapes, such as the henge monument at Stonehenge in Wiltshire, will be used because similar places are widely scattered across Britain, are easily accessible and safe, and provide ideal venues for structured performative engagements with cultural heritage.Mental health well-being is one of the most pressing issues facing society today. The NHS estimates that one in four people in Britain will experience poor mental health at some point in their lives, and living with a mental illness can lead to isolation and effect personal and social relationships. The cost of mental illness in England has been put at £105 billion per year. Finding solutions, whether clinical or through wider community activities and social prescribing, is high on the political agenda, headed by UN Sustainable Development Goal 3 on health and well-being to be achieved by 2030. Using heritage assets fits well with new and emerging local and national health intervention structures. This innovative and original project based at the universities of Bournemouth and Exeter includes collaborations with the Avon and Wiltshire NHS Mental Health Trust; English Heritage; Rethink Mental Illness; and the Restoration Trust. As a multi-disciplinary project it brings together specialists in healthcare, health economics, public services, social archaeology, heritage studies, and anthropology to advance knowledge and practice in relation to using heritage assets to enhance mental health well-being as part of public health policy. Scaling-up Human Henge addresses issues around combating health inequalities, treatment within communities, the reduction of social isolation, the value of therapeutic intervention to society, and how a network of locally-based CHTPs can be made to work from grass roots through to a strategic level on a national canvas.Building on the results of a Heritage Lottery funded study known as Human Henge, as well as other related projects, the highly experienced project team led by Professor Tim Darvill and Dr Vanessa Heaslip will co-produce a CHTP involving creative activities and participatory events at ancient sites. This will open up new ways of experiencing heritage in order to create and build relationships, stimulate self-awareness, and make connections across a range of social and physical environments. The co-produced CHTP will be run as a Pilot Study to evaluate the programme in terms of its delivery, effectiveness, scalability, and cost-consequences. Individuals with long-term mental health issues will participate, taking part in varied activities on-the-ground and on-line, including drawing, singing, dancing, making things, and thinking about the power of place. Their experiences will be formally evaluated using nationally recognized quantitative and qualitative measures, and those that wish to will be involved in reviewing and revising the programme, and analysing what the overall benefits are in economic and social terms. Using our experiences, good practice guidelines to support the development and delivery of future CHTPs will be co-produced and shared with heritage organizations. The guidelines will include advice for staff facilitating cultural therapy as well as suggestions for delivering successful CHTPs at ancient sites.