Social Prescribing For All (SP4ALL): Increasing diversity in cultural and natural social prescribing programmes through shared training.

鉴于少数民族群体报告的预期寿命和整体健康状况要差得多(PHE，2017)，有必要制定包容性战略，以减轻少数民族群体经历的健康不平等。社会处方提供了一种以低成本解决这些不平等的手段，这些不平等使NHS受益(例如，在急诊和门诊方面)，几乎没有副作用，但前提是这些不平等受到挑战，而不是简单地加强。然而，在英格兰，少数民族群体作为提供者和接受者，在创造性和基于自然的社会处方(SP)计划中的代表性严重不足。这项提议的主要目标是通过建立现有的SP网络和与我们的合作伙伴一起进行治疗培训，为来自少数族裔群体的从业者提供培训，并为从业者提供文化能力培训，让他们一起学习。我们将试行一种培训模式(基于共同导师方式)，支持少数族裔群体的人成为他们自己文化知识的捍卫者，并与从业者一起接受治疗培训。首先，通过我们的合作伙伴和合作者，我们将招募来自不同背景、经验丰富的从业者和组织的自愿个人。两名参与者(文化冠军)将在一名导师的指导下工作，这名导师是一名经验丰富的从业者，在参加了治疗培训方案和量身定做的文化能力培训后。培训还将包括源于参与者文化的创造性活动，这可以帮助打破障碍，增加乐趣。在完成这两个培训计划后，我们将通过问卷调查来评估参与者的满意度和能力。其次，导师和两位文化冠军将合作，与当地社区组织合作，共同开发和交付一个为期10周的基于资产的项目。他们将与研究团队合作，制定一个工作框架，确定治疗目标，并使用基于资产的方法解决这些目标，重点是包容性。该框架还将包括文化冠军的角色：当他们与参与者互动时，他们将如何利用治疗沟通技能和文化能力，以促进他们的健康和福祉。在为期10周的课程结束时，我们将与文化冠军、他们的导师和参与者一起进行三个焦点小组，以更深入地了解联合导师培训是如何运作的。此外，与参与者一起，我们将使用有效的问卷来评估个人、人际和社会福祉的变化。利用行动研究会议的录音，研究小组将确定培训的关键要素。结合来自受训者和导师的焦点小组讨论数据，研究小组将完善框架，并编制一份培训手册草案，用于在完善过程后扩大干预规模。最后，我们将把培训手册提交给一个小组，小组成员包括文化冠军、他们的导师、来自社区组织、国家社会描述学会(NASP)、SP网络和志愿、社区、信仰和社会企业部门的代表。通过讨论和以决策为重点的会议，我们将确定和完善优先事项。这些会议将用于完善培训手册，可供英国各地的其他从业者和组织采用。我们还将与我们的合作伙伴和合作者合作，通过NASP为SP网络提出关于包容性基于资产的创造性方法的政策建议。这些调查结果和对手册的解释将通过免费的虚拟会议传播，以扩大干预措施的规模

Given the much worse life expectancy and overall health reported in people from ethnic minority groups (PHE, 2017), there is a need to develop strategies for inclusivity to mitigate the health inequalities experienced by people from ethnic minority groups. Social prescribing provides a means to address these inequalities inexpensively, which benefit the NHS (e.g., in terms of Accident and Emergency and outpatient visits) with few side-effects, but only if these inequalities are challenged and not simply reinforced. However, in England people from ethnic minority groups are severely underrepresented in creative and nature-based social prescribing (SP) programmes both as providers and recipients. This proposal's main objective concerns creating practitioner training for people from ethnic minority groups and cultural competence training for practitioners to learn together by building on existing SP networks and therapeutic training with our partners. We will pilot a training model (based on co-mentorship approaches) to support people from ethnic minority groups as champions of their own cultural knowledge and co-facilitators alongside practitioners with therapeutic training. First, through our partners and collaborators, we will recruit willing individuals from diverse backgrounds, experienced practitioners and organisations. Two participants (cultural champions) will work with one mentor, an experienced practitioner after taking part in a therapeutic training programme and tailored cultural competency training. The training will also include creative activities stemming from participants' cultures, which can help break down barriers, and increase enjoyment. Upon completion of these two training programmes, we will use a survey to assess participants' satisfaction and competency. Second, mentors and two cultural champions will work together to co-develop and co-deliver a 10-week asset-based programme in collaboration with a local community organisation. Working with the research team, they will develop a working framework, identifying therapeutic goals, ways to address them using asset-based approaches with a focus on inclusivity. The framework will also include cultural champions' roles: how they will utilise both therapeutic communication skills and cultural competency when engaging with participants to promote their health and wellbeing. At the end of 10-week programme, we will conduct three focus groups with cultural champions, their mentors and participants to gain a deeper understanding of how the co-mentorship-based training worked. Additionally, with the participants, we will utilise a validated questionnaire to assess the changes in personal, interpersonal and social wellbeing. Using the recordings of the Action Research sessions, the research team will identify key elements of the training. Combined with the focus group discussions data from both mentees and mentors, the research team will refine the framework and produce a draft training handbook, which will be used to scale-up the intervention after a refinement process. Finally, we will present the training handbook to a panel, which consists of cultural champions, their mentors, representatives from community organisations, National Academy for Social Prescribing (NASP), SP networks and the Voluntary, Community, Faith and Social Enterprise sector. Through discussions and decision-focused meetings, we will define and refine priorities. These meetings will be used to refine the training handbook, which can be adopted by other practitioners and organisation across the UK. Working with our partners and collaborators, we will also produce policy recommendations for SP networks through the NASP in relation to inclusive asset-based creative approaches. These findings and explanation of the handbook will be disseminated via a free virtual conference to enable scaling-up of this intervention