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

流离失所的人、移民和移民的故事继续占据着英国国内外的头条新闻。较少被记录在案的是流离失所者和相关救济机构为应对流离失所和移徙的挑战所作的巨大努力。有许多临时的“弹出式”节目，以及更成熟的艺术、遗产和文化节目，这些节目针对的是目前处于过渡阶段的流离失所者，例如难民营中的流离失所者，以及那些已经到达安置目的地的难民。这些方案对参与者的健康和福祉的影响往往被忽视，因为这些方案涉及他们的整体健康，以及这些文化方案如何有助于恢复、调整和其他与流离失所有关的挑战。通过与总部设在英国的艺术和心理健康慈善机构和约旦的巴勒斯坦难民营合作，我们希望更好地了解创造性的艺术和文化活动在改善健康和福祉方面的作用。我们还将探讨艺术在改善与重新安置、就业能力和学习新技能相关问题上发挥核心作用的潜力，并考虑如何将这一点纳入相关政策，例如与移民有关的政策。新的研究表明，流离失所对人们的身心健康、整体福祉和繁荣发展的机会(如就业能力)有多大的损害。除了失去归属感、认同感和孤立感等问题外，研究表明，难民和流离失所的人更有可能经历心理健康问题，如严重抑郁症和创伤后应激障碍。这些问题源于遭受暴力的创伤和移徙过程中遇到的困难，以及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领域中，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。约旦境内的第一批巴勒斯坦难民营是近60年前在1948年以阿战争之后建立的。从那时起，难民们不得不离开家乡和传统的支持系统来过他们的生活。难民目前的情况很复杂，因为新一代获得资源的机会有限，贫穷和恶劣的环境条件，同时继续在难民营内无休止地临时生活。疏远和贫穷带来的挫败感导致了抑郁、焦虑和沮丧。这是通过在营地进行干预来解决的，通常是与当地组织合作，通过艺术或文化来解决心理健康问题。然而，这些活动通常在没有对过程或影响进行系统评估的情况下进行。同样，在欧洲难民营和难民组织中，艺术项目对整体健康和福祉的影响尚未得到评估。为了了解创意和文化活动的影响，我们将通过与流离失所者以及英国和约旦的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为制定一种新的收集证据的方法提供信息，该方法考虑到流离失所者的健康和福祉，我们将共同制作一个工具包，它具有更全面和更全面的护理方法。该工具包将广泛提供，并将与任何与弱势受众工作的人相关。我们还将制作一系列其他产出，包括由流离失所者和难民制作的短片，这将使他们有机会决定讲述哪些故事，并夺回他们自己流离失所之旅的所有权。

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.