MARCH: Social, Cultural and Community Assets for Mental Health

“MARCH”网络提出，弹性社区资产是精神卫生（M-ARC-H）的核心，并致力于推进对这些资产在加强公众精神卫生和福祉、预防精神疾病和支持患有精神卫生疾病的人方面的影响的研究。具体地说，它将促进我们对社会、文化和社区资产的影响的理解，包括艺术、文化、遗产、图书馆、公园、社区花园、分配、休闲中心、志愿者协会、社会俱乐部和社区团体，在英国预计有100万个。该网络将汇集一个由研究人员组成的学科专家组、一个由主要国家政策机构组成的政策小组、一个由国家精神卫生慈善机构组成的患者公众参与小组和一个由国家组织组成的社区参与小组。在三年的时间里，我们的网络将把研究与政策和实践结合起来，以解决该领域的研究重点、方法和实施方面的关键问题；了解和解决动员社区资产的障碍；并为下一代研究人员提供培训和支持。具体来说，我们的网络将解决两个核心工作流（WS）组织的问题：WS1。跨学科研究和挑战：(a)从跨学科的角度来看，有什么证据表明社区资产如何以及为什么影响公众健康和福祉以及有精神健康问题的人的生活，未来研究的差距在哪里？(b)我们如何使用跨学科方法向不同的利益相关者和用户提供有意义的数据？公平参与和获得创新机会：(a)联合王国人口中，从人口统计学和地理上看，谁目前参与了这些方案，参与程度如何因心理健康状况而异？(b)目前个人、组织和政策层面的参与障碍和推动因素是什么？我们如何制定创新方法来加强参与，特别是弱势群体的参与？这项研究工作将辅以丰富的影响、参与和培训活动（见“影响摘要”）。该网络与AHRC和ESRC的战略重点保持一致，并与MRC（通过考虑社区资产的作用和支持心理健康医疗方法的社会处方）、NERC（通过探索绿色空间的影响）和EPSRC（通过关注技术提供的推动研究向前发展的机会）的优先事项具有次要相关性。它也是为响应“网络+”研究议程而设计的。除了前一节已经讨论的目标之外，它还应对议程中提到的许多心理健康挑战。例如，电话规范指出，只有25%的精神健康问题患者接受持续治疗。虽然在提供足够的精神卫生服务方面存在公认的经济和资源限制，但该网络建议将重点放在现有社区资产在向英国更广泛的人群（包括等候名单上的人）提供支持方面可以发挥的作用上。另一个例子是，电话规范指出，70%有精神健康问题的儿童和青少年在早期没有得到适当的干预。这个网络将涉及与决策者和社区组织合作，看看研究如何能够帮助克服获取的障碍，目的是吸引更多的年轻人和那些难以接触到的人。总体而言，该网络将寻求理解和支持未来的研究，研究如何动员社区资产，以鼓励更有弹性的个人和社区，更好地了解和有能力自我管理心理健康。

The 'MARCH' Network proposes that Assets for Resilient Communities lie at the heart of Mental Health (M-ARC-H) and is dedicated to advancing research into the impact of these assets in enhancing public mental health and wellbeing, preventing mental illness and supporting those living with mental health conditions. Specifically, it will advance our understanding of the impact of social, cultural and community assets including the arts, culture, heritage, libraries, parks, community gardens, allotments, leisure centres, volunteer associations, social clubs and community groups, of which there are an anticipated 1 million in the UK. The network will bring together a Disciplinary Expert Group of researchers with a Policy Group of major national policy bodies, a Patient Public Involvement Group of national mental health charities, and a Community Engagement Group of national organisations. Across three years, our network will unite research with policy and practice to tackle critical questions of research priorities, methods, and implementation in this field; understand and resolve barriers to mobilising community assets; and provide training and support to the next generation of researchers.Specifically, our network will address questions organised in two core work streams (WS):WS1. Cross-disciplinary research and challenges: (a) What evidence is there, from a cross-disciplinary perspective, for how and why community assets impact on public health and wellbeing and the lives of those living with mental health problems, and where are the gaps for future research? (b) How can we use a cross-disciplinary approach to provide meaningful data to different stakeholders and users?WS2. Equity of engagement and access innovation: (a) Who amongst the UK population, demographically and geographically, currently engages with these programmes and how does participation vary dependent on mental health? (b) What are the current barriers and enablers to engagement at an individual, organisational and policy level and how can we develop innovative approaches to enhance engagement, especially amongst the vulnerable?This research work will be complemented by a rich portfolio of impact, engagement and training activities (see 'Impact Summary').This network aligns with strategic priorities of the AHRC and ESRC as well as having a secondary relevance to the priorities of the MRC (through its consideration of the role of community assets and social prescribing to support medical approaches to mental health), NERC (through its exploration of the impact of green spaces) and EPSRC (through its focus on the opportunities provided by technology for driving research forwards). It has also been designed in response to the Network Plus Research Agenda. In addition to the objectives already discussed in the prior Je-S section, it is responsive to many of the mental health challenges cited in the agenda. For example, the call specification noted that only 25% of people with mental health problems receive ongoing treatment. Whilst there are recognised economic and resource constraints with delivering sufficient mental health services, this Network proposes to focus on the role that existing community assets could play in providing support to a much wider range of people in the UK including those on waiting lists. As another example, the call specification raised that 70% of children and adolescents with mental health problems have not had appropriate interventions at an earlier age. This Network will involve working with policy makers and community organisations to see how research could help overcome barriers to access with the aim of engaging more young people and those who are hard to reach. Overall, the network will seek to understand and support future research into how community assets could be mobilised to encourage more resilient individuals and communities with a greater understanding of and capacity for self-management of mental health.