Mental health and addiction services response to sexual violence: how best to meet the needs of Black and Minority Ethnic survivors

性暴力是一个全球性的公共卫生问题，大约有20%的英国女性在16岁以后就遭受过性暴力。SV可以增加精神疾病和药物使用的风险，因此幸存者经常使用心理健康和成瘾服务。研究表明，这些服务并不能满足妇女的创伤需求。此外，对黑人和少数民族（BaME）妇女幸存者使用服务的经验几乎没有探索。这项研究是必要的，因为种族可以塑造暴力的经历，包括背景，披露和治疗需求。为了解决这些现有的证据差距，本研究旨在了解巴梅女性SV幸存者和专业人士的经历，以探索如何最好地提供法定的心理健康和成瘾服务。满足这个客户群的需求。建议进行四项研究：（1）混合方法系统回顾，探索BaME幸存者和专业人员的经验，并观察干预措施对改善BaME幸存者服务反应的有效性，（2）与来自精神健康和成瘾服务机构的BaME幸存者进行访谈，探索他们的护理经验，（3）与这些服务机构的专业人员进行焦点小组，探索他们为这一客户群体提供护理的经验，以及（4）对共同设计的资源进行试点测试，以支持专业人员满足这一客户群的需求。

Sexual violence (SV) is a global public health problem.Approximately 20% of UK women have experienced SVsince the age of 16. SV can increase the risk of mentalillness and substance use, consequently survivorsfrequently use mental health and addiction services.Research has shown these services are not sufficientlyaddressing women's trauma needs. In addition, there hasbeen little exploration of the experiences of service useamong Black and Minority Ethnic (BaME) women survivors.This research is necessary as race can shape theexperience of violence, including context, disclosure andthe treatment needs.To address these existing evidence gaps, this researchaims to understand the experiences of BaME womensurvivors of SV and professionals to explore how statutorymental health and addiction services can best meet theneeds of this client group. Four studies are proposed: (1) amixed-methods systematic review exploring theexperiences of BaME survivors and professionals, and areview of the effectiveness of interventions to improveservice responses for BaME survivors, (2) interviews withBaME survivors from mental health and addiction servicesto explore their experiences of care, (3) focus groups withprofessionals from these services to explore theirexperiences of delivering care to this client group, and (4)pilot testing a co-designed resource to supportprofessionals in addressing the needs of this client group.