PDF(Pubmed)
Abstract：
BACKGROUND: Experiencing gender-based violence (GBV) is common among refugees. Intersecting systems of oppression can increase the risk of GBV and of suffering detrimental consequences, while concurrently creating barriers to meaningful support. Despite this, refugees with lived experience of GBV are rarely involved in the development, planning and adaptation of services and policies.
METHODS: This article reports on a formative research process that aimed to involve public contributors (refugee victim-survivors of GBV) and relevant stakeholders in co-designing a service model aimed at improving psychosocial support in Sweden. Led by a partnership of public contributors and academic researchers, the research process consisted of iterative cycles of co-design workshops, complemented by scoping of existing literature.
RESULTS: The co-design process resulted in a characterisation of the psychosocial service system needs, as perceived by the survivor co-researchers and stakeholders, and a two-level empowerment and support service model. The model included (i) a community-based intervention to promote help-seeking and (ii) psychosocial group support delivered in specialist clinics. Outcomes of the project included perceived benefits for those involved, service-led direct changes and acquisition of funding for continued research on the co-designed model.
CONCLUSIONS: Improving psychosocial support for refugees in Sweden affected by GBV requires safe spaces to connect with peers and familiarise with available services, laws and rights in the society. Further, strengthened collaborations across sectors are necessary to meet the variety of needs. Co-design workshops were an effective way to initiate changes in the service delivery model for psychosocial support for refugees in Sweden affected by GBV.
UNASSIGNED: This is a participatory reflection on a participatory process. The survivor co-researchers contributed to designing and carrying out the PPI process and have co-authored this manuscript.
METHODS: This article reports on a formative research process that aimed to involve public contributors (refugee victim-survivors of GBV) and relevant stakeholders in co-designing a service model aimed at improving psychosocial support in Sweden. Led by a partnership of public contributors and academic researchers, the research process consisted of iterative cycles of co-design workshops, complemented by scoping of existing literature.
RESULTS: The co-design process resulted in a characterisation of the psychosocial service system needs, as perceived by the survivor co-researchers and stakeholders, and a two-level empowerment and support service model. The model included (i) a community-based intervention to promote help-seeking and (ii) psychosocial group support delivered in specialist clinics. Outcomes of the project included perceived benefits for those involved, service-led direct changes and acquisition of funding for continued research on the co-designed model.
CONCLUSIONS: Improving psychosocial support for refugees in Sweden affected by GBV requires safe spaces to connect with peers and familiarise with available services, laws and rights in the society. Further, strengthened collaborations across sectors are necessary to meet the variety of needs. Co-design workshops were an effective way to initiate changes in the service delivery model for psychosocial support for refugees in Sweden affected by GBV.
UNASSIGNED: This is a participatory reflection on a participatory process. The survivor co-researchers contributed to designing and carrying out the PPI process and have co-authored this manuscript.
摘要：
背景：遭受基于性别的暴力（GBV）在难民中很常见。压迫系统的交叉会增加GBV的风险和遭受有害后果的风险，同时为有意义的支持制造障碍。尽管如此,有GBV生活经验的难民很少参与发展，服务和政策的规划和调整。
方法：本文报告了一个形成性研究过程，旨在让公共贡献者（难民受害者-性别暴力幸存者）和相关利益相关者共同设计一个旨在改善瑞典社会心理支持的服务模型。在公共贡献者和学术研究人员的伙伴关系的领导下，研究过程包括共同设计研讨会的迭代循环，辅以现有文献的范围界定。
结果：共同设计过程导致了对社会心理服务系统需求的表征，正如幸存者合作研究人员和利益相关者所认为的那样，以及两级授权和支持服务模式。该模型包括（i）基于社区的干预措施，以促进寻求帮助，以及（ii）在专科诊所提供的社会心理团体支持。该项目的成果包括对相关人员的感知收益，以服务为主导的直接变更和获取资金，以继续研究共同设计的模型。
结论：改善对受性别暴力影响的瑞典难民的社会心理支持需要安全的空间与同龄人联系并熟悉可用的服务，社会中的法律和权利。Further,为了满足各种需求，必须加强跨部门的合作。共同设计讲习班是一种有效的方式，可以改变为受性别暴力影响的瑞典难民提供社会心理支持的服务提供模式。
■这是对参与性过程的参与性反映。幸存者的共同研究人员为设计和实施PPI过程做出了贡献，并共同撰写了这份手稿。
方法：本文报告了一个形成性研究过程，旨在让公共贡献者（难民受害者-性别暴力幸存者）和相关利益相关者共同设计一个旨在改善瑞典社会心理支持的服务模型。在公共贡献者和学术研究人员的伙伴关系的领导下，研究过程包括共同设计研讨会的迭代循环，辅以现有文献的范围界定。
结果：共同设计过程导致了对社会心理服务系统需求的表征，正如幸存者合作研究人员和利益相关者所认为的那样，以及两级授权和支持服务模式。该模型包括（i）基于社区的干预措施，以促进寻求帮助，以及（ii）在专科诊所提供的社会心理团体支持。该项目的成果包括对相关人员的感知收益，以服务为主导的直接变更和获取资金，以继续研究共同设计的模型。
结论：改善对受性别暴力影响的瑞典难民的社会心理支持需要安全的空间与同龄人联系并熟悉可用的服务，社会中的法律和权利。Further,为了满足各种需求，必须加强跨部门的合作。共同设计讲习班是一种有效的方式，可以改变为受性别暴力影响的瑞典难民提供社会心理支持的服务提供模式。
■这是对参与性过程的参与性反映。幸存者的共同研究人员为设计和实施PPI过程做出了贡献，并共同撰写了这份手稿。
