Child Health and Parenting (CHAP), Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden.
Centre for Women's Mental Health During the Reproductive Lifespan-WOMHER, Uppsala University, Uppsala, Sweden.
Health Expect. 2024 Aug;27(4):e14177. doi: 10.1111/hex.14177.
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.
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.
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.
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.
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.
在难民中，经历性别暴力（GBV）是很常见的。交叉的压迫系统会增加遭受 GBV 和遭受不利后果的风险，同时也会对获得有意义的支持造成障碍。尽管如此，经历过性别暴力的难民很少参与服务和政策的制定、规划和调整。
本文报告了一个形成性研究过程，旨在让公共贡献者（性别暴力的难民幸存者）和相关利益攸关方共同设计一个服务模式，旨在改善瑞典的心理社会支持。该研究过程由公共贡献者和学术研究人员组成的合作伙伴关系领导，包括迭代的共同设计研讨会，以及对现有文献的范围界定。
共同设计过程导致了一种心理社会服务系统需求的特征化，这种需求是由幸存者共同研究人员和利益攸关方感知到的，以及一个两级的赋权和支持服务模式。该模式包括（i）一个基于社区的干预措施，以促进寻求帮助，和（ii）在专科诊所提供的心理社会小组支持。该项目的结果包括参与者认为的好处、服务主导的直接变化和为继续研究共同设计的模式获得资金。
改善瑞典受性别暴力影响的难民的心理社会支持需要安全的空间，让他们与同龄人联系，并熟悉社会中的可用服务、法律和权利。此外，还需要加强跨部门的合作，以满足各种需求。共同设计研讨会是在瑞典受性别暴力影响的难民的心理社会支持服务提供模式中启动变革的有效途径。
这是对参与过程的参与性反思。幸存者共同研究人员为设计和开展 PPI 过程做出了贡献，并共同撰写了这份手稿。
