An ESRC/NIH Health Disparities Study of Discrimination & Disparities in Health & Health Service Use in the UK and US

Lead Research Organisation: King's College London
Department Name: Psychological Medicine

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

Publications

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Harvey SB (2018) NIPSA: a new scale for measuring non-illness predictors of sickness absence. in Occupational and environmental medicine

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Gunasinghe C (2018) Debt, common mental disorders and mental health service use. in Journal of mental health (Abingdon, England)

 
Description • What were the most significant achievements from the grant?
Aligned with one of the study objectives, the UK and US teams have collectively developed the Health Inequalities Research Network (HERON) to formalise and sustain a network of people involved in action and research in inequalities in health and health service use. This international network consists of students, health practitioners, researchers, community members and representatives from third sector charities and community organisations. The basic principle of the network is to develop and promote the interaction of health practitioners and researchers with community members and representatives in order to have a more collaborative approach to research within the community. The network has explored various routes to engage and interact with its members and the wider community on topics relevant to social inequalities, including discrimination, and inequalities in health and functioning. The network has also shared best practice and provided infrastructure support for new public and patient engagement groups, such as the South East London Photography (SELPh) group founded in 2011 by HERON co-coordinator, Billy Gazard, photographer Anthony Wallace and Consultant Psychiatrist Wojtek Wojcik. With funding from the Maudsley charity, Gazard and other HERON members use SELPh to provide an opportunity for groups of people recovering from mental illness to express their experiences of social and health inequalities and wellbeing creatively using innovative participatory photography. SELPh has facilitated four series of 14-week sessions, all of which culminated in exhibitions showcasing the group's work.
The UK socio-historical documentation has contributed to an increase in understanding of how discrimination influences health, and advanced the thinking of how it should be conceptualized and measured. The discrimination measures adapted for this study have been used in several clinical research projects, explored in qualitative studies in more depth and provided the basis for our more successful HERON PPE events with schools and local community organisations.
Findings from the UK data generated new research questions around the fluctuation of the demography of discrimination and shifts in the basis and targets of discrimination as political and social issues change. This was particularly highlighted when we considered the relationship between discrimination and mental health among migrant and ethnic groups, regardless of race. Presentation and discussion of this finding resulted in HERON forming a collaboration with individuals at the Department of Social Science, Health & Medicine (King's College London) and Citizens UK to develop a seminar series focussed on applying intersectional approaches to address health inequalities. The seminar series is designed to be international in scope, inviting key academic speakers from the US to engage with UK academics, students and community organisations. Participation will be sought from a range of health services, policy and civil society organisations engaged in transformative approaches to addressing health inequalities. The aims of the series include: identifying examples of current best practice in research, policy and services; fostering lasting collaborative exchanges between civil society and academic researchers; establishing a monitoring and evaluation framework for assessing the effectiveness of health policies in addressing intersecting health inequalities; and, to develop a future programme of action research which will systematically apply intersectional perspectives and methods to improving health and wellbeing.
Preliminary findings from the US and UK data demonstrated how little is known about discrimination experiences, particularly anticipated discrimination, in relation to health service use. As a result, members of the UK team have developed new collaborations on multiple research projects that are assessing discrimination as a potential barrier to health service use. Further progress is being made in this area, including projects that aim to develop interventions for health service providers.
Exploitation Route Health services and practitioners are among the potential beneficiaries of this research. This has been exemplified in the interest in addressing discrimination experiences, particularly anticipated discrimination, in relation to health service use, described above. Local Public Health departments are currently utilising these data as evidence of population health.
Within the community, there are charities and organizations involved in HERON that have utilized the findings to demonstrate the importance of considering how prevalent discrimination (particularly in education, employment, housing and health care) is as a source of stress and how it impacts the functioning and health, particularly mental health of service users.
Local schools can use this research to design and promote educational material aimed at attenuating the effect of discrimination on the health and health service use of students and staff. For the university, the findings are particularly relevant for the gender and race equality initiatives.
Researchers and postgraduate students have taken the findings forward through the questions generated for postdoctoral fellowships, as well as MSc and PhD projects. Future projects with interdisciplinary teams are being planned in multicultural environments in the UK, other US sites and in Asia.
Sectors Communities and Social Services/Policy,Education,Healthcare

URL https://www.kcl.ac.uk/ioppn/depts/pm/research/selcoh
 
Description The societal impact resulted from developing the Health Inequalities Research Network (HERON) in 2011 and using participatory action approaches in engagement. The following examples highlight some of the impact that directly arose from the research grant. To engage with the community, the HERON Network presented locally relevant data from the South East London Community Health Study [SELCoH] study to the public during Research Road Shows focused on how the findings may be useful for communities. The Brixton library event was in conjunction with a local authority health check event offering consultations and advice on physical health problems (e.g., hypertension and diabetes); we used project findings to discuss the interrelationship between physical and mental health. HERON also coordinates joint engagement with schools and third sector community organisations. For example, The Interview was co-produced by HERON members, Lambeth College BTEC Art students and service users from Faces in Focus (an advice, support and counselling service for young people in Southwark and Lambeth). Following a series of meetings and workshops, the project culminated in a public local gallery exhibition of mixed medium art inspired and made in response to a series of interviews that took place between HERON facilitators, students and young service users. Locally relevant SELCoH study results on perceived and anticipated discrimination experiences were integral to planning the interviews and contextualising this work. KCL Public Engagement provided additional funds to support a public showcase; the four day exhibition was attended by the public, students, family, friends, teachers, academics, school administrators, service users and staff from Faces in Focus, and health service providers. Subsequently, Lekan Lawal, a recent recipient of the Arts Council England Regional Theatre Young Director Scheme, contacted HERON to collaborate on the development of a theatre piece on discrimination, race and mental health for his residency. http://www.lambethcollege.ac.uk/news/art-students-pass-the-interview-with-flying-colours/#showpopup Additionally, HERON ran an interactive Creativity and Mental Health workshop with staff and volunteers at Raw Material, a production house in Brixton that promotes opportunities, engagement and progression in creative and expressive arts for excluded people to reduce non-engagement, anti-social behaviour, re-offending and mental health relapse. The workshop focused on mental health benefits of creative arts interventions and how researchers can work more closely with local organisations to tackle discrimination and social exclusion using a variety of media. Following this engagement, Raw Materials took part in the 2014 HERON Conference. Examples of school engagement include (1) interactive workshops with Health and Social Care BTEC students at Lambeth College, led by SELCoH research assistants and HERON coordinators to discuss possible determinants of health inequalities; and (2) annual Sociology, Psychology and Health youth awards to inspire local students to stay in education and develop a social science career. In addition to receiving mentoring, student work experience included co-producing an engagement event for the National Young Peoples Takeover Day with the national Young People's Mental Health Advisory Group. One of the HERON award recipients was subsequently invited to be a member of a research steering group and joined the HERON planning group as student representative. Health inequalities data from SELCoH was used as evidence of population health in the 2018 Annual Public Health Report for Lambeth.
First Year Of Impact 2011
Sector Education,Healthcare,Other
Impact Types Cultural,Societal,Policy & public services

 
Description Member of the core academic team leading the NIHR Mental Health Policy Research Unit
Geographic Reach National 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
Impact The NIHR Mental Health Policy Research Unit receives direct requests from NHS England, Public Health England and ministers for rapid response to a range of issues related to community and service related policies (e.g., Mental Health Act Review). Our engagement focuses on changing the public narrative related to mental health with ongoing mass social media and service user events. My involvement focuses on inequalities in mental health and health services.
URL https://www.ucl.ac.uk/psychiatry/research/mental-health-policy-research-unit
 
Description NHS England Workforce Race Equality Standard Steering Group
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
Impact I am one of two academic advisory on the WRES steering group, mainly due to my expertise related to discrimination and health. WRES impacts the nature and quality of the training, work environment and health of NHS staff and subsequently impact patient safety. WRES indicators are also now considered in assessments by the Care Quality Commission, independent regulator of all health and social services in England
 
Description Economic and Social Research Council Doctoral Training Centre Studentship
Amount £0 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 10/2012 
End 03/2016
 
Description Investigator's Award
Amount £911,234 (GBP)
Funding ID WT 203380/Z/16/Z 
Organisation Wellcome Trust 
Department Wellcome Trust Senior Investigator Award
Sector Charity/Non Profit
Country United Kingdom
Start 01/2017 
End 12/2022
 
Description YOUR SHOUT
Amount £400 (GBP)
Organisation King's College London 
Sector Academic/University
Country United Kingdom
Start 11/2012 
End 06/2013
 
Title SELCoH data - Phase 2 
Description Collection of Phase 2 data for the South East London Community Health (SELCoH) study 
Type Of Material Database/Collection of data 
Year Produced 2016 
Provided To Others? Yes  
Impact Data are being used for numerous PhD, DClin Psych and MSc projects. 
 
Description David Williams, Harvard University 
Organisation Harvard University
Department Harvard T.H. Chan School of Public Health
Country United States 
Sector Academic/University 
PI Contribution Hosting seminar, HERON conference and producing manuscripts drafts.
Collaborator Contribution Professor Williams was the keynote speaker for the HERON conference in May 2014 in London. He also delivered a lecture at King's College London in October 2014 during his visit to the UK for a NHS Leadership Academy. He has commented on analytic plans and manuscript drafts.
Impact Collaboration is multi-disciplinary and includes public health, sociology, African American studies, psychology and health services Multiple papers in preparation. Publication: Hatch SL, Gazard B, Williams DR, Frissa S, Goodwin L, Hotopf M. Discrimination and common mental disorder among migrant and ethnic groups: findings from a south east London community sample. Social Psychiatry and Psychiatric Epidemiology, In Press (PMID: 26875153)
Start Year 2010
 
Description HERON Early Researcher Exchange 
Organisation Institute of Women and Ethnic Studies (IWES)
Country United States 
Sector Charity/Non Profit 
PI Contribution The SELCoH study team advised with Institute of Women and Ethnic Studies (IWES; New Orleans, Louisiana, USA) staff on the development of a similar study in New Orleans Louisiana. Dr Hatch (PI) has been an IWES board member since 2009. Dr Hatch gave an invited lecture in 2012 entitled, "Stress and Mental Health Inequalities among Youth in the Community" during The Root of It All: The State of Mental Health of New Orleans' Youth conference hosted by IWES and Dillard University, New Orleans, Louisiana, USA. In August 2013, Billy Gazard (SELCoH PhD student supervised by Stephani Hatch (PI) and funded through by ESRC through KISS-DTC) represented the UK HERON team during a visit with the Collective for Healthy Communities (CHC) team at the Institute of Women and Ethnic Studies (IWES; New Orleans, Louisiana, USA) while in the US for the American Sociological Association meeting. The IWES team provided housing for Billy and the CHC project hosted three Brownbag lunches in which Billy led seminars to discuss a community-based mental health survey and dissemination techniques that are being utilized by the UK team in SELCoH research in Southeast London. The seminars included the following: • 20 August 2013: Overview of the South East London Community Health Study (SELCoH) and the Health Inequalities Research Network (HERON) • 22 August 2013: Recruiting in the local community, fieldwork experiences and survey design in a community epidemiology study • 28 August 2013: Use of Photovoice Methods in the South East London Photography (SELPh) project
Collaborator Contribution Dr Denese Shervington provides her expertise in US psychiatry and Dr Lisa Richardson provides expertise translational public health approaches in urban settings--both of which are not areas of expertise represented within the US-UK comparative team for the main research project. IWES staff has provided training in participatory research, interventions and social media engagement. In January 2013, the IWES sent Callie Kaplan MPH, IWES Research & Evaluation Manager, to work with members of the UK team in London to develop a strategy for applying the SELCoH study design model in New Orleans east and central New Orleans Parishes. Dr Hatch provided housing for Ms Kaplan and IWES funded the remaining costs through their Kellogg Foundation funded project, Collective for Healthy Communities (CHC).
Impact This multi-disciplinary collaboration includes sociology, anthropology, public health, epidemiology, psychiatry and urban planning and development. Following the visit from Callie Kaplan to the UK in January 2013, IWES received additional Kellogg Foundation funding to implement the neighborhood health and wellbeing study. Following Billy Gazard's visit in August 2013, we negotiated a plan for Billy to apply for ESRC Overseas Institutional Visit (OIV) to IWES. The application was successful and will take place from January to March 2014. Billy will gain experience withing this translational US non-profit public health organization that has been working with New Orleans communities for the last twenty years and specialises in applied public health, community engagement and policy development. He will be engaging in these areas of work to gain greater understanding of how research findings can be translated into action to affect both policy development and community well-being, as well as how research goals can be shaped at the grassroots level; offering him experiences that are not provided in a University environment. In addition, other benefits of the visit include the establishment of international collaborations with researchers at IWES and their partner organisations; dissemination of preliminary PhD research findings to varied audiences and participation in seminars at both IWES and Tulane University. Tulane University is a reputable academic institution based in New Orleans with an established School of Public Health. Billy will present preliminary results from the quantitative and qualitative SELCoH data that are part of his PhD. He will attend the Epidemiology seminars at Tulane University and contribute a lecture on structural discrimination and stress to a course led by Dr. Katherine Theall. Planned joint outputs (data analysis, publications, etc) are in progress and planned. On 15 November 2013, HERON hosted an interactive event with PhD students and postdoctoral researchers within the Department of Psychological Medicine at the Institute of Psychiatry, King's College London with Dr Lisa Richardson (IWES Director of Research and Development) entitled, "Translational Public Health: Incorporating Community Voices in Research" Several senior and early career researchers from IWES attended and contributed to the HERON conference in May 2014 in London. For example, Dr Denese Shervington (IWES President and CEO) presented New Orleans community research in a session chaired by Dr Lisa Richardson (IWES Director of Research and Development); Chloe Walters-Wallace MA (IWES Media Coordinator) co-chaired a session on the use of art in community health participatory research; Iman Shervington MFA (IWES Director of Media and Social Marketing) provided photography documentation and live documentation of the event on social media during the 2 day conference.
Start Year 2010
 
Description US Health Inequalities team, Columbia University 
Organisation Columbia University
Country United States 
Sector Academic/University 
PI Contribution Collectively, the UK and US teams have developed the Health Inequalities Research Network (HERON) to formalise and sustain a network of people involved in action and research in inequalities in health and health service use. This international network consists of health practitioners, researchers, community members and representatives from selected local charities and community groups. HERON is managed and coordinated on a day to day basis by volunteers (research workers, postgraduate students and postdoctoral researchers) under the direction of Hatch in collaboration with our US colleagues. The UK team has also hosted seminars and meetings, as well as the HERON international conference
Collaborator Contribution The US team, led by Bruce Link has collected comparable data to address the study aims. US-UK team meetings (face to face and distance) have been held on multiple occasions. The US team has hosted seminars and meetings, as well as providing support to KCL postgraduate students contributing to the data analysis.
Impact This multidisciplinary collaboration includes the following: sociology; epidemiology; psychiatry; public health; history; geography; and biostatistics
Start Year 2010
 
Description University of Tokyo, Tokyo Metropolitan Institute of Medical Science Japan 
Organisation Tokyo Metropolitan Institute of Medical Science
Department Department of Psychiatry & Behavioral Science
Country Japan 
Sector Academic/University 
PI Contribution I have been invited to deliver two SELCoH talks based on my expertise in community based research designs; inequalities in mental health and health services; and public engagement. I have also advised on several papers of their postgraduate students.
Collaborator Contribution The group (joint with University of Tokyo) have funded invited trips to deliver SELCoH talks in Tokyo.
Impact Nishida A, Shimodera S, Sasaki T, Richards M, Hatch SL, Yamasaki S, Usami S, Ando S, Asukai N, Okazaki Y. Risk for Suicidal Problems in Poor-Help-Seeking Adolescents with Psychotic-Like Experiences: Findings from a Cross-Sectional Survey of 16,131 Adolescents. Schizophrenia Research, 2014; 159: 257-62. (PMID: 25315221)
Start Year 2014
 
Description Yvonne Coghill, Director -WRES Implementation NHS England 
Organisation NHS England
Country United Kingdom 
Sector Public 
PI Contribution My expertise in inequalities in health and health services
Collaborator Contribution Participation in HERON advisory board and advising on future related research proposals
Impact Engagement projects (seminars and public events) and research proposal in progress. Mental health (Psychology and Psychiatry), social epidemiology and nursing.
Start Year 2014
 
Description Putting Health Disparities in Place: Comparative Perspectives on the US and UK 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Talks by the researchers below sparked discussion with US researchers conducting US-UK health research who had not been previously engaged with our research team.
Dr Melissa Martinson - Assistant Professor
University of Washington School of Social Work
Population Health across the Life Span in the US and UK

Dr Mary Clare Lennon - Professor of Sociology and Public Health
City University of New York (CUNY)
Residential Mobility and child wellbeing in the US and UK

Dr Dalton Conley - University Professor
New York University
Race, Poverty and the Starting Gate of Life

Dr Joshua Guild - Assistant Professor of History and African American Studies
Princeton University
Post-world War II Migration and Community Formation in New York and London


Expanded awareness of other ongoing US-UK comparative research.
Year(s) Of Engagement Activity 2013
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description 1st HERON conference 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Type Of Presentation keynote/invited speaker
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The HERON conference was held on the 14-15th May 2014 in London at the Coin St Neighbourhood Centre and was centrally organised by HERON Co-coordinators, Billy Gazard, Dr Charlotte Woodhead and Dr Stephani Hatch (PI). Other team members from the US and UK acted as invited speakers, session chairs and discussants. The conference featured the distinguished keynote speaker, Dr. David Williams (Harvard University; Florence Sprague Norman & Laura Smart Norman Professor of Public Health, Professor of African and African American Studies and of Sociology) who is a consultant and collaborator on the US-UK research teams for the current grant.
We had presentations and posters addressing the following themes within health inequalities research:
• Comparing local and national disparities
• Public involvement or engagement in research
• Cross-country comparative studies
• Life-course epidemiology
• Physical and mental health co-morbidity
• Neighbourhood contexts
• Structural discrimination and health
• Minority stress and health
• Young people's health
• Ethnicity, migration and health
• Gendered health
• Sexual health
• Health service use



Talks uploaded to Soundcloud have received over 1000 downloads as of August 2015.
This conference led to a number of new collaborations for HERON and research team members.
Examples include:
Yvonne Coghill, Senior Programme Lead - Inclusion & Coaching, NHS Leadership Academy; HERON is contributing to initiatives addressing race and health inequality in the health and university sectors;

Citizens UK: HERON is collaborating with Citizens UK on their Children's Zone project
Year(s) Of Engagement Activity 2014
URL http://www.kcl.ac.uk/innovation/groups/heron/news/conference2014.aspx
 
Description Confronting Racial Inequalities in Education, Employment and Health: Challenges and Opportunities 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact David R. Williams (Florence and Laura Norman Professor of Public Health at the Harvard School of Public Health and Professor of African and African American Studies and of Sociology at Harvard University) delivered a lecture that provided examples of what we can do in the university sector to address racial inequalities that impact opportunities and positive outcomes in education, employment and health. This was followed by a lengthy discussion between professional and academic staff and students.

This event contributed to King's College London's celebration of Black History Month and awareness raising about KCL's Race Equality Charter Mark (RECM) work and activities. After the talk, several staff and students approach the KCL Equalities Officer about getting involved in the RECM and HERON. The talk has also led to a meeting between Yvonne Coghill (Senior Programme Lead - Inclusion & Coaching, NHS Leadership Academy),
Dr Hatch, Sandra Brown (KCL Equalities Officer) about documenting the race equality initiatives in NHS and University sector.
Year(s) Of Engagement Activity 2014
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description Engaging marginalised and hard to reach populations 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Approximately 50 attended NIHR Methodological challenges and solutions in development, evaluation and implementation of complex interventions for women's mental health, Royal College of Psychiatrists, London UK
Year(s) Of Engagement Activity 2017
 
Description HERON library road show 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact A library road show in selected Lambeth and Southwark (South East London Boroughs and study catchment area) libraries. Researchers from the HERON Network presented locally relevant health inequalities findings from the first wave of the SELCoH study to interested members of the public and answered any questions about the results as well as how the research will be used to help their communities. Leaflets summarizing study were also handed out, with the researchers drawing attention to details of the website to those interested.

We had feedback from the public and study participants that it helped to improve perceptions of research groups. Many reported negative experiences (e.g., no follow up communication of findings) with past research groups. For many, the lack of basic reciprocity was the primary reason they did not want to participate. Many also commented that they had negative perceptions of mental health research at the Institute of Psychiatry so we discussed this openly and had positive feedback and increased HERON membership from the public following our discussions.
Year(s) Of Engagement Activity 2012
URL http://www.kcl.ac.uk/innovation/groups/heron/news/librarytour.aspx
 
Description Health Inequalities Research Network workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Speakers from the public engagement evening, selected researchers and key stakeholders in health inequalities area participated in a closed workshop to discuss the future direction of HERON. Discuss ways in which health inequalities can be reduced and how the HERON network can plan ahead to be at the forefront of this research.

Topics covered included:

Health inequalities

_ What are the main factors that cause inequalities in health and health service use?

_ How do we operationalise health concepts to define health disparities?

Reducing inequalities

_ How can researchers and local charities and community groups work together more effectively?

Well being

_ What is meant by well being?

_ What can individuals and communities do to promote well being?

Empowering communities

_ What does empowerment mean in relation to well being? And how can service providers and health practitioners empower individuals and communities?

NHS Mental Health Promotions team requested collaboration and input from S Hatch on a number of their ongoing projects.
Year(s) Of Engagement Activity 2011,2012
 
Description Improving health and wellbeing in the community 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact The aim of the event was to develop and promote interaction between researchers, health practitioners and community members in order to have a more collaborative approach to research within the community. The evening was chaired by Professor Graham Thornicroft (UK Co-investigator) and panelists included: Ann Marie Connolly (Director of Public Health at NHS South East London); Tony Coggins (Head of Mental Health Promotion at South London and Maudsley NHS Foundation Trust); Tania Eadie (Area Manager at Thames Reach); Lolade Osinowo (BME Outreach Worker at Cares of Life Service); Khalida Ismail (Professor of Psychiatry and Medicine, Institute of Psychiatry, KCL). Representatives from a variety of charities and organisations working within Southwark and Lambeth were invited to the event to discuss their organisations' services in Southwark and Lambeth (site of the SELCoH study), highlight problems in health and accessing health care that are specific to their service users, and strategies that can be used to empower individuals and their communities and strengthen collaborative links between organisations. A lively discussion and debate with the audience addressed the evening's theme of health and wellbeing, inequalities in health and community empowerment.

A community organisation, Faces in Focus, requested collaboration on understanding discrimination and health experiences among young adults in South East London; Lambeth College requested health inequalities workshop for their Health and Social Care BTEC students which led to involvement of Lambeth College art and drama students in collaborative project with Faces in Focus (Your Shout). Also resulted in Faces in Focus being involved in the 2014 HERON conference. Event also resulted in Faces in Focus also introduced HERON to FourinTen (LGBT service user group at the Maudsley Hospital) co-coordinator which lead to a South East London Photography project (SELPh; funded by Maudsley Charity and co-founded by Billy Gazard).
Year(s) Of Engagement Activity 2012
URL http://www.kcl.ac.uk/innovation/groups/heron/news/publicevents.aspx
 
Description Invited plenary speaker, Importance of Thinking Locally about Mental Health Inequalities 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach International
Primary Audience Health professionals
Results and Impact talk followed by questions about our local approaches to understanding health inequalities

Students feedback about more interest in multi-method approaches.
Year(s) Of Engagement Activity 2013
 
Description Invited talk to Lambeth Council, Black Thrive and Southwark and Lambeth Public Health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Presentation of discrimination and health and health service data led to a much stronger interest in findings from the South East London Community Health (SELCoH) study findings; as a result, SELCoH was presented as a case study in Lambeth Public Health annual report and I received invitations to sit on the advisory boards of Black Thrive and Thrive London.
Year(s) Of Engagement Activity 2018
 
Description Invited talk, Discrimination and Common Mental Disorder among Migrant and Ethnic Groups: Findings from a South East London Community Sample 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach International
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Talk generated interest in UK data on discrimination and mental health inequalities

My talk generated interest in further collaborative comparative studies with community samples similar to SELCoH
Year(s) Of Engagement Activity 2015
 
Description Invited talk, Inequalities in Help Seeking Behaviours and Mental Health in the South East London Community Health (SELCoH) study, University of Tokyo 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Members of the research consortium from the Tokyo Metropolitan Institute of Medical Science attended and it resulted in arranging continued collaboration and a researcher exchange between their research group and the our group at the Institute of Psychiatry, Psychology and Neuroscience, beginning in 2017
Year(s) Of Engagement Activity 2016
 
Description Invited talk, South London and Maudsley NHS Foundation Trust conference, Speaking Truth to Power conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Approximately 250 healthcare practitioners and NHS England administrators and policy makers attended. Discussion of findings led to invitation to invitation to advise local NHS Trust on discrimination and health and an invitation to NHS England WRES conference.
Year(s) Of Engagement Activity 2018
 
Description Invited talk, Thinking Locally about Mental Health Inequalities in the City 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Health professionals
Results and Impact Audience asked several questions and generated discussion in summary session.

After my talk, the organizer, Dr Mark Ashworth (PI for a GP record database in SELCoH catchment area) contacted me about sitting on a joint steering group and planning collaborative projects with data linkage between our survey data and GP records.
Year(s) Of Engagement Activity 2015
 
Description Invited talk, Understanding Mental Health in Urban Environments: the SELCoH study, Metropolis and Mental Life (ESRC funded workshop) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Metropolis and Mental Life was an ESRC funded workshop series, (N Rose, PI). This was the third and final workshop entitled, "Comparative Urban Mental Health." Presentations were given by researchers from Shanghai, Sao Paolo, Toronto and London (I presented the SELCoH study for London). As a result of the workshop, I am currently preparing a proposal for a Newton Fund research exchange with Dr Laura Andrade (Department and Institute of Psychiatry, University of Sao Paulo Medical School and Clinics Hospital).
Year(s) Of Engagement Activity 2015
 
Description Invited talk- Understanding Mental Health in Urban Environments -The south London Experience 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? Yes
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Talk generated questions and discussion

Talk led to collaboration on grant application with interdisciplinary group at Warwick University
Year(s) Of Engagement Activity 2014
 
Description Invited to speak at Royal College of Nursing, London Inclusion Solutions 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Presentation of findings from community and health practitioner data (Wellcome Trust funded TIDES study) led to planned work developing education and training interventions for nurses (group most impacted by discrimination) in collaboration with Royal College Nursing
Year(s) Of Engagement Activity 2018
URL https://www.rcn.org.uk/london/get-involved/inclusion-solution-1
 
Description Measuring and monitoring health inequalities 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Dr Steve Meersman -(Senior Scientific Advisor at the John Snow Institute, JSI Research & Training, Inc and consultant to the Surveillance Research Program at the National Cancer Institute, National Institute for Health) presented a lecture entitled, Measuring and Monitoring Health Inequalities: Introduction to and wider uses for the Health Disparities Calculator (HD*Calc) developed by the US National Cancer Institute


Development of interdisciplinary US collaboration and grant proposals for use of HD*Calc.
Year(s) Of Engagement Activity 2012
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description South London and Maudsley NHS Trust Open Day 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact On the 18th September 2013, we participated in the South London and Maudsley NHS Trust Open Day at the ORTUS to demonstrate how service providers can work with community organisations and researchers in public engagement. Participation in this event led to several inquiries about how HERON could help with public and patient engagement in planned research proposals.

Participation in this event led to several inquiries about how HERON could help with public and patient engagement in planned research proposals.
Year(s) Of Engagement Activity 2013
 
Description The Interview/ Slipped-aways 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact Slipped-aways is a performance exploration of oral testimonies collected by the Health Inequalities Research Network (HERON) at King's College London. HERON collected oral testimonies at Faces in Focus describing experiences of unfair treatment and discrimination from young people living in Southwark and Lambeth. These testimonies were used to develop the performance Slipped-aways. The performance particularly concerns issues of anonymity, disappearance, redaction, and physical and psychological pain that manifests from such experiences. Two different course groups are involved in the project: the BTEC Level 3 extended diplomas in performing arts, acting and dance. It is an international site-specific performance collaboration between HERON, Lambeth College, Omnibus, and the Copenhagen Open High School.

Paddington Academy asked for students to be able to come to complete work experience with our group and colleagues at the Institute of Psychiatry. The work experience is organised by S Hatch and is an ongoing programme.
Year(s) Of Engagement Activity 2013
URL http://www.lambethcollege.ac.uk/news/art-students-pass-the-interview-with-flying-colours/#showpopup
 
Description The US National Prevention Strategy in action: identify and address health disparities in Native American communities 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Future seminars on the health and wellbeing of disadvantaged and marginalized groups are planned, beginning with a workshop on LGBT health inequalities in April 2015. Application for ESRC funding for a seminar series is in preparation.

Strengthen collaborative links between KCL researchers in the Institute of Psychiatry, Psychology & Neuroscience and Social Science and Public Policy
Year(s) Of Engagement Activity 2014
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description Trans Health and Well-Being Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact HERON ran a workshop on trans health and well-being in collaboration with the Department of Social Science, Health and Medicine, King's College London. The workshop brought together community activists, trans* organisations, academic researchers and policy-makers together to focus on matters of trans* health, inequalities and well-being, particularly as these relate to trans* communities' struggles for social and legal equality, and access to adequate healthcare provisions. A core focus of the event was to explore the potential for developing collaborative alliances between trans* organisations and academic researchers interested in advancing the cause of transgender health inequalities and well-being with attendees outlining steps necessary to facilitate collaborations. Talks generated a lively debate and brought together people across sectors that had not previously met.
Community organisations and services in attendance: Race Equality Foundation, Trans Media Watch, TransBareAll, CliniQ, GALOP, LGBT Foundation, Central and North West London NHS Trust, NHS EnglandThe speakers included: Jay McNeal (Lancaster University), Liam Timmins (KCL), Samir Jeraj (Race Equality Foundation), Suzannah Yong Lee (Race Equality Foundation), Helen Belcher (Trans Media Watch), Habib Naqvi (NHS England), Ruth Pearce (Warwick University), Zowie Davy (University of Lincoln), Lee Gale (TransBareAll), Michelle Ross (CliniQ) and Serge Nicholson (CliniQ)

Several speakers stated afterwards that they had formed new collaborative links. The audio recording from the workshop was uploaded to Soundcloud and as of August 2015 has been downloaded by over 50 additional people.
Year(s) Of Engagement Activity 2015
 
Description Translational Public Health, Incorporating Community Voices in Research: In conversation with Dr Lisa Richardson 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Talk generated questions and discussion about similarities and differences in the application of participatory approaches in the UK and US.

Increased the number of postgraduate students involved in HERON who had not previously been engaged. Several have since pursued non-academic community partnerships in their research areas.
Year(s) Of Engagement Activity 2013
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description Understanding inequalities and the impact they have on health : findings from a community sample 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact On the 26th April, HERON ran interactive workshops with Health and Social Care BTEC (level 3) 1st and 2nd year students at Lambeth College. Titled 'Understanding inequalities and the impact they have on health: findings from a community sample', the sessions aimed to disseminate findings from the South East London Community Health Study (SELCoH) and stimulate wider discussion as to what the main factors causing health inequalities may be. Three SELCoH research assistants, Bwalya Kankulu, Billy Gazard and Natasha Smyth delivered the sessions.



To ensure the presentations were interactive and engaging, a range of teaching methods were employed. These included facilitated group work using recent media articles highlighting scenarios of various social inequalities. The students were asked to think about ways in which these scenarios could lead to health inequalities and discuss more generally the multiple levels at which discrimination operates. Health profiles created by the Department of Health were also used to stimulate discussion around neighbourhood inequalities. Students were asked to compare the recorded health outcomes for Lambeth against the borough of Kensington and Chelsea and discuss disparities between areas. Debate was also used to explore responsibility for health, with students split into two groups, the first being asked to represent 'the individual', and the second being asked to represent 'the society'.



Thirty five students in total attended the two sessions, which were run at the Clapham Common site. The team received positive feedback from students attending and so there are plans to offer these teaching sessions to other colleges in the area.

Lambeth College Art and Drama department requested our involvement in their lessons on social and health inequalities. This lead to a joint project and public engagement project in collaboration with Lambeth College and Faces in Focus, a local charity focused on mental health, education and employment among young people.
Year(s) Of Engagement Activity 2012
 
Description Understanding social determinants of inequalities in health and health service use 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other academic audiences (collaborators, peers etc.)
Results and Impact Seminar for an interdisciplinary audience with speakers from the fields of epidemiology, sociology, anthropology, geography and service user involvement research. Speakers included: Professor Bruce Link (US PI, Professor of Epidemiology and Socio-medical Sciences, Columbia University, New York) The social shaping of population health; Dr Mary Malone (Lecturer in Department of Primary and Intermediate Care, KCL) The internet, the 'digital divide' and the effect of place: patterns of health information seeking amongst families with children under five years of age in one inner London area; Dr Tim Doran (Clinical Research Fellow, National Primary Care Research & Development Centre, University of Manchester) The response of the NHS to health inequalities; Professor Peter Beresford (Professor of Social Policy, Brunel University) Participation that overcomes exclusions and inequalities instead of reinforcing them: a key challenge to address.

Increase in HERON network membership.
Year(s) Of Engagement Activity 2011
URL http://www.kcl.ac.uk/innovation/groups/heron/news/seminars.aspx
 
Description Workshop on Creativity and Mental Health 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Participants in your research and patient groups
Results and Impact On the 23rd January 2014, HERON ran an interactive workshop with staff and volunteers at Raw Material. Raw Material is a specialized education, training and creative production house in Brixton which promote opportunities, engagement and progression in the creative and expressive arts. It runs a number of creative music projects geared particularly towards excluded people, reducing non-engagement, anti-social behaviour, re-offending and mental health relapse. The workshop was titled, 'Creativity and Mental Health', the session aimed to disseminate the current evidence of the mental health benefits of creative arts interventions and it stimulates a wider discussion on how researchers can work more closely with local organisations to help evaluate community art projects as well as tackle stigma, discrimination and social exclusion using a variety of media.

Raw Materials staff and service users took part in the HERON Conference 2014 session, 'Exploring health through art and media' and future collaborations on evaluating creative arts programmes impact on wellbeing are planned.
Year(s) Of Engagement Activity 2014