The Big Picture:Adapting PhotoVoice to enhance psychological, social & cultural insights into & prevention & treatment of youth substance use in India

Lead Research Organisation: University of Leeds
Department Name: School of Psychology

Abstract

This project focuses on understanding the lived experience of young Indian people around risk, recovery and resilience in relation to substance use disorder (SUD). The goal is to increase knowledge, enhance the voice of young people, and inform practice through impacting policy and promoting public awareness. Our visual participatory method - PhotoVoice (PV) - centralises the lived experience of young people in efforts to understand, prevent and intervene - at both a service and policy level - in substance-use-related mental health difficulties in India. The research will be conducted in Assam and we will explore transferability to other Indian States.

Global mental health strategies prioritise adolescents given their potential trajectory towards lifelong disadvantage. Poor mental health in young people is also a risk factor for SUD, and the Childline Foundation reports that 13% of people using substances in India are children. In the National Mental Health Survey of India 2015-16, Assam has the lowest prevalence of mental disorders so offering an opportunity to understand psychological, social and cultural resilience. Even so, in Assam stigma around mental health problems is high, the treatment gap immense, and The Assam Report of The India Survey classifies adolescent SUD as an urgent problem.

Our aims are to:
-enhance psychological, social and cultural insights into the experience of risk, resilience and recovery with regard to youth substance use in Assam
-promote young Assamese people's voice with respect to substance use in order to reduce stigma, raise public awareness and inform mental- and public-health policy and practice
-learn if and how PV can be adapted in culturally-sensitive ways to enhance local mental health services seeking to prevent and treat youth substance use in Assam.

We will conduct photo-led interviews with: (i) ~fifteen 15-18 year olds successfully refraining from substance use despite being at increased risk; and (ii) ~fifteen 19-24 year olds in successful recovery from SUD. These will be analysed using Thematic Analysis to explore protective and enabling factors around risk and recovery and will shed light on complex psychological, familial, social and cultural pathways to, and away from, SUD. Our innovation of PV is to extend it to participatory film-making. Hence, participants will be invited to make a poster of their photos to inspire ~6 short, resilience-focused films on the issues at stake and the changes they feel could best address them.

We will also explore how evidence informs mental health policy and practice in Assam. We will review key policy documents and conduct ~15 interviews with purposefully-sampled stakeholders. Material will be analysed using Framework Analysis. We will hold 3 stakeholder workshops to credibility check our assessment of conceptualisations, practices and research-policy pathways, and to help plan public awareness and policy-directed activities.

In relation to potential applications and benefits we will:
-launch a social media mental health photographic campaign to raise awareness and understanding of how young people manage risks around substance use in order to stay well;
-strengthen research capacity through training staff in our Partner Organisations in the design, delivery and analysis of PV and support them drive implementation where it will improve services;
-promote PV as a low-cost, easy-to-implement tool initially targeting prevention and treatment of SUD;
-develop an ESRC-compliant, open-access, educational, and resource e-mental health website including easy-to-use, culturally sensitive guidance on how to deliver, analyse and evaluate PV mental health projects, through to flexible ways that outputs can inform service development;
-engage with key decision-makers pan-India who are able to facilitate wider service and/or policy level implications of outputs and contribute to the development of an Assam State mental health policy.

Planned Impact

We anticipate the following people and organisations will benefit from this research in the following ways.

Young Indian people at risk of, and suffering, substance use disorder (SUD)
We will communicate our research so as to raise awareness of substance use and mental health from a young person's perspective and prompt new conversations about risk, recovery and resilience. First, we will organise a public and policy awareness exhibition in central Guwahati. (Potential) service users, Partner Organisations and other stakeholders and policy-makers will be invited to a public discussion of project implications. Second, the exhibition and related workshop will be taken to a large health policy event in Karnataka. Third, the exhibition will form the cornerstone of a knowledge and cultural exchange event hosted by Leeds Cultural Institute at which our Consultant from MIND India (Goswami) will be key speaker. Fourth, we will launch a social media mental health photographic campaign to raise awareness and understanding of how young people manage risks around substance use in order to stay well.

Partner Organisations
We will strengthen research capacity through training staff in each PO in the design, delivery and analysis of PhotoVoice (PV) and will support them drive implementation where it will improve services. We will invite trained staff to join Emerging Voices for Global Health of which Prashanth of our Advisory Group is Chair.

Mental health service delivery organisations pan-India and, potentially, globally
We will promote PV as a low-cost, easy-to-implement tool initially targeting prevention and treatment of SUD. Through planned workshops and Steering Group meetings, we will explore the response of our POs to experience-based knowledge, collaborate to utilise knowledge gleaned for organisational development and be advised by them - and by our Advisory Group - on facilitators and barriers to the uptake of PV by other mental health services and users in India. We will communicate our project widely to stimulate interest from mental health organisations beyond Assam, beginning with our launch at MIND India's International Conference on Positive Psychology where we will hold a workshop with key stakeholders to discuss project aims and situate it in local context. We will continue to establish new connections via MIND India and our Advisory Group, appointed to represent North, South, Southwest, and Northeast India. We will select 3 prominent Indian mental health organisations seeking service development to whom we will showcase the potential of PV inviting knowledge exchange on transferability. We will develop an open-access, educational, and resource e-mental health website.This will include easy-to-use, culturally sensitive guidance and information on how to deliver, analyse and evaluate PV mental health projects, through to flexible ways that outputs can inform service development. UK-hosted, the website will be a forum for an international community of researchers and practitioners working to increase user experience and voice in mental health services.

Government of Assam
We will engage key decision-makers in Assam and pan-India who are able to facilitate wider service and/or policy level implications of outputs. Via planned knowledge exchange workshops, we will learn how to capitalise on existing pathways for impact and to 'package' outcomes to ensure maximum acceptability, relevance and usability. Embededness of the project within the routine practices of mental health facilities and continuous engagement with key decision-makers will ultimately ensure the longer-term sustainability of changes in mental health policies and practices. Securing as Adviser Chowdhury of the Assam Regional Institute of Mental Health will enable us to contribute to the development of an Assam State mental health policy as recommended by the Institute in its State report to the National Mental Health Survey of India, 2015-16.

Publications

10 25 50
 
Title A short film: A different path to recovery 
Description As she walks to work, a young Assamese woman recalls how her path to recovery from addiction seemed different from those of men, given the social and cultural expectations surrounding her. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Official Selections - Docs Without Borders Film Festival 2022 - The Impact DOCS Awards 2022 - Screened at the Social Research Association Conference 2021 - Direct Monthly Online Film Festival 2020 - The Virtual Reel Recovery Film Festival 2020 Awards - Honourable Mention International Women's Film Festival 2022 - Award of Recognition Impact Docs Awards 2022 - Exceptional Merit Docs Without Borders Film Festival 2022 - Top 10 films of the week Direct Monthly Online Film Festival 2020 
URL https://www.youtube.com/watch?v=sAG7xP1wtV0&t=2s
 
Title A short film: Diary of a recovering drug addict 
Description In four chapters of a recovery addict's life, the film highlights the thoughts, feelings and experiences he had through his time from addiction to recovery. The film takes through different turning points in his life right from the time when he started using substances to his recovery, some of which had significant impact on the choices he made and the relationships he shared with others. The film is set in the social and cultural context of Assam, a state located in the north-eastern region of India. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Official Selections - Direct Monthly Online Film Festival 2021 - Docs Without Borders Film Festival 2021 - The Art of Recovery Film Festival 2020 - Changing the Story International Film Festival 2020 Awards - Kudos Endeavour Docs Without Borders Film Festival 2021 
URL https://www.youtube.com/watch?v=MVvskjsWKEg&t=1s
 
Title A short film: One for the other 
Description A boy and his family, earlier ridiculed for his addiction, lend a helping hand to the same people who laughed and pointed fingers at them. The film starts with how a teenage boy's life gets transformed drastically from a life filled with passion to that of someone who is 'good for nothing'. A second chance comes his way when his family takes him into rehabilitation. One day he notices his friend's father in distress and decides to help the family. The film ends with a positive note that recovery is possible through rehabilitation and instead of blaming people for their addiction, one should support them through their difficult time. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Official Selections - LIFFT India FILMOTSAV & Awards, World Cine Fest 2021 - Direct Monthly Online Film Festival 2021 - Docs Without Borders Film Festival 2021 - Indian International Short Film Festival- Cinemascope Awards 2021 Awards - Merit (Youth Issues category) Docs Without Borders Film Festival 2021 - Award of Recognition Impact DOCS Awards 2020 
URL https://www.youtube.com/watch?v=MLr0_YETJBc&t=1s
 
Title Day 1: Impact Event at Agora 
Description Day 1 Impact event in Assam 2021: In conversation with students about substance addiction, using films and posters produced by The Big Picture participants who have successfully resisted or are in recovery from addiction. Held at Agora: The Space. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Feedback on event reported elsewhere. 
URL https://youtu.be/wrPM5ILc0T0
 
Title Day 2 Impact Event at Agora 
Description Day 2 Impact event in Assam 2021: In conversation with students about substance addiction, using films and posters produced by The Big Picture participants who have successfully resisted or are in recovery from addiction. Held at Agora: The Space. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Event impact described elsewhere. 
URL https://youtu.be/L41mQeSty8g
 
Title Day 3 Impact Event at Agora. 
Description Day 3 Impact event in Assam 2021: In conversation with students about substance addiction, using films and posters produced by The Big Picture participants who have successfully resisted or are in recovery from addiction. Held at Agora: The Space. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Event impact described elsewhere. 
URL https://youtu.be/QazTiSKgOvA
 
Title Educational Package Guidance (stop-motion animation). 
Description A short film about using our free educational materials on youth substance addiction. 
Type Of Art Film/Video/Animation 
Year Produced 2022 
Impact Video included in our IP pacjkage and email to health policy-makers and addictions practitioners in Assam reported elsewhere. 
URL https://youtu.be/RvdvZPudAfk
 
Title Ek Notun Probhat (A New Dawn) 
Description Based on a true story, this film depicts the life problems of a young Assamese woman who, at the same time, struggles with substance addiction. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Official Selections - China Youth Film Festival 2021 - Docs Without Borders Film Festival 2021 - The Impact DOCS Awards 2021 - The Art of Recovery Film Festival 2021 - The Virtual Reel Recovery Film Festival 2021 - Indian International Short Film Festival "Cinemascope Awards" 2021 - Spring Grove Caledonia Film Festival 2021 Awards - Kudos Endeavour (Docs-Drama Short category) Docs Without Borders Film Festival 2021 - Honorable Mention China Youth Film Festival 2021 - Award of Recognition Impact DOCS Awards 2021 
URL https://filmfreeway.com/projects/2120899
 
Title Film - Introduction to The Big Picture 
Description 5th UK Community Psychology Festival, 13th -14th September 2019, Grand Parade Building, University of Brighton, Brighton, UK https://blogs.brighton.ac.uk/cpfestival19/ Film - Introduction to The Big Picture 
Type Of Art Film/Video/Animation 
Year Produced 2019 
Impact In Feb 2020, 87 views on YouTube and shown at two conferences, including the one report here. 
URL https://www.youtube.com/watch?v=nwPnZPLHx7g
 
Title Film presentation - Young People the Arts and Mental Health: A Cultural Institute Conference. 
Description Introductory film describing the project - Published on 17 Jun 2019 Global Challenges Research Funded international team led by the University of Leeds, UK to learn how at-risk young people remain resilient to mental health conditions. This short film introduces The Big Picture project in which we are working with young people in Assam, India to understand how they stay away from harmful use of substances or engage successfully with rehabilitation. 
Type Of Art Film/Video/Animation 
Year Produced 2019 
Impact In Feb 2020, 87 views on YouTube and shown at two conferences, including the one report here. 
URL https://www.youtube.com/watch?v=nwPnZPLHx7g
 
Title Highlights of Agora Impact Event: Ratul Dey. 
Description Impact event in Assam 2021: Ratul Dey, a Senior Counsellor at Nirmaan Rehabilitation Facility, addresses our audience, providing insights into addiction and recovery. Held at Agora: The Space. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Event impact described elsewhere. 
URL https://youtu.be/dQ-EbWkUClU
 
Title Hightlights of Agora Impact Event: Creator of 'One for the Other'. 
Description Project participant from The Big Picture address the audience about substance addiction after screening his short film, One for the Other. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Event impact described elsewhere. 
URL https://youtu.be/KLS9qkd9_s8
 
Title How can evidence be used more effectively for mental health policy in Assam? 
Description Chloe Brooks of The University of Leeds UK provides a short summary of her PhD findings 'How can evidence be used more effectively for mental health policy in Assam?'. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Can be viewed on the project website. 
URL https://youtu.be/0MSfR2cW_X0
 
Title International Society of Critical Health Psychology: Presention on The Big Picture 
Description Conference paper title: Resilience for recovery from substance abuse among young people in Assam, India: Lived experience insights from a photovoice study Presented by Dr Rebecca Graber. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Available to view on the project website. 
URL https://youtu.be/VQfrNHx2k_Q
 
Title Introducing 'Diary of a recovering drug addict' by The Big Picture 
Description Laying out the intention and purpose of our short film, Diary of a recovering drug addict', by The Big Picture. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact This film was shown at Changing the Story International Online Film Festival in April 2020. It will be included in our project social media campaign 2021-2. 
URL https://www.youtube.com/watch?v=wHRyITyMrqg&t=4s
 
Title Pathways to Recovery (animation) 
Description Part of our IP educational package https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassam-comics-type-images-and-animations The Pathways to Recovery Model has been created from the experience of young Assamese men and women in recovery from drug abuse and refined by mental health and deaddiction experts from our Partner Organisations Mind India and Nirmaan Rehabilitation Facility. Recovery can be a winding path with round-abouts difficult to exit and culdesacs providing no way forward. We offer a map of phases to help navigate this difficult terrain: recreational use, relaxed addition, chaotic addiction, strategic addiction, and supported recovery. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Official Selections - Dumbo Film Festival 2022 - Docs Without Borders Film Festival 2022 - Direct Monthly Online Film Festival 2021 - The Art of Recovery Film Festival 2021 - Flickfair Film Festival 2021 - The Virtual Reel Recovery Film Festival 2021 - Indian International Short Film Festival "Cinemascope Awards" 2021 - Screened at the Social Research Association Conference 2021 Awards - Kudos Endeavour Docs Without Borders Film Festival 2022 - Top 10 films of the week (29 and 30) Direct Monthly Online Film Festival 2021 - Best Animation Film of the month Direct Monthly Online Film Festival 2021 
URL https://youtu.be/xe2CtDV9Hc4
 
Title Photographs and images created or selected by participants 
Description This project uses for data collection photo-elicitation interviews. Our participants (N=30) therefore brought between about 7-20 images, including newly taken photographs, to interview to help express their experiences. Participants gave consent for the use of anonymised images in reports of the research. 
Type Of Art Image 
Year Produced 2020 
Impact Link to images included in one advert of our project social media campaign in late Januuary 2022 - 28th February 2022 (Instagram first week only).. Ad name: Photo-led interviews with young Assamese people / Young people's stories. Landing page:https://projectresilience.co.uk/projects/the-big-picture/ Facebook: 5,752 Link clicks; 760,144 Impressions; 47,403 3-second video plays; 6,202 ThruPlays; 406,908 Video plays. Instagram: 64 Link clicks; 50,270 Impressions; 6,169 3-second video plays; 491 ThruPlays; 42,449 Video plays. Linkedin: 115 Link clicks; 29,212 Impressions; 3,248 Video completions; 27,951 Video plays; 122 Engagements (likes+shares). Twitter: 865 Link clicks; 198,949 Impressions; 15 Engagements (retweet+follows). 
URL https://projectresilience.co.uk/
 
Title Poster created for each co-produced film 
Description A poster has been created for each of the 5 films co-produced with participants. 
Type Of Art Artwork 
Year Produced 2022 
Impact Posters are required to advertise each film at film festivals where they are shown. 
URL https://projectresilience.co.uk/
 
Title Posters co-produced by participants 
Description 30 posters have been co--produced with participants which communicate their key message about resisting or recovering from substance abuse disorder using an image they have created or selected. 
Type Of Art Artwork 
Year Produced 2020 
Impact Posters were displayed at 3 school and public events in Guwahati, Assam during February 2021. Link to poster included in one advert of our project social media campaign in late Januuary 2022 - 28th February 2022 (Instagram first week only).. Ad name: Posters as messages about substance addiction / Powerful images on problem of substance addiction. Landing page:https://projectresilience.co.uk/projects/the-big-picture/ Facebook: 2,309 Link clicks; 29,6031 Impressions; 21,731 3-second video plays; 5,937 ThruPlays; 188,063 Video plays. Instagram:27 Link clicks; 36,200 Impressions; 3,058 3-second video plays; 271 ThruPlays; 30,355 Video plays. Linkedin: 116 Link clicks; 30,027 Impressions; 5,123 Video completions; 28,934 Video plays; 124 Engagements (likes+shares). Twitter: 805 Link clicks; 224,889 Impressions; 5 Engagements (retweet+follows). 
URL https://projectresilience.co.uk/projects/the-big-picture/
 
Title Presentation on The Big Picture to students at Indraprastha Institute of Information Technology, Dehli. 
Description Dr Raginie Duara uses visual materials produced by participants in the project, The Big Picture, to spread awareness among students in IIIT Delhi about youth substance use. 
Type Of Art Film/Video/Animation 
Year Produced 2022 
Impact Event impact described elsewhere. 
URL https://youtu.be/EFXVyaVJnA8
 
Title Presentaton on The Big Picture for Mainstreaming Global Mental Health Public Engagement Event. 
Description As part of the event, Mainstreaming Global Mental Health, this short firm highlighs some of the outstanding projects using art-based methods, The Big Picture project was presented by Dr Sangeeta Goswami (President of MIND India) and Dr Rebecca Graber (University of Brighton, UK). 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Event impact described elsewhere. 
URL https://youtu.be/xZXGIg-D6Mw
 
Title Seminar on The Big Picture (University of Brighton) 
Description This is a recorded session about The Big Picture for the University of Brighton, School of Humanities and Social Sciences, MA in Community Psychology. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact Availabke on our project website. Feedback on event provded elsewhere. 
URL https://youtu.be/y2uRpmfFORc
 
Title Taint in the Lush Green 
Description This is a story of a village in Assam, a beautiful remote rural space in which nature reveals its beauty. However, there is a problem that has plagued this pristine land. This film takes the viewer through a journey that shows glimpses of the lives of people inhabiting this village. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Official Selections - Docs Without Borders Film Festival 2022 - The Impact DOCS Awards 2022 - Screened at the Social Research Association Conference 2021 - Direct Monthly Online Film Festival 2020 - The Virtual Reel Recovery Film Festival 2020 Awards - Honourable Mention International Women's Film Festival 2022 - Award of Recognition Impact Docs Awards 2022 - Exceptional Merit Docs Without Borders Film Festival 2022 - Top 10 films of the week Direct Monthly Online Film Festival 2020 
URL https://filmfreeway.com/projects/2061028
 
Title The Big Picture: Our partner organisations 
Description Introducing the partner organisations of The Big Picture Project, University of Leeds. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Will include in our project social media campaign in 2021-2. 
URL https://www.youtube.com/watch?v=KYj7fYkj_TE&t=3s
 
Title Visual Methods Webinar hosted by Emmanuel Hospital Association, India. 
Description Dr Raginie Duara talks about visual methods in qualitative research in a webinar conducted in association with Emmanuel Hospital Association, India, February 2022 
Type Of Art Film/Video/Animation 
Year Produced 2022 
Impact Event impact described elsewhere. 
URL https://youtu.be/45B0aV5vRNM
 
Title Visual Methods Webinar hosted by Universitas Gadjah Mada, Indonesia. 
Description Dr Rebecca Graber talks about visual methods in qualitative research in a webinar conducted in association with Universitas Gadjah Mada, Indonesia February 2022. 
Type Of Art Film/Video/Animation 
Year Produced 2022 
Impact Event impact reported elsewhere. 
URL https://youtu.be/j-6bLz453NQ
 
Title Wrestling against all odds 
Description Maintaining sobriety from alcohol addiction is challenging, even more so while in Covid-19 lockdown. This short film provides a glimpse into one young Assamese man's experience of wrestling against all odds to pull himself out of his plight. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact Official Selections - Docs Without Borders Film Festival 2021 - The Impact DOCS Awards 2021 - Direct Monthly Online Film Festival 2020 Awards - Kudos Endeavour (Docu-Drama Short category) Docs Without Borders Film Festival 2021 
URL https://filmfreeway.com/projects/2072769
 
Title Youth addiction in Assam, India 
Description The Partner Organisations for our project, The Big Picture, talks about the problem of youth drug addiction prevailing in Assam, India. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact This film will be included in our project social media campaign 2021-2. 
URL https://www.youtube.com/watch?v=5t5k5zjJ3Gw
 
Description Analysis of the research interviews allowed us to develop a Pathways to Recovery model of youth substance use in Assam (https://projectresilience.co.uk/outcomes/?project=47-3). The model has three phases: Recreational Use, Addiction (Relaxed, Chaotic, & Strategic), and Supported Recovery. Each phase consists of a cycle between, or transition through, a series of stages. The model enhances our understanding the route into, and out of, drug use and informs prevention and de-addiction interventions and their timing. This is the first model of its kind and an important public health resource.
Exploitation Route Implications for Policy

Preventing substance use disorder in young people must be a public health priority to avoid a potentially lifelong trajectory of devastation for the individual, their family, and the community. Our work indicates that: (i) peers, family, and the community are well-placed to reduce youth substance abuse disorder, and that (ii) strategies include positive role models and education. Key implications for policy are as follows.

In 'Addiction', interventions are best geared towards encouraging a young person to accept support to quit. Importantly, 'Chaotic Addiction', in which a young person cycles between substance use and abstinence, can be particularly destructive and lead to hopelessness because the young person does not have the support they need to quit drugs successfully.

'Strategic Addiction' occurs when a young person colludes with treatment to sustain their addiction. This is particularly the case with medicalised-only interventions. Medical interventions require also long-term psychosocial support to have the best chance of sustaining sobriety.

Women suffering addiction face particular stigma and health risks, yet few rehabilitation services cater for their needs. Investment in women's services will contribute also to the wellbeing of their current and future children.

Family and community education and support is vital to disseminate understanding about how to prevent addiction in young people, to identify addiction when it has taken hold, to steer young people into effective treatment, and to support them to stay clean.

Investment in peer-to-peer education and support and presenting positive peer role models are likely a cost-effective and productive means of preventing substance use disorder in young people. It is also essential to sustaining sobriety when young people are in recovery from addiction.
Sectors Communities and Social Services/Policy,Education,Healthcare,Government, Democracy and Justice

URL https://projectresilience.co.uk/projects/the-big-picture/
 
Description This project has contributed to the development of free educational materials for use in schools, rehabilitation facilities, and other health and social contexts. A policy brief has also been developed and discussed with relevent government departments in Assam.
First Year Of Impact 2019
Sector Communities and Social Services/Policy,Education,Healthcare
Impact Types Societal,Policy & public services

 
Description Created short video of our policy brief
Geographic Reach Asia 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
Impact Feedback from the event included: 83% agreed that the educational materials will benefit rehabilitation centres and drug prevention programmes in Assam quite well or very well; 94% agreed that they would likely or probably support the use of the educational materials in their organization; 100% agreed with the policy implications as set out in our policy brief.
URL https://projectresilience.co.uk/projects/the-big-picture/
 
Description Proactive circulation of Policy Brief
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Implementation circular/rapid advice/letter to e.g. Ministry of Health
URL https://projectresilience.co.uk/resources/policy-briefs/
 
Description Workshop - Youth Wellness Hub Festival, Young people against drugs: Capturing and promoting resilience using photo-voice
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
Impact Duara, R. (2019, 9 & 10 Nov) LGBRIMH Youth Wellness Hub Festival:Young people against drugs: Capturing and promoting resilience using photo-voice x2 (repeated workshop). Introduction to the project, showcasing of first participant film, and small group work on participant posters. Feedback on the posters made by project interview participants from 20 attendees. Male n=10, age range 14-24, mean=18yrs Female n=7, age range 14-20, mean=18yrs Unknown n=2 Q1 - What messages about drug use do you get from these posters? • Destroying close relationships Negative effects of drugs cause the breakdown of relationships between loved ones, especially previously harmonious family units. • Drugs are never the solution It was inferred that drugs should never be sought as the primary method for resolving problems, talking to others is perceived as a better approach. • Recovery is dependent on the individual The ability for the drug user to recover was emphasised as being reliant on individual factors such as will power and personal effort alongside environmental influences. • Hardship of recovery Recovery is regarded as a painful process which spans across a long time period. • Importance of awareness It was revealed that to avoid the harmful impacts of drugs, individuals should be aware of the negative realties underpinning its use and the further consequences of addiction. Q2 - In what ways have the posters changed your understanding about young people who use drugs? • Predisposed vulnerabilities The posters inferred that drug abusers were in vulnerable mental health states, wherein they experienced tension, stress or depression. • Loss of control The choice element decreases in addicted users, whereby conscious control is diminished. • Distinction of temporal effects It was understood that short term euphoric effects mask the potential long-term negative consequences concerning drug use. • Supporting drug users The poster highlighted that instead of shaming, society should support recovery as shaming can make already guilty individuals feel worse. Therefore, the importance of educating the user was stressed in order to prevent further use and/or relapse. • Impact on others It was understood that the effects of drugs, not only negatively impacts the self but also impacts family members and the wider society. Q3 - What impact could posters like these have on young people who see peers already taking drugs? • Being informative about the consequences of drug abuse to both who are taking and not taking drugs • Helps non-drug users to build compassion towards drug addicts • Teaches negative consequences of drug misuses • Encourages non-drug users to help their peers who are taking drugs to overcome the addiction • Increases awareness on drug addiction and consequences of it • Hope to encourage those who are taking drugs to quit • Encourages non-drug users to initiate support and care towards drug users • Corrects the misunderstanding on the fantasy of drugs taking • Restricts the curiosity about taking drugs • Motivates drug users to overcome their addiction and restore healthy life • Reduces drug addict suicide rate • Teaches how difficult to get rid of addiction once it starts Q4 - What impact could posters like these have on adults who know very little about young people and drug taking? • Greater understanding of addicts states and choices • Changing views of addicts • Helping addicts rather than blaming them • More open discussion of drugs • Education for young people over drugs Q5 - Is there anything else you would like to share with us? • 'Appreciable job' - participants highlighted their belief that the work performed by the big picture was both important and helpful. • 'Forward to ... schools' - some respondents said they think the information given on the posters and in the sessions was useful for raising awareness and should be used in primary and secondary schools. • 'Adults' - some children expressed a view that adults should more directly intervene in youth drug use, this included parents keeping an eye out more closely and government action to ban drugs assign people to/build more rehabilitation centres. • Consequences of drug use - one respondent commented about cigarette packets having cancer warnings, while another stated that it is better to face reality rather than escape it. Both are examples of additional awareness of the consequences of drug use and how it would harm them in the long run. • I am re-sending the email because I mistakenly sent the first email without pasting the short list of analysis • • Informative to both who are taking and not taking drugs • • Builds understanding (empathy) towards drug addicts • • Teaches negative consequences of drug misuses • • Encourages non-drug users to help their peers who are taking drugs to overcome addiction • • Reduces the use of drugs through informing the consequences of drug addiction • • Increases awareness of drug addiction and consequences of it • • Hope to encourage those who are taking drugs to stop their practice • • Encourages non-drug users to initiate support and care towards drug users • • Corrects misunderstanding of drug taking by breaking the fantasy on drugs • • Motivates drug users to overcome their addiction and restore healthy life • • Reduces drug addict suicide rate • • Teaches how difficult to get rid of addiction once it starts
 
Description Enhancing the voice of young women journeying through and beyond problematic substance use: Reverse innovation insights from India to the UK - MCSF EU
Amount € 295,936 (EUR)
Organisation Marie Sklodowska-Curie Actions 
Sector Charity/Non Profit
Country Global
Start 09/2024 
End 02/2027
 
Description PhD: Understanding research-to-policy pathways in the area of mental health in Assam
Amount £62,000 (GBP)
Organisation University of Leeds 
Sector Academic/University
Country United Kingdom
Start 10/2018 
End 09/2021
 
Description Tackling Youth Substance Misuse is Assam: Embedding 'The Big Picture' in Policy and Practice - Jointly funded by ESRC IAA and Wellcome Trust Institutional Partnership award (iTPA) University of Leeds
Amount £15,000 (GBP)
Organisation MIND India 
Sector Charity/Non Profit
Country India
Start 10/2022 
End 03/2023
 
Title Pathways to Recovery Model of Youth Substance Abuse in Assam 
Description The Pathways to Recovery Model has been created from the experience of young Assamese men and women in recovery from drug abuse and refined by mental health and deaddiction experts from our Partner Organisations Mind India and Nirmaan Rehabilitation Facility. You can view an animation of the pathways here and the trailer here. Recovery can be a winding path with round-abouts difficult to exit and culdesacs providing no way forward. We offer a map of phases to help navigate this difficult terrain: recreational use, relaxed addition, chaotic addiction, strategic addiction, and supported recovery. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2021 
Provided To Others? Yes  
Impact An academic article is currently under re-review. The model has been used as the basis of our educatonal materials, included in our policy brief, and included in our public engagement events. The impacts of these initiatatives are recorded elsewhere in this report. 
URL https://projectresilience.co.uk/outcomes/?project=47-3
 
Title Photo-Led Interview Data: Youth Substance Addiction in Assam 
Description The data generated as part of The Big Picture project was funded by the Economic and Social Research Council (ESRC) and the Arts and Humanities Research Council (AHRC) as part of the UK Global Challenges Research Fund (GCRF) ES/S00047X/1. The project was led by Professor Anna Madill (University of Leeds) with University of Leeds CoIs Professor Paul Cooke, Dr Siobhan Hugh-Jones, and Professor Tolib Mirzeov with CoI Dr Rebecca Graber (University of Brighton). The project Research Fellow was Dr Raginie Duara. The data was collected between 2019 and 2020 in the city of Guwahati, Assam. With regards to this data, our use of photovoice involved photo-led/elicitation interviews in which each participants was invited to prepare for interview by taking, and/or collecting, photographs/images relevant to the topic of research. Hence the interview incorporate discussion of the images. The project data consists of transcripts and images from photo-elicitation interviews with 30 young Assamese people, 15 from resilience-to-risk (R2R) and 15 from resilience-for-recovery (R4R) group. India has committed to implement Mental Health Action Plans and to achieve Sustainable Development Goals, two of which relate to mental health (3.4 & 3.5: National Mental Health Survey of India 2015-16). Assam, one of the states in the northeast of India, presents a complex picture around mental health, constituting an apposite region to explore risk, resilience and recovery. With relatively low mental health problems, Assam offers an opportunity to understand psychological, social and cultural resilience. However, mental health stigma in the region is high and there is an immense mental health treatment gap. Substance Use Disorder (SUD) is acknowledged as an urgent, public health problem in Assam. SUD is particularly high in metro areas (such as Guwahati) and is widespread in school-going males 14-16 years. There is a worrying level of solvent abuse amongst young people, particularly of low socioeconomic status and young age of substance use initiation (8-13 years). The prevalence of substance use within certain social groups and peer cohorts suggests that learning how young people successfully negotiate this risky context would constitute significant new knowledge. Moreover, a resilience approach attends to a full range of mechanisms enabling contextually-appropriate, tailored interventions. We worked with two groups of young people: (i) those successfully refraining from substance use despite being at increased risk (R2R) aged 15-18 years (N=15); and (ii) those in successful recovery from SUD (R4R) aged 19-24 years (N=15). Our overall goal is divided into three inter-related aims and associated research questions as follows. 1. Increase knowledge: To enhance psychological, social and cultural insights into the experience of risk, resilience and recovery with regard to youth substance use in Assam. 2. Enhance voice: To promote young Assamese people's voice with respect to substance use in order to reduce stigma, raise public awareness and inform mental- and public-health policy and practice. 3. Inform practice: To learn if and how photovoice can be adapted in culturally-sensitive ways to enhance local mental health services seeking to prevent and treat youth substance use in Assam. Participants were invited to generate or collate photographs/images (over 7-10 days) to represent the experiences they want to share at interview around risk, recovery and resilience. Given assumed power differentials, young people may: perceive a standard interview as interrogatory; be unsure about expectations for self-disclosure; fear revelations may be used against them; feel exploited with no direct benefit to them. Photovoice minimises these risks. There is evidence that it facilitates engagement with traditionally 'hard to reach' populations and there is reason to believe it can be adjusted to support culturally-sensitive modes of engagement. There is growing evidence that photovoice itself can have therapeutic effects, and the photographs - with or without participant narratives - can be an effective way of documenting and increasing the impact of local interventions. Exploring protective and enabling factors around risk and recovery shed light on complex psychological, familial, social and cultural pathways to, and away from, SUD. 
Type Of Material Database/Collection of data 
Year Produced 2022 
Provided To Others? Yes  
Impact Only recently deposited with ReShare. 
URL https://beta.ukdataservice.ac.uk/datacatalogue/studies/study?id=855418
 
Description Collaboration: LGB Regional Institute of Mental Health, Tezpur 
Organisation Lokopriya Gopinath Bordoloi Regional Institute of Mental Health
Country India 
Sector Public 
PI Contribution We approached LGBRIMH for an Advisor to the project during the process of preparing the grant. The Director kindly approved our request and assigned Dr Chowdhury. The PI - Professor Madill - invited Dr Chowdhury to attend the MIND India conference in Guwahati in January 2019, with his expenses and registration budgeted in, and paid for from, the grant. This established a strong working relationship. A Memorandum of Understanding has been signed between LGBRIMH and the School of Psychology of the University of Leeds. Professor Madill is hosting a visit to the University of Leeds in April 2019 of the Head of Psychiatric Social Work and the Head of Psychiatric Nursing,
Collaborator Contribution LGBRIMH have provided an Advisor to our project - Dr Diptarup Chowdhury. They also considered and approved the study research ethics submission and are in the process of considering the ethics submission of PhD study related to the project. As a result the invitation to Dr Chowdhury to attend the MIND India conference in Guwahati, the PI Professor Madill was invited to visit Tezpur for 3 days during her trip to Assam. She was provided a driver by LGBRIMH, accommodation by Tezpur University, and was hosted by LGBRIMH to meet the Director, Heads of Department, and to tour the facilities. Arrangements were made for Professor Madill to provide two workshops to students and a public address at Tezpur University. The Head of Psychiatric Social Work and the Head of Psychiatric Nursing have agree to be interviewed by the study PhD student on research to policy pathways in Assam.
Impact One public address at Tezpur University; one student workshop at Tezpur University; one workshop at LGBRIMH. This collaboration is multi-disciplinary: psychology, clinical psychology, psychiatric social work, psychiatric nursing, service providers, social policy.
Start Year 2018
 
Description Partner Organisation: MIND India 
Organisation MIND India
Country India 
Sector Charity/Non Profit 
PI Contribution We named MIND India as a Partner Organisation in our grant application 'The Big Picture:Adapting PhotoVoice to enhance psychological, social & cultural insights into & prevention & treatment of youth substance use in India', Since receiving funding we have established a strong working relationship. The PI - Professor Madill - visited Assam in January 2019 to launch The Big Picture at the MIND India conference - Wellbeing, Lifespan Perspectives and Practices for Sustainable Communities. She gave an invited keynote address and was first author on an invited article for the conference booklet. We completed the signing of our Collaborative Agreement in March 2019. We named MIND India also as a Partner Organisation in our grant application 'Mainstreaming Global Mental Health' which has further established and strengthen our working relationship.
Collaborator Contribution The Present of MIND India - Dr Sangeeta Goswami - is the Chair of The Big Picture project Steering Group and our main consultant in Assam. She has been vital to supporting our Research Fellow and helping us establish collaborations with our other Partner Organisations who are helping us to recruit participants. MIND India is also essential to our financial arrangements in India and are providing space in which to undertake our participatory video activities. The Present of MIND India - Dr Sangeeta Goswami - is a member of the Mainstreaming Mental Health project Steering Group. She has contributed her knowledge and cultural awareness to directing the work and adding nuance.
Impact Invited keynote by PI at MIND India conference; invited article in conference booklet. This collaboration is multi-disciplinary: psychology, counselling, service providers, rehabilitation, service development.In 2022-23, MIND India was a partner on a 6 month project jointly funded by ESRC IAA and Wellcome Trust Institutional Partnership award (iTPA) via the University of Leeds. This allowed MIND India to employ Radhika Goswami as a Research Assistant to undertake activities.
Start Year 2018
 
Description Partner Organisation: Nirmaan Rehabilitation Facility 
Organisation Nirmaan Rehabilitation Facility
Country India 
Sector Charity/Non Profit 
PI Contribution We included Nirmaan Rehabilitation Facility as a Partner Organisation in our grant application. The PI - Professor Anna Madill - has developed a strong working relationship with NIrmaan, meeting with staff and service users at the facility during her visit to Assam in January 2019. The Research Fellow - Dr Raginie Duara - has visited the facility many times to discuss the project and to develop a strong rapport.
Collaborator Contribution Nirmaan is central to participant recruitment and, having obtained our ethical approvals, has already found us two participants (of the 24-30 required). Senior Counsellor - Ratul Dey - is a Consultant for the study and a Steering Group member.
Impact This collaboration is multi-disciplinary: psychology, counselling, service providers, rehabilitation.
Start Year 2018
 
Description Universitas Gadjah Mada, Center for Public Mental Health, Indonesia 
Organisation Gadjah Mada University
Country Indonesia 
Sector Academic/University 
PI Contribution The research team negotiated a representative to join our Steering Group, provide monthly reports, organise and minute Steering Group meetings, and feedback advice and information into the project.
Collaborator Contribution The partner has provided a member of staff to sit on the project Steering Group, to be available for a research interview interview, and to attend/lead project workshops.
Impact This collaboration provides the project with input from an expert in Public Mental Health which is not otherwise represented.
Start Year 2020
 
Title Pathways to Recovery Model of Substance Use Disorder 
Description ACADEMIC/RESEARCH LICENCE TERMS & CONDITIONS v3.1HQ Term: perpetual; Price per unit:£0.00 excl. VAT, All versions of this image and animation are designed as tools for substance use prevention, public awareness and education, substance use disorder treatment, and related research. ACADEMIC/RESEARCH LICENCE TERMS & CONDITIONS v3.1HQ. These tools were developed from research funded by the UK Economic and Social Research Council and Arts and Humanities Research Council Global Research Challenge Fund grant ES/S00047X/1. The resources portray a multi-route, multi-directional pathways to recovery model of substance use disorder consisting of phases, stages, and transitions. There are three phases defined as characteristic ways of relating to addictive substances: Recreational Use, Addiction (Relaxed, Chaotic, and Strategic), and Supported Recovery. Each phase consists of a cycle between, or transition through, a series of stages. Recreational Use cycles between the stages of 'not using' and 'casual use'. Relaxed Addiction is a unique sub-phase consisting of a particular nonchalant attitude to the stage 'in addiction'. The sub-phase Chaotic Addiction cycles between the stages of 'in addiction' and 'abstinence', while Strategic Addiction cycles between the stages of 'in addiction' and 'strategic self-management'. The phase Supported Recovery consists of a transition through the stage 'meaningful treatment' and settles on the stage 'in recovery', but may involve many cycles and relapses into different sub-phases of Addiction. The final element of the model, transitions, refers to movement between stages each of which has a more positive or negative valance with regard to progress towards recovery. The model is based on photo-led interviews with 15 Assamese people (11 men, 4 women), aged 19-24 years, in successful recovery from drug and/or alcohol abuse (i.e., 1 year substance-free, irrespective of tobacco use). Material was analysed using an inductive variant of thematic analysis and the model was refined through both expert and participant checks. The package consists of a printable versions of the model in the illustrated form used in the animation (with and without stage labels), printable stage labels, and printable anonymised images with consent for public release provided by our participants, connected to quotes from the interviews which illustrate the stages depicted in the model. The images and associated quotes were selected from the photo-led interviews conducted with the research participants. Each had been invited to take or collect a minimum of seven photographs or other images to assist convey their experiences of resisting or recovering from substance use. Participants brought between 7 and 34 images to share during interview. Some images represented life events while others represented thoughts, feelings and relationships. The education package includes guidance notes explaining the model for the facilitator and suggesting an interactive session in which attendees are shown the animation and invited to place the stage labels and image/quotes in the right place on the unlabelled version of the model. This is intended to catalyse discussion of ways into and out of addiction and the sharing of experiences as deemed appropriate by the facilitator. In 2022 the guidance materials were updated with instructions for a dice-throwing game wrt the pathways to engage young people in understanding the model. The guidance materials were also translated and an Assamese version added. These additions were undertaken as part of a project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. 
IP Reference  
Protection Trade Mark
Year Protection Granted 2021
Licensed Yes
Impact Link to IP included in one advert of our project social media campaign in late Januuary 2022 - 28th February 2022 (Instagram first week only).. Ad name: Animation of pathways from addiction to recovery. Landing page: https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassam-comics-type-images-and-animations. Facebook: 453936 Link clicks; 453,936 Impressions; 36,695 3-second video plays; 8,590 ThruPlays; 278,527 Video plays. Instagram: 5 Link clicks; 5,216 Impressions; 433 3-second video plays; 42 ThruPlays; 4,364 Video plays. Linkedin:106 Link clicks; 30,140 Impressions; 6,116 Video completions; 28,962 Video plays; 107 Engagements (likes+shares). Twitter: 619 Link clicks; 196,703 Impressions; 5 Engagements (retweet+follows).
 
Title Pathways to Recovery Model of Substance Use Disorder 
Description ACADEMIC/RESEARCH LICENCE TERMS & CONDITIONS v3.1HQ Term: perpetual; Price per unit:£0.00 excl. VAT, All versions of this image and animation are designed as tools for substance use prevention, public awareness and education, substance use disorder treatment, and related research. ACADEMIC/RESEARCH LICENCE TERMS & CONDITIONS v3.1HQ. These tools were developed from research funded by the UK Economic and Social Research Council and Arts and Humanities Research Council Global Research Challenge Fund grant ES/S00047X/1. The resources portray a multi-route, multi-directional pathways to recovery model of substance use disorder consisting of phases, stages, and transitions. There are three phases defined as characteristic ways of relating to addictive substances: Recreational Use, Addiction (Relaxed, Chaotic, and Strategic), and Supported Recovery. Each phase consists of a cycle between, or transition through, a series of stages. Recreational Use cycles between the stages of 'not using' and 'casual use'. Relaxed Addiction is a unique sub-phase consisting of a particular nonchalant attitude to the stage 'in addiction'. The sub-phase Chaotic Addiction cycles between the stages of 'in addiction' and 'abstinence', while Strategic Addiction cycles between the stages of 'in addiction' and 'strategic self-management'. The phase Supported Recovery consists of a transition through the stage 'meaningful treatment' and settles on the stage 'in recovery', but may involve many cycles and relapses into different sub-phases of Addiction. The final element of the model, transitions, refers to movement between stages each of which has a more positive or negative valance with regard to progress towards recovery. The model is based on photo-led interviews with 15 Assamese people (11 men, 4 women), aged 19-24 years, in successful recovery from drug and/or alcohol abuse (i.e., 1 year substance-free, irrespective of tobacco use). Material was analysed using an inductive variant of thematic analysis and the model was refined through both expert and participant checks. 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Refinement. Non-clinical
Year Development Stage Completed 2021
Development Status Under active development/distribution
Impact In active dissemination and additional funding is being applied for to embed in existing toolkits, test with a new demographic, and to imfluence policy development in Assam. 
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Associated PGRS conference presentation at McMaster University, Canada 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Brooks, C., Mirzoev, T., & Madill, A. (2020, Nov). How does stigma influence the role of evidence for setting the mental health policy agenda in Assam, India? New Frontiers in Health Policy Graduate Student Conference: Health Policy in a Time of Transformation, McMaster University, Canada, online, 23-25 Nov 2020.

Attended online by about 1000 postgraduate students, this conference provided a dissemination route and networking opportunity.
Year(s) Of Engagement Activity 2020
URL https://healthsci.mcmaster.ca/hpphd/current-students/new-frontiers-in-health-policy
 
Description Associated PGRS conference presentations at Sixth Global Symposium on Health Systems Research 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Brooks, C., Mirzoev, T., & Madill, A. (2020, Nov). A review of evidence-to-policy frameworks: What can be learned in relation to setting the agenda for mental health in Assam? (Poster). Sixth Global Symposium on Health Systems Research, Dubai. Online due to CV-19.10th-12th Nov 2020.

Brooks, C., Mirzoev, T., & Madill, A. (2020, Nov). The role of power in evidence-informed agenda-setting for mental health policy in Assam (Poster). Sixth Global Symposium on Health Systems Research, Dubai. Online due to CV-19.10th-12th Nov 2020.

This conference has over 2000 international delegates and is the key health systems conference in the world. The presentations sparked questions and interest in the project and facilitated the project associated PhD student to network and to expand her knowedge.
Year(s) Of Engagement Activity 2020
URL https://hsr2020.healthsystemsresearch.org/
 
Description Attendence at Assam Forum GB, Annual Conference, University of Leeds 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Project PhD student attended the Assam Forum GB, Annual Conference, University of Leeds. At this event she met members of the Assam Government - including the Health Minister - who agreed that she could approach him for a research interview on her fieldwork visit to Assam in 2020. She also networked with other important Indian health policy makers and influencers and discuss her research with them. This was an important event to open the door to her mental health-to-research interviews with Assam policy makers.
Year(s) Of Engagement Activity 2019
URL http://www.assamforumgb.com/index.php/announcement/75-8th-annual-conference-assam-forum-gb
 
Description Barefoot Counselling and Management of the Bodoland Community Counselling Centers in BTR 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. This workshop was conducted as part of a larger theatre workshop on 'Use of Theatre Techniques for Emotional Healing'. The Big Picture projects was explained and the Pathway to Recovery animation shown and discussed. The assciated educational activies were then introduced and the dice game to engage with the Pathways to Recover model demonstrated through practical use. Feedback from participants:

Feeling happy because I could learn through all these activities and also learn something new, though different activities that we should go several times to solve the problems facing clients.

Learned about the various uses of theater techniques. Learned new games that can be used in the programme and sessions in our field. The session was really enjoyable and a must needed part of a learning experience for our field.

Feeling very comfortable to be taught. Ma'am is giving valuable knowledge that is practical and very much usable in future. The playing and learning method used by ma'am influences for us how important this is in our life. Feel free to talk, relaxation. The way she teaches us systematically is very much valued in the present learning scenario.

We had a session of picturing social issues such as child marriage, trafficking, domestic violence, etc. It was really helpful for understanding in an easy way and how to deal with the situation in a peaceful way.

It was a new experience, new game, to learn how to counsel domestic violence, solve the problems, and was happy for her interesting teaching.

I had a wonderful session and interaction with Radhika ma'am. Learned the various uses of theater technique for ice breaking, rapport building. Also, I had an opportunity to learn more and feel more comfortable with the fellow trainees. Last, but not the least, the dice game and the penguin dance was a lot of fun and refreshing. Would love to learn more.

She conducted the session really well. She taught us things through different body movements and body language. It helped us to learn things very easily. I was able to learn things with proper communication, interaction, and without getting nervous at all. I was able to learn the counselling process as well as theater acting easily as she taught them practically and therefore it helped me to understand well. Discussion, interaction session is good, teachning beautifully, giving guidance to make us happy. Thank you ma'am.

Very joyful, learn a lot on practical things, team work, adjustment, energetic and love on your personality.

The session was very interesting and joyful. This type of teachining environment will help us learn better.

I have learned new things which I don't get in previous programmes. I have learned some new games through the program, exciting and joyous, healthy, like a practice.

I attained medam Radhika Goswami class, it was full of fun in here we learned to use of theater technique for emotional healing. It was totally new experience, enjoyed a lot.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Community Wellbeing through Women Self Help Groups in the Districts of Assam 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Three online workshops were undertaken during September and October 2022. The workshops were titled 'Awareness on Substance Use Disorder and Alcohol Misuse to enhance Community Wellbeing through Women Self Help Groups in the Districts of Assam'. In particularly, the aims of the workshop were to create awareness of substance use disorder, including alcohol misuse, among women Self Help Group members in three districts of Assam. Self Help Groups are an initiative of the Assam Rural Development Society, the objective of which is to extend assistance to women of tea tribes' community to enhance their quality of life and that of their family. The online workshops utilised information from our project to enhance awareness of substance abuse, of the psychosocial and medical referral services for addiction, and the importance of positive well-being. Workshop evaluation was designed to provide information to our Partner Organisation MIND India about the women's psychosocial support and counselling needs. The target was to reach about 200 women from about 10 Self Help Groups from rural and semi-urban areas. A faciltator was appointed and trained by our Partner Organisation MIND India representative Dr Sangeeta Goswami. The aims of the engagement events were to: (i) get feedback to develop education workshop guidance; and (ii) to increase family, and community well-being through increased understanding of substance use disorder and creating awareness. The materials we used were: (i) animation; and (ii) two films, : Diary of a Recovering Drug Addict and Ek Notun Probhat (A New Dawn).

Written feedback was provided by 22 attendees of the Goalpara District workshop, 20 attendees of the Jorhat District workshop, and 62 attendees of the Golaghat District workshop (Total N = 104).
Rating of overall programme: Excellent 66%; Very good 24%; Good 9%; Average 1%
Would you like to have similar training programme in future? Yes 94%
Qualitative responses relevant to substance use disorder:
Anything new that you have learnt in the workshop? Mental health facilities; Warning signs of substance abuse; Treatment process; Process of helping to recover; Different types of substance abuse; Reasons the young use substances; Recovery pathways; How to resist; Role of parents; Identify early users and prevent; Impact of substance use.
Suggestions and Comments: Need for such programs in villages; Community level programs; Face-to-face discussion needed; Great learning; Need training for youths and mothers; Interesting video; Need more short videos; Target educational institutes; Also target male members of family.
Year(s) Of Engagement Activity 2021
URL https://www.ardsassam.com/self-help-groups/
 
Description Conference presentation - The European Conference on Mental Health 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hugh-Jones, Duara, Madill
2-4 October 2019, International Convention Centre, Belfast
Substance use disorder in young people in Assam, India: using participatory visual methods to understand their experience of risk, resilience and recovery
Year(s) Of Engagement Activity 2019
URL https://www.ecmh.eu/
 
Description Conference presentation - University of Leeds, Postgraduate Research Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Postgraduate students
Results and Impact Project PhD student Chloe Brooks
17th October 2019
Understanding mental health research-to-policy pathways in Assam, India
University of Leeds, Postgraduate Research Conference
Year(s) Of Engagement Activity 2019
 
Description Consultative Meet: Pathways to Recovery - Educational Material on Prevention and Recovery from Substance Addiction 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. Tackling Youth Substance Misuse is Assam: Embedding 'The Big Picture' in Policy and Practice. VENUE: AGORA - The Space, Anuradha Cineplex, Bamunimaidam, Guwahati (Assam) on March 4, 2023 (Saturday). This event had 65 attendees constituting the following types of stakeholder: academicians from universities, schools and colleges; lawyers; mental health professionals and counsellors; officials from Health, Education, Social Welfare Departments, Govt. of Assam; members of Narcotics Anonymous (NA) and Alcoholic Anonymous (AA); practitioners from the field of art and culture spaces. The guest of honour and speaker was Rashmi Baruah Gogoi, ACS, Deputy Secretary to Government of Assam and Joint Director of Social Justice and Empowerment, CEO of State Anti-Drug and Prohibition Council. A keynote speech was provided by Professor Dr. Nimesh G. Desai, Senior Consultant Psychiatrist and former Director, Institute of Human Behaviour and Allied Sciences, Delhi. Dr Raginie Duara and Ms. Radhika Goswami explained The Big Picture project and associated educational materials and a policy implication video was played (involving Dr Sangeeta Goswami, Director Mind India; Ratul Dey, Senior Counsellor Nirmaan Rehabilitation Facility; Professor Anna Madill, University of Leeds). The Young Creative Production team from Mumbai performed their street play "NEVER EVER" based on the prevention and addiction from Substance Misuse with a catchy dialogue of "No Burden, No Stress" and a short film from The Big Picture project was shown: Diary of Recovering Drug Addict.
Other dignitaries included CEO of State Anti-Drug and Prohibition Council, Rashmi Baruah Gogoi; Dr. Bijoy Choudhury from MIND CARE Clinic, Maligaon; Dr. Nripen Barkataki of Guwahati University Overseas Alumni Association.
Feedback:
What is your overall opinion of today's workshop? Satisfactory 3% Good 48.5% Excellent 48.5%
To what extent will the educational materials benefit rehabilitation centres and drug prevention programmes in Assam? Moderately 17% Quite well 51% Very well 32%
How likely is it that you will support the use of the educational materials in your organization? Moderately 6% Probably 37% Certain 57%
To what extent do you agree with the policy implications as set out in our policy brief? Quite a lot 61% A lot 39%
Comments: Comments: A very inspiring and productive initiative. Keep it up!! Looking forward for such events; Street-play was very informative and impactful; It is very well planed and the scope of it is very promising; It was good and informative session; Amazing experience and keep doing such activities.
Year(s) Of Engagement Activity 2023
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Film Screening: Institute of Public Health Bangalore 
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 During late summer 2021, the project films were screened locally and disseminated tamong colleagues working on the topic of substance addiction by Project Advisor Dr. N. S. Prashanth: Health Equity Cluster Lead & DBT/Wellcome Trust India, Alliance Fellow Institute of Public Health Bangalore, Academic Editor, Plos Global Public Health Section Editor, Health Policy & Planning.
Year(s) Of Engagement Activity 2021
URL https://iphindia.org/
 
Description Film screening at Bangalore youth club in association with intervention by Institute of Public Health with young indigenous youth on addiction 
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 Taint in the Lush Green
Wrestling Against All Odds

Films retained in Youth Club Library where many Adivasi youth gather every week. Our Advisor Dr. Prashanth, Health equity cluster lead & DBT/Wellcome Trust India Alliance Fellow, Institute of Public Health Bangalore also moderated a screening.
Year(s) Of Engagement Activity 2021
 
Description Film screening at North East Youth Plus, Assam 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact 'One for the Other' shown at end of Dr Angshuman's session. Pursuit of Wellness. Pursuit of Wellness
A 3-day workshop on Mental and Emotional Health for Youth, 6-8 January 2021, Organized by Department of Mass Communication & Journalism, Tezpur University
In collaboration with LGB Regional Institute of Mental Health, Tezpur, With support from Rajiv Gandhi National Institute of Youth Development, Sriperumbudur

Feedback: The film was well received and added value Dr. Angshuman's session by demonstrating the agency that your people have in overcoming substance addiction and the role they can play in supporting other young people by encouraging them to seek help at the right time.Your films are of special interest to the Department of Mass Communication & Journalism particularly because of the participatory production process. We teach a paper on Participatory audio video production and as part of this paper our students have been facilitating children and other people in nearby communities to make short audio video productions.

https://www.sentinelassam.com/north-east-india-news/assam-news/tezpur-university-hosts-three-day-workshop-on-mental-and-emotional-wellness-for-youth-520045
https://nenow.in/north-east-news/assam/assam-tezpur-university-hosts-workshop-on-mental-and-emotional-wellness-for-youth.html
Year(s) Of Engagement Activity 2021
URL http://www.tezu.ernet.in/event/RGNIYD_Poster_event_Jan_2021.pdf
 
Description Hosting Visitors: LGBRIMH (Deuri & Baruah) 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hosted visit to the University of Leeds by Dr. Sonia Pereira Deuri (Professor and Head, Department of Psychiatric Social Work, LGBRIMH) and Dr. Arunjyoti Baruah (Professor and Head, Deptartment of Psychiatric Nursing, LGBRIMH). LGB Regional Institute of Mental Health, Tezpur, Assam is the key policy-influencing mental health institute in Assam and provided the project with an Advisor as well as considered and approved the project Indian ethics application. Hosting these important vistors from LGBRIMH helped to strengthen our collaboration and for us to engage in active knowledged exchange. The visit invovled discussion with staff at the School of Psychology, includng the signing of an MoU at the School Staff Meeting, and an knowledge exchange seminar with staff and postgraduate students in the School of Healthcare. The cultural differences in family invovlement with young people wirh mental health challenges were highlighted and discussed, particularly the relatively young age at which people in the UK were deemed to be full agents in negotiating their care and to decide not to invovle family in healthcare discussions and decision-making.
Year(s) Of Engagement Activity 2019
URL https://www.lgbrimh.gov.in/
 
Description Hosting Visitors: LGBRIMH (Deuri - Director) 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Hosted visit to the University of Leeds by Dr. S. K. Deuri (Directorr, LGBRIMH). LGB Regional Institute of Mental Health, Tezpur, Assam is the key policy-influencing mental health institute in Assam and provided the project with an Advisor as well as considered and approved the project Indian ethics application. Hosting this important vistor from LGBRIMH helped to strengthen our collaboration and for us to engage in active knowledged exchange.
Year(s) Of Engagement Activity 2019
URL https://www.lgbrimh.gov.in/
 
Description Hosting Visitors: LGBRIMH (Saxena) 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hosted visit to the University of Leeds by Dr Priya Saxena (Head of Clinical Psychology, LGBRIMH). LGB Regional Institute of Mental Health, Tezpur, Assam is the key policy-influencing mental health institute in Assam and provided the project with an Advisor as well as considered and approved the project Indian ethics application. Hosting this important vistor from LGBRIMH helped to strengthen our collaboration and for us to engage in active knowledged exchange.
Year(s) Of Engagement Activity 2019
URL https://www.lgbrimh.gov.in/
 
Description Hosting Visitors: NIRMAAN Rehabilitation Facility (Dey) 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hosted visit to London 22nd Feb - 3rd March 2022 by Ratul Dey (senior Counsellor, NIRMAAN Rehabilitation Facility, Assam). NIRMAAN is a key Project Partner and source of participant recruitment for The Big Picture. The PI and RF met with Mr Dey in London for talks about ongoing collaboration on mental health and substance addicition grant applications. We also arranged a knowedge exchange visit on 25th Feb 2022 to Humankind Charity Insight Platform, Haringey. The RF has applied for a Marie Sklodowska-Curie Fellowship to continue our work, partnering with Humankind Charity. This was an important meeting with the Area Director and staff at Insight Platform to find out about their services, discuss our project, and for Mr Dey to descibe addiction service provision in Assam.
Year(s) Of Engagement Activity 2022
URL http://www.nirmaanrehab.org/
 
Description Hosting Visitors: UGM, Indonesia 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Hosted visit to London on 25th February by Dr Diana Setiyawati (Director, Centre for Public Mental Health, UGM) and Professor Kwartarini Wahyu Yuniarti (Dearn, Faculty of Psychology, UGM).Universitas Gadjah Mada is a key Indonesian University. The PI met with Dr Setiyawati and Professor Wahyu in London for talks about ongoing collaboration on mental health grant applications.
Year(s) Of Engagement Activity 2022
URL https://www.ugm.ac.id/en
 
Description Hostng Visitors: MIND India (S Goswami) & AGORA (R Goswami) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Hosted visit to the University of Leeds on 26th November 2021 by Dr. S. Goswami (Directorr, MIND India) and R. Goswami (Director, AGORA. MIND India is the main Project Partner in Assam. AGORA is a potential Project Partner and was named on an AHRC follow-on funding application which was, unfortunately, unsuccessful. Hosting these important vistors consolidated our working relationship, and allowed us to engage in active knowledged exchange.The outcome of the visit were plans for two further grant applications and preparations for R.Goswami to apply to undertake a PhD at the University of Leeds with the PI in the School of Psychology and a colleague in the School of English.
Year(s) Of Engagement Activity 2021
URL https://agorathespace.com/home
 
Description Indraprastha Institute of Information Technology, Delhi 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Undergraduate students
Results and Impact An invited talk by to the RF by the organisation counsellor to address engineering students about substance addiction at Indraprastha Institute of Information Technology, Dehli. Talk undertaken online on 15th February 2022.The aims of the talk were to: (i) bring out voice of the youth in substance use disorder and (ii) disseminate our pathways to recovery model. Four attendees provided feedback, all of which was very positive. (5=hi):
Visual matierals send important messages about substance use 4.5
Visual matierals motivates young people to resist substance use 4.0
Visual matierals helps adults to understand more about the challenges of substance use for young people 3.75
Visual matierals helps young people in addiction have hope to recover 4.5
The online event was recorded and is available on our project website https://youtu.be/EFXVyaVJnA8.
Year(s) Of Engagement Activity 2022
URL https://www.iiitd.ac.in/
 
Description Invited public address (Tezpur University) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact While visiting Assam to set-up the project, the PI - Professor Anna Madill - was invited to give a public address about the project to students and staff at Tezpur University. The talk was titled: Addressing youth substance abuse in India, and was attended by Tezpur University VC and the Dean of the Faculty of Social Sciences, as well as representative Heads of Department of the LGB Regional Institute of Mental Health, and many university staff and postgraduate students. The intended purpose was to disseminate information about the study, to stimulate discussion, and to network. An impact of the presentation is greater knowledge of and interest in the study, the gathering of e-mail addresses and the linking-up on social media with staff and students who want to keep in touch with the project. A further impact is to have brought together staff at Tezpur University and at LGBRIMH who did not as a matter of course collaborate, although they are with a 30 minute drive of each other. Collaborating to host my visit, workshops and public address was the first major official contact between these two major educational institutions in Tezpur.
Year(s) Of Engagement Activity 2019
 
Description LGBRIMH 'Pathways' 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 Workshop 28th August 2021 title: "Voice of the Youth: Resistance and Recovery from Addiction." Co-hosted by: Youth Wellness Hub, LGB Regional Institute of Mental Health (Tezpur, Assam) & Big Picture Project, University of Leeds (UK). Date: 28th August 2021.Number of participants: 10. The aims of the workshop were to: (i) get feedback to develop education workshop guidance; and (ii) increase substance abuse disorder awareness. Hence, we piloted our educational materials package with a group of mental health professionals in training. The materials were used were: (i) pathways posters; (ii) animation; (iii) films. The workshop was hosted in person by our Project Advisor at LGBRIHM, Dr Diptarup Chowdhury, and the RF and PI online.

Workshop feedback (quantitative):
The workshop raised my awareness about youth substance use disorder: Definitely = 10
The animation helped me understand different pathways from addiction to recovery: Definitely = 5; Somewhat = 4; Not sure = 1
The group activity helped deepen my understanding of the pathways to recovery: Definitely = 6; Somewhat = 3; Not sure = 1

All attendees were very positive that the workshop raised their awareness about youth substance use disorder. With regard to the animation, 90% were reasonably positive that the animation helped them understand different pathways from addiction to recovery. Finally 90% were reasonably positive that the group activity helped deepen their understanding of the pathways to recovery. Hence, the workshop was deemed of value to postgraduate students in mental health in terms of raising their awareness of youth substance use disorder and had reasonable value in helping them to understand pathways into, and out of, addiction.

We also requested qualitative feedback on the following questions: What worked well in the workshop and could be improved?; How might the animation be used by service providers in the helping professions? Feedback from this workshop allowed us to improve our educational package. We did so through adding an activity which allowed attendees to engage more deeply with the Pathways to Recovery animation in order to understand better the stages of addiction illustrated and the trajectories between them. Hence, we added a printable map of the pathways without stage labels and printable stage labels. Our guidance now suggests that, after a screening of the animation, attendees are invited to place the stage labels in the right place on this map. This activity can be followed by a discussion about the stages and relationships between them and a second screening of the animation. We believe this will facilitate attendees to have better understanding of the model before attempting to place images/quotes against the appropriate stage.
Year(s) Of Engagement Activity 2021
URL https://www.lgbrimh.gov.in/
 
Description Mainstreaming Global Mental Health 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Online impact event as a partnership between the GCRF Mainstreaming Mental Health Challenge Cluster and GCRF AHRC funded Praxis at the University of Leeds. The Big Picture contributed a talk in a panel bringing together three of the ESRC/AHRC funded projects in the same round. 76 people attended (53% LMIC) from 17 different countries (8 LMIC), 21 (28%) of whom were early career scholars. Attendance was 41% of those registered. Majority of the loss was from: UK, Nigeria, and South Africa; non-LMIC; PGR, Academics, Health Professionals, Other. There were 60 (32%) offers of a menteeship (47% LMIC) from 14 different countries and 90 (49%) requests (41% LMIC) from 16 different countries. Quantitative feedback was provided by 18 people, all at the highest score of 5. Qualitative comments were provided during and after the event by 18 people, all of which were positive. Specific further networking requests were made by 2 people. Live translation in Spanish was provided. Video uploaded to project website.
Feedback
Questions
• Will these slides be available after the event please?
Yes. we have created a google drive folder and if speakers are happy to share we will share the link to this folder.
Highlights will also be available on the Project Resilience website.
• You mentioned that sometimes people try to repress memories of their heritage as a response to trauma and I was wondering if you have also looked at or thought about the potential implications of such initiatives on helping refugees cope with PTSD?
• What are the challenges you meet in using VR? In terms of accessibility and affordability
• How can the information gained from these projects be used to inform governments/policy makers for prevention of such mental health issues in the first place in developing countries? Are there any examples of these?

Networking
• Hi everyone ! I'm project manager of Hope Creation in Rwanda. I work with children who have incurable illnesses. I wish to share one of the ways used. We sometimes use theatre for letting the community understand what are needs of those children.
Can you share your email
• We can talk after conference. I am more interested and work on VR. Here my email: []

Positive comments
• THANK SO MUCH
• It sounds like a very positive response, that is wonderful to hear! Thank you!
• very well explained
• Nice presentation. love it
• Incredible work
• amazing work Adrian and Karina
• this was fascinating!
• Thank you so much for your presentation, an incredibly inspiring talk!
• Excellent projects, one after the other!!
• Excellent presentation.
• V interesting projects. Most are post-event/trauma that address MH issues.
• Thanks for a lovely event. It was great to hear about the range of ways of developing creativity, participation and advocacy
• very well organised
• Thank you! It was very inspiring!
• Thank you very much!
• Thanks all
• Thank you, fascinating
• Thank you for a fascinating webinar today. It was incredibly informative in explaining the impressive work being undertaken.

Scores in chat (5=high: 18 responses)
5; 5; 5 :-); 5 ;); 5; 5; 5555555; 5; 5; 5 :]; 5; 5; 5; 5; 5; 5; 5; 5.
Year(s) Of Engagement Activity 2021
URL https://youtu.be/xZXGIg-D6Mw
 
Description Oil India Limited 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Industry/Business
Results and Impact Dr Sangeeta Goswami, representative of Partner Organisation MIND India, integrated our study findings on preventing and recovering from substance use disorder at a corporate, public sector event for workmen at Oil India Limited, Duliajan Assam, 10th to 12th January 2021. This was achieved while undertaking a training programme called Anubhuti: Life Skills for Personal Effectiveness.
Year(s) Of Engagement Activity 2021
URL https://www.oil-india.com/Duliajan.aspx
 
Description Online workshop with members of the medical helpline group Zemidi 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. Thirty-three members of the medical helpline group Zemidi attended an online workshop conducted by Radhika Goswami, Research Assistant, Tackling Youth Substance Misuse in Assam: Embedding 'The Big Picture' in Policy and Practice. Our education materials - Pathways to Recovery - were explained and the associated animation in Assamese played. After a discussion, an explanation was provided on downloading the free materials.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Panel discussion member 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Professor Anna Madill - Invited Panel Discussion member: Evaluation and measurement of mental health outcomes. Chaired by Professor David Cottrell. Young People the Arts and Mental Health: A Cultural Institute Conference, University of Leeds, UK. Contributed to discussion of global mental health impact and evaluation from experience of The Big Picture and leaned from other panel members and the audience.
Year(s) Of Engagement Activity 2019
 
Description Pathways to Recover Workshop for Mental Health Professionals at MIND India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. The workshop was conducted by Radhika Goswami, Research Assistant, Tackling Youth Substance Misuse in Assam: Embedding 'The Big Picture' in Policy and Practice. Five mental health professionals of MIND India, Assam attended to learn about our educational materials to increase awareness and prevention of youth substance abuse in Assam: Pathways to Recovery. The attendees enjoyed the session, particularly the dice game which creates engagement with the different paths of the model. The materials are available for use in their professional activities.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Presentation - The Big Picture, University of Sussex Social & Applied Psychology Group. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Graber, R. (2020, Feb), The Big Picture, University of Sussex Social & Applied Psychology Group.
Very well received. Questions posed at the end.
Why did you choose to situate the project within a resilience framework instead of a recovery framework?
Do you intend to develop an intervention as a result of this project?
What does NA think of your findings and are they willing to change what they do as a result of their project?
How much do you think the rehab context is influencing your findings?
Do you need to explore resilience and recovery processes among people who recover without the rehab centres?
Year(s) Of Engagement Activity 2020
 
Description Presentation - The Big Picture: Using participatory visual methods to explore resilience to substance use in Assam, India. School of Applied Social Science Forum, University of Brighton 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Graber, R. (2019, Dec) The Big Picture: Using participatory visual methods to explore resilience to substance use in Assam, India. School of Applied Social Science Forum, University of Brighton,
Year(s) Of Engagement Activity 2019
 
Description Presentation to M Level students at University of Brighton by RF 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Postgraduate students
Results and Impact Raginie Duara
SS7202: Community Psychology: Theory & Practice. L7 (Masters level), University of Brighton
Videos and our interview will be available to students to watch from Jan 7th onwards in lieu of a recorded lecture that week.

The session, which also featured contributions from other CPs around the world, was very well received by the 15 students on the course. They were signposted to the videos on the Big Picture website too. They reported finding it very interesting, useful and inspiring, and that it really helped to cement their understanding of CP values by seeing them applied in real world settings. Written feedback:
- Thank you for these - and for all the interviews. I found them inspirational - but also very practical in thinking about how, as CPs, you go about meaningful, social change.
- Lots to digest and reflect on. My key takeaway from Raginie's interview was
the importance of reflexivity in your role as the 'researcher'
- Please would you give each of the interviewees thanks from me for their time. Each of their fields of work was interesting and really inspirational and each offered different a perspective on the aims of CP and the difficulties on the ground of CP work.
- Takeaways (among others): 'Creating a collective voice through individual voices' (Ragine Duara)
Year(s) Of Engagement Activity 2021
 
Description Press articles about Consultative Meet held In Guwahati on 5th March 2023 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Articles summarising the aims and content of Consultative Meet on Pathways to Recovery - Educational Material on Prevention and Recovery from Substance Addiction which was held on 4th March 2023 at AGORA - The Space, Anuradha Cineplex, Bamunimaidam, Guwahati in association with MIND India and the University of Leeds. This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds.

Assam Tribute, 5th March 2023 (paper copy)
East Mojo, 6th March 2023 - https://www.eastmojo.com/assam/2023/03/06/guwahati-minds-university-of-leeds-host-meet-on-mental-health/
The Sentinel Assam, 14th March 2023 - https://www.sentinelassam.com/guwahati-city/consultative-meet-on-prevention-from-substance-abuse-held-in-guwahati-639966
Year(s) Of Engagement Activity 2023
 
Description Public address (Royal Global Unversity, Guwahati) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Undergraduate students
Results and Impact While visiting Assam to set-up the project, the PI - Professor Anna Madill - was invited to give a public address about the project to students and staff at Royal Global University, Guwahati. The talk was titled: Young people, resilience and mental health, and was attended by under- and postgraduate students in Psychology and staff of the Psychology Department. The intended purpose was to disseminate information about the study, to stimulate discussion, and to network. An impact of the presentation is greater knowledge of and interest in the study, and the linking-up on social media with staff and students who want to keep in touch with the project.
Year(s) Of Engagement Activity 2019
 
Description Rehabilation Centre Workshop with Director of Social Justice & Empowerment, Assam 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 50 stakeholders from 5 substance rehabilitation centres for 5 districts of Assam attended a workshop demonstration and discussion of our Pathways to Recovery educational materials. The event was attended also by the Director and Joint Director of the Department of Social Justice and Empowerment, Assam. There was keen interest in using the materials to support addiction rehabilitation and awareness in the State and participants planned to share the link to the download the materials with other rehabilitaition facilities.
Year(s) Of Engagement Activity 2023
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Resilience Research Group Seminar (UCL) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact The 'Resilience Research Group' (RRG), which was founded in May 2020, is a global collaborative of resilience researchers and practitioners which aims to support the development, dissemination, and application of high-quality resilience research. The RRG's members come from universities and organisations worldwide and include academics and non-academics from every stage of their careers. Research activities include academic research projects, as well as consultancy and collaborative projects with external organisations, councils and policy-makers. The group aims to promote research-led answers to resilience-related questions in every part of society. The group engages in dissemination and engagement of work through a podcast series on resilience, and monthly seminar series.

March 17th 2022 - Rebecca Graber, 'Resilience for recovery - a relational perspective on lived experience of recovery from substance misuse'. Senior Lecturer, School of Humanities and Social Science, Brighton university. Dr Graber's work centres on how peer relationships can contribute to the development of psychological resilience in the face of complex challenges to mental health and wellbeing, with a particular orientation to lived experience. Her research aims to identify, understand and promote the contributions of informal social relationships and practices, especially as these arise in resistance to or as consequence of broad social risks (such as austerity, poverty, stigma, discrimination, colonial legacy, and prevalence of harmful substances).
Year(s) Of Engagement Activity 2022
URL https://resiliencerg.wixsite.com/resilienceresearch/seminars
 
Description Seminar at De Montfort University UK 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Madill, A. (22 Oct, 2020). Reflecting on The Big Picture: Adapting photovoice to enhance psychological, social and cultural insights into, and prevention and treatment of, youth substance use in India. Seminar. Mary Seacole Research Centre, Faculty of Health and Life Sciences, De Montfort University.

Lots of questions were asked by the audience and the seminar was well received. One outcome was an Invitation to create a joint conference wrt our work in India with Professors Raghavan and Brown at De Montfort University who were funded in the same round.
Year(s) Of Engagement Activity 2020
 
Description Social Research Association (SRA) Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Two of our films selected for presentation at the conference. This helped to disseminate our findings, raise awarenss, and engage delegates in the issues raised.

Pathways to Recovery: Unique views = 20
I thought this short animation was amazing
I loved that it was so simple, it didn't distract from the voice over instead it enhanced it.
Great approach, any advice for others who want to create animations from their research?
Very powerful short message delivered really well using the simple animation.
Could really make those who have never had addiction understand more.
Hope it can be shared widely. Where has it been shared so far?
Amazing illustration, animation and narrative! Really well put together.
I think the imagery in this animation is excellent, it really helps to make the point.
I found it online here https://www.dmoffest.com/post/pathways-to-recovery (via Twitter)
Really enjoyed this animation, such a powerful and simple style which clearly shows the journey
- how and why did you decide upon the hand-drawn style of illustration?
Is this available somewhere online - I'd like to share it with some non conference attendees as an example of narrative story telling in research.
Really impressed with this. Thank you. I would also love to share it.

A Different Pathway to Recovery: Unique views = 8
I thought the imagery you used was stunning, I loved the use of black and white, you have made me want to be a film maker
This is a beautiful piece of work.
I really like your use of metaphorical images; they were very creative and evocative.
Year(s) Of Engagement Activity 2021
URL https://the-sra.org.uk/Shared_Content/Events/Event_display.aspx?EventKey=AC251121
 
Description Social media 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact We have set-up social media accounts for the study on Instagram, facebook, and twitter. The intended purpose of this activity is to catalyse interest in the project, disseminate information about our activities and outcomes, engage policymakers and practitioners with a view to impacting policy and practice, and engage young people and the general public in Assam and wider India in discussion about youth substance abuse and how to capitalise on the resilience of young people and of Indian society to tackle this problem. We have just got our social media up and running and have 87 followers on Instagram, 44 on twitter, and 43 on facebook.

In February 2020, our project followers have increased to 141 on Instagram, 128 on twitter, and 82 on facebook.
Year(s) Of Engagement Activity 2018,2019
 
Description Three public engagement events in Guwahati, Assam 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Voice of the Youth: Resistance and Recover from Addiction
During February we ran three Guwahati impact events: two for pupils at the secondary schools committed to taking part in our follow-on study (Royal Global School - Grade 11 - and Bal Bharti School - Grades 9 &10) and a third for young people of college age and the general public (Total school students = 53; general public = 44, of whom 31 provided feedback). These were held on February 10th, 12th and 13th at Agora: The Space. The event was organised by our Partner Organisation MIND India and contributions were made by our Partner Organisation NIRMAAN Rehabilitation Facility and speaker, an official Project Advisor, provided by LGB Regional Institute of Mental Health Tezpur. We provided a display of the 30 participant designed posters with key messages about the negative impact of youth substance abuse with image from the photo-led interviews; we screened our co-produced participant films and supported questions and conversation about youth substance abuse in Assam. Key project participants presented their films and catalysed discussion with audience members. We commissioned a private company to film the events. We further edited this footage to create 5 short films which are available on our project website.

All the most popular posters of the high school students were from the younger group of participants who were resisting drug use while at increased risk. This suggests that the message of resisting substances resonated particularly strongly with the high school students. Reasons for liking the posters reflected this in that the students were inspired to reflect on a range of motivations to stay clean. On the other hand, most of the most popular posters of the general public were from the older group of participants in recovery from substance addiction. Reasons for liking the posters were that they showed the wider impact of susbstance abuse, provided understanding, and gave hope. Vishal's poster was rated highly by both high school students and the general public. Feedback reveals that Vishal's poster conveyed a passionate message not only to resist substances, but offered an alternative coping strategy: "When my mood's off or I'm stressed, I just take my guitar and start playing it. Your hobby or passion can support you in more ways that you think. When times get hard, why not use your passion to refresh your mind, rather than resort to substances?"

The quantiative feedback about the posters is as follows.
The posters sent important messages about substance use: Definitely (Students 96%; Public 93%); Somewhat (Students 4%; Public 7%)
The posters could motivate young people to resist substance use:Definitely (Students 72%; Public 74%); Somewhat (Students 26%; Public 19%); Not sure (Students 2%; Public 0%)
The posters could help adults to understand more about the challenges of substance use for young people Definitely (Students 77%; Public 55%); Somewhat (Students 19%; Public 34%); Not sure (Students 4%; Public 0%);Not so much (Students 0%; Public 3%)
The posters could help young people in addiction have hope to recover: Definitely (Students 70%; Public 71%); Somewhat (Students 28%; Public 19%); Not sure (Students 2%; Public 6%)

Feedback was very strong from both groups that the posters sent important messages about substance use. Both groups were also optimistic that the posters could motivate young people to resist substance use and could help young people in addiction have hope to recover. However, although the students were optimistic that the posters could help adults to understand more about the challenges of substance use for young people, the general public were less sure.

Feedback on the films as a whole was gathered in the form of five questions inviting a free-form written response: What key messages about substance use did you get from these films?; In what ways have the films changed your understanding about young people who use substances?; What impact could these films have on young people who see peers already taking substances?; What impact could these films have on adults who know little about the challenges of substance use for young people?; Is there anything else you would like to share with us? One of the main messages that students took from the films is the potential for substance addiction to have a devastating effect. It was through seeing the possible long-term negative impacts that they realised they should always find other solutions to their problems. Furthermore, some who used to judge and avoid people who used substances, felt a new desire to help their peers quit. Most students considered the films to have educational potential to guide adults away from punitive reactions and, rather, to guide young towards positive life decisions. A common statement in the feedback from high school students was that they had "learned a lot" from the films.

One of the main messages that the general public took from the films is the possibility of recovery and of challenge the stigma associated with substance addiction. The films encouraged them to embrace the importance of understanding and empathizing with young people suffering substance addictions and to provide support toward the goal of recovery rather than judging them. A few suggested carrying the work forward to allow more people - young and old, in rural and urban settings - to have the opportunity to view the films so as to become better informed about and supportive of young resisting, or seeking to recover from, substance addiction. Both the students and general public indicated that the films had helped them learn about the negative consequences that can befall others, especially family members, as a result of one person's substance use. This appeared to be a key motivator identified by the students to resist getting involved in addictive substances and for the general public to make an effort to understand more about addiction and how to support those impacted.
Year(s) Of Engagement Activity 2021
URL https://youtu.be/L41mQeSty8g
 
Description Training on Emotional Welbeing and Mental Health in Schools for Master Trainers Secondary Level 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. Two online workshops were conducted by Radhika Goswami, Research Assistant, Tackling Youth Substance Misuse in Assam: Embedding 'The Big Picture' in Policy and Practice. In total 100 Mental Health in Schools for Master Trainers (Secondary Level) attended to learn about the education materials created to increase awareness of youth substance addiction and its consequences: Pathway to Recovery. Our animation of the model was shown and a discussion of its content initated. The event concluded with information on how to download the edcuational materials from the University of Leeds free IP site. This group in particular was very receptive to the session and I was able to speak to 100 teachers from government school across Assam. Attendees were very receptive to the materials and interested in using them in their work in government school across Assam.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Universita Di Napoli L'Oriental, Italy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Outcome of our strong collaboration with sister GCRF ESRC/AHRC project: Professor Antonia Soriente from Universita Di Napoli L'Orientale, Italy invited Dr Erminia Colucci and Dr Diana Setiyawati to engage staff and students in a 'Together for Mental Health' film screening on 21st February 2022. General feedback is that 'It went very well with more food for thought'. Diana Setiyawati introduced 'another awesome visual project' The Big Picture on the PIs request with two slides about the project and link to the project website.
Year(s) Of Engagement Activity 2022
URL https://www.facebook.com/erminia.colucci/posts/10161591934524112
 
Description University of Leeds Sadler Seminar Series: Sensory Storytelling, Imagination & Wellbeing 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Sharing Practice Webinar: On 10th March 2022, the Big Picture RF provided one of 5 'sensory-storytelling' practice provocations as part of this competitively-funded University of Leeds seminar series. The aims of the event were: To examine synergies between different modes of sensory storytelling (e.g. sound/music, visual arts, physical performance) in relation to wellbeing and imagination; To explore the potential for innovative research methods and emerging immersive technologies to understand and document processes of sensory storytelling, imagination and wellbeing; To collaborate with arts-for-wellbeing practitioners to discuss practical applications for sensory storytelling across the arts to benefit wellbeing. 19 people attended and contributed to a round-table discussion about integrating the knowledge/praxis presented. The aim is to convene a team to apply for further funding. A stipend was provided to the RF from the seminar fund as this presentation occurred after the end of her employment on the Big Picture grant. Convened by Drs Freya Bailes, Anna Madill, and Maria Kapsali. The event was open to the public.
Year(s) Of Engagement Activity 2022
URL https://lahri.leeds.ac.uk/projects/sadler-seminar-series/sadler-seminars-2021-22/sensory_storytellin...
 
Description Visit to Insight Platform, Haringey 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Hosted visit to London 22nd Feb - 3rd March 2022 by Ratul Dey (senior Counsellor, NIRMAAN Rehabilitation Facility, Assam). NIRMAAN is a key Project Partner and source of participant recruitment for The Big Picture. The PI and RF met with Mr Dey in London for talks about ongoing collaboration on mental health and substance addicition grant applications. We also arranged a knowedge exchange visit on 25th Feb 2022 to Humankind Charity Insight Platform, Haringey. The RF has applied for a Marie Sklodowska-Curie Fellowship to continue our work, partnering with Humankind Charity. This was an important meeting with the Area Director and staff at Insight Platform to find out about their services, discuss our project, and for Mr Dey to descibe addiction service provision in Assam.
Year(s) Of Engagement Activity 2022
URL https://insightyoungpeople.org.uk/our-services/insight-platform/
 
Description Visual Methods Disseminatation Workshop 1: NIMHANS 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Online workshop held on 17th September 2021 to engage an important new organsiation with our project outcomes and methods. The National Institute of Mental Health and Neurosciences (Bangalore) is the key mental health advisory body to the Indian government. Feedback received from 11 participants (Hi=5).
Workshop advanced your knowledge of the potential of participatory visual methods: 4.45
Workshop raised your interest in using participatory visual methods: 4.73
Workshop advanced your understanding of the analytic rigour that is possible from participatory methods data: 4.27
Workshop helped you to see how to be creative in using data outcomes for impact: 4.55
Workshop advanced your knowledge of the lived experience of around youth substance usevisual methods: 4.55
If it was relevant to your research aims, would you now recommend the use of participatory visual methods in your research group or organisation? Yes = 8; Maybe = 2; Not sure = 1.
Please rate the extent to which the seminar introduced new insights or knowledge to you overall: 4.82.
Year(s) Of Engagement Activity 2021
URL https://nimhans.ac.in/
 
Description Visual Methods Disseminatation Workshop 2: CPMH, UGM 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Online workshop held on 31st January 2022 to engage an important new organsiation with our project outcomes and methods. The Center for Public Mental Health,Gadjah Mada University (Indonesia) is a key public mental health advisory body to the Indonesian government. The event was hosted by the Director, Dr Diana Setiyawahti. 42 people attended. An open question was asked to the participants - What insight did you get from the lecture? The themes based on the responses are as follows: Gaining multiple insights; Creative tool; Potential in treatment programs; Learning about process; Developing new interests; Empowering participants. A certificate of attendance was provided to all attendees. A recoding of the session by Dr Rebecca Graber is available on the project website https://youtu.be/j-6bLz453NQ.
Year(s) Of Engagement Activity 2021,2022
URL https://iup.psikologi.ugm.ac.id/center-for-puclic-mental-health/
 
Description Visual Methods Disseminatation Workshop 3: Emanuel Hospital Association 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Online workshop held on 17th February 2022 to engage an important new organsiation with our project outcomes and methods. The Emanuel Hospital Association is a not for profit registered organisation providing specialised health care in some of the remotest and underdeveloped parts of India and probably the largest in the non-government sector in providing comprehensive health care and community specific projects to rural India. The event was hosted by Dr Kareen Mathias who is one of our Project Advisors. Approximately 20 people attended. The following questions were asked in the chat: Have you ever interviewed participants and then asked them to take photos to illustrate what they have said? Does this method work across all age groups? Any reflections on this? Just as there is verbal/written literacy, are some people also hindered by "photographic illiteracy"? How did you find the response of official people to the project e.g. health system? Have you had any dissemination meetings in Assam? How does the ethics committee react to the participants being shot themselves? How are the consents different from the conventional qualitative research participation? Evaluation in chat: It was quite interesting to have a glimpse of visual methods used in research. Thank you so much; i feel really inspired to try photo elicitation particularly in our work examining gender relations. 14 people provided quantitative feedback (5=Hi):
To what extent did the workshop advance your knowledge of the potential of participatory visual methods? 4.0
To what extent did the workshop raise your interest in using participatory visual methods? 4.62
To what extent did the workshop advance your understanding of the analytic rigour that is possible from participatory methods data? 3.46
To what extent did the workshop help you to see how to be creative in using data outcomes for impact@ 4.33
To what extent did the workshop advance your knowledge of the lived experience around youth substance use? 4.0
If it was relevant to your research aims, would you now recommend the use of participatory visual methods in your research group or organisation? Yes=8 Maybe=4 Not sure=1
Please rate the extent to which the seminar introduced new insights or knowledge for you overall? 4.46
A recording of the presentation by Dr Raginie Duara is available on the project website https://youtu.be/45B0aV5vRNM.
Year(s) Of Engagement Activity 2022
URL https://eha-health.org/about-us
 
Description Workshop (LGB Regional Institute of Mental Health. Tezpur) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact The study PI - Professor Anna Madill - provided an invited workshop at LGBRIMH on her visit to Assam in January 2019. The intended purpose of the activity was to provide students at LGBRIMH a specialist workshop on using visual research methods, as used in the funded project. 27 postgraduates attended from a range of practitioner disciplines including clinical psychology and social work. Outcomes and impacts include intense engagement by the students with the experiential aspects of the workshop which catalysed many interesting questions and discussion. On a score of 1 (low)-5 (high), the workshop was rated by attendees: mean=4, mode=4. The feedback on 'What did you particularly like about the workshop?' included the following:
- New ideas, interesting, provided personal insights
- Interactive, space to express oneself and to hear about other people's experiences with their photos
- Practical demonstration of what photos can contribute
- Freedom of the method
- Preparation notified beforehand.

Attendees also very helpfully made the following recommendations in response to the question: 'Can you suggest any person or organization who might be interested in being contacted about The Big Picture?'
- Schools such as Assam Valley http://www.assamvalleyschool.com/
- Youth associations such as the YMCA
- https://en.wikipedia.org/wiki/Assam_Don_Bosco_University
- https://www.dibru.ac.in/ DIBRUGARH UNIVERSITY
- http://www.tiss.edu/ Tata Institute of Social Sciences
- Moushumi Kandali, Tezpur University http://www.tezu.ernet.in/dtcaf/moushumi_kandali.php
Year(s) Of Engagement Activity 2019
 
Description Workshop (Tezpur University) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact The study PI - Professor Anna Madill - provided an invited workshop at Tezpur university on her visit to Assam in January 2019. The intended purpose of the activity was to provide students at Tezpur University a specialist workshop on using visual research methods, as used in the funded project. !6 post- and undergraduates attended from a range of social science disciplines. Outcomes and impacts include intense engagement by the students with the experiential aspects of the workshop which catalysed many interesting questions and discussion. On a score of 1 (low)-5 (high), the workshop was rated by attendees: mean=4, mode=4/5. The feedback on 'What did you particularly like about the workshop?' included the following:
- Personal revelation through the workshop experiential activity
- The participatory nature of the workshop
- Friendly, open atmosphere
- Helpful introduction to a method that might be useful for own research

Workshop participants were also very helpful in providing possible networking contacts in response to the question 'Can you suggest any person or organization who might be interested in being contacted about The Big Picture?':
https://www.facebook.com/sikunrelief/
Professor D P Nath, Cultural Studies, Tezpur University
Dr Nandaseni? Chendhury? Tezpur University
Dr. Mousumi Mahanta, Women's Studies, Tezpur University mousumi@tezu.ernet.in
Year(s) Of Engagement Activity 2019
 
Description Workshop at Nirmaan Rehabilitation Facility, Assam 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. Nine staff members of Nirmaan Rehabilitation Facility attended this workshop conducted by Radhika Goswami, Research Assistant, Tackling Youth Substance Misuse in Assam: Embedding 'The Big Picture' in Policy and Practice. The background to The Big Picture project was explained and the associated animation of the Pathway to Recovery animation shown. The activities suggested in the educational materials were explained and demonstrated, including the dice game which takes participants around the different pathways depending on the throw of the dice to facilate understanding. Feedback from participants:

Discussion about the Map in video is great but one suggestion to Big Picture to describe and elaborate the map in proper Assamese word i.e. abstinence, recovery etc. because Big Picture work with Assamese speak community. Otherwise, activities are fruitful for addict who want to move to recovery. Mainly third one, easy to understand

Thank you Radhika Ma'am and the all the Big Picture Team. As a counselling Psychologist, I feel very grateful to attend this session. Drug addiction field is for me is a dream job area and what you all did for this field and drug policy, its also a very great step. I am always with you

The session was really very informative and the Big Picture project is also very impressive one. Thank you for the session.

Thank you for the wonderful session and what you did for the drug addiction field is very impressive.

I have never used substance myself but have dealt with one as family member. So I know the issues of Substance-use Disorder (SUD) and the atrocities it creates in our life. Thanks Radhika for taking up such a responsibility of spreading awareness to the society. As of the study material, I really think it is very involving and interesting and would be very effective for the younger generation who are mostly affected by SUD. Can we please design some more material for those of the matured individuals, who are mostly into tough denial?

Liked the session as we got many informative materials of start starting from Not Using o Addiction, Abstinence to Recovery. Especially the dice game was really good. We enjoyed a lot and even we can apply this kind of activities for our patients. Lastly the sessionist, Thanks to you, enjoyed a lot.

Thank you so much for the fruitful session. It was quite engaging to witness how the entire journey from starting to use drugs to recovery is unfolded by a simple yet connected board game. Best wishes for your future sessions.

Its been a lovely interaction. The cycle of substance use has been explained in the simplest of manner. The message seems appropriate for people with illiteracy or lower cognitive abilities. May we be helpful in passing the message to peers and sufferers.

Firstly, Thank you Radhika for you time. The learning is gained from the session is as a peer educator- 1. It is very helpful to use picture and activity to give them a knowledge about the path to recovery. The best thing out of 3 activities - the game.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...
 
Description Workshops with secondary school pupils Maharishi Vidya Mandir, Silpukhuri, Guwahati, Assam 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Schools
Results and Impact This activity was part of a 6 month project jointly funded by an ESRC Impact Acceleration Account and Wellcome Trust Institutional Partnership Award via the University of Leeds. The workshop was conducted by Radhika Goswami, Research Assistant, Tackling Youth Substance Misuse in Assam: Embedding 'The Big Picture' in Policy and Practice. Over 300 secondary school pupils (15-17 years) and their teachers attended the workshop. The background to the project was explained and the animiation shown. Then volunteers demonstrated the dice game which engages with the routes to recovery evidenced in the model which forms the center of the educational materials. Feedback from participants is as follows:

SAY NO TO DRUG Nowadays drugs have been a major cause for destruction of the youth. Addicting to drugs can destroy once life forever. Rehabilitation centre are made to protect and rehabilitate the youth. The doctors, nurses play an important role. Many programmes are set up nowadays for awareness for 'No to Drugs'.

If we get addicted, we should not lose hope that we might not recover. It was fun session and interactive and learned a lot about drugs. Hope to more interaction session in future. May be suitable for younger classes

The one thing that I understood from this game is that, one can fall into addiction but there is always a way out. If one wills to be clean again, he/she can always achieve that with some support and will. Self-control is very important too. If one can control himself/herself, he/she can achieve anything

Don't ever give up no matter how hard the situation is. There is always a way out of every problematic scene.

One thing I learned from this game: It is not impossible to get rid of addiction. With proper care and treatment, one can get rid of addiction.

The fight with drugs is like a marathon rather than a sprint. It requires a lot of resilience, courage and patience.

One thing I learned from this session is no matter in whatever difficulty you fall in, you can overcome it by giving it your best efforts and support- be it an addiction or anything. Thank you!

It is proved from this game that no matter how easy it will look like to survive out from drugs, it won't be that easy so better not to go in the wrong path in the first place. Once we fall at the addiction cycle its gonna be damn hard to come out from it and its gonna eat our lives! So, say no to drugs and stay safe.
Year(s) Of Engagement Activity 2022
URL https://licensing.leeds.ac.uk/product/pathways-to-recovery-model-of-substance-use-disorder-youthassa...