Mental health Mental and Behavioural Disorders
Conditions
Interventions
Current intervention as of 01/12/2020:
The study evaluates the effectiveness and cost-effectiveness of advocacy interventions in improving mental health and wellbeing among trafficked
there is enough capacity, so NGOs do not operate waiting lists that could serve as a source of controls
(2) Trafficked people who enter the NRM but elect not to receive NGO support are difficult to identify for recruitment.
Sponsors
King's College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Cohort study: To be eligible for inclusion in the study, participants must meet all inclusion criteria: 1. Be aged 18 years or older; 2. Have entered into the UK National Referral Mechanism; 3. Have consented to receive advocacy support from a participating non-governmental organisation (NGO); 4. At date of baseline interview, have received fewer than 14 days’ residential advocacy support or 28 days’ outreach advocacy support from any NGO through the UK National Referral Mechanism; 5. No longer be being exploited by their traffickers. If the participant has undergone an age determination procedure (i.e. is age-disputed), the participant’s age as confirmed by the local authority should be used. English language proficiency is not a selection criterion. Qualitative study: 1. Survivors: For survivors to be eligible for inclusion, they must meet the inclusion criteria for the above cohort study and must additionally consent to participate in the qualitative study. English language proficiency is not a selection criterion 2. Staff: Staff working at participating NGOs (e.g. managers, caseworkers, volunteers). To be eligible for inclusion, staff must work (on a paid or voluntary basis) at one of the participating NGOs
Exclusion criteria
Exclusion criteria: Do not have the capacity to provide consent to participate in the studies, including because of learning disability, psychotic illnesses or severe drug or alcohol problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) which measures global psychological distress, captured at T1 (baseline), T2 (3 months follow up) and T3 (6 months follow up). Primary outcome is CORE-OM score at T2 versus T1. | — |
Secondary
| Measure | Time frame |
|---|---|
| Collected at T1, T2, and T3: 1. Use of health and social care services will be measured using an adapted version of the Adult Service Use Schedule (AD-SUS) 2. Health-related quality of life will be measured using the EQ-5D-5L and SF-12 and the Recovering Quality of Life-10 (ReQoL-10) 3. Social resources and support will be measured using an adapted version of the Social Support Network Scale (SSN) 4. Unmet needs will be measured using an adapted version of the Post-Migration Living Difficulties Checklist (PMLDC) 5. Perceived safety and risk of harm will be measured using an adapted version of the Intimate Partner Violence Threat Appraisal and Fear Scale 6. Autonomy will be measured using a six-item measure adapted from the Burchardt Inequality of Autonomy scale (Centre for Analysis of Social Exclusion, University of Oxford) | — |
Countries
England, United Kingdom
Outcome results
None listed