SOCIALLY INCLUSIVE CITIES NETWORK Leeds Institute of Health Sciences UK Universities of Leeds, Bristol, Birmingham, MEND, Citizens UK VIETNAM Hanoi University of Public Health INDIA Institute of Public Health, Bangalore KENYA Institute of Development Studies, University of Nairobi NIGERIA University of Nigeria; Delta State University

Working in partnership Vietnam, UK, India, Kenya and Nigeria Multisector Public services Multidisciplinary Social justice Minority ethnic and religious groups Ethical approaches Inclusive research Privileging voice and priorities Common principles

Models for collaboration AIMS AND OBJECTIVES EVIDENCE (gaps) Expertise – policy and practice approaches Role of research – solutions acceptable to all Other networks and large research projects Models for collaboration RESEARCH AGENDA to support social justice and inclusion

Country and global reports Future research strategy NETWORK ACTIVITIES Literature review 8 Workshops Country and global reports Future research strategy

Key drivers of exclusion MACRO: SOCIOECONOMIC/ POLITICAL CONTEXT Competition for resources Power imbalances Racism, stereotypes and misconceptions MESO: INSTITUTIONAL/ PRACTICE Failure to recognise/ meet needs/ poorer service Barriers to service provision Inequalities in service & outcome Causes and outcomes difficult if not impossible to disentangle - can be linked both horizontally and vertically and mechanism can be circular MICRO: INDIVIDUAL LEVEL Lower system understanding/ concordance Mistrust / Fear of services Lower literacy/ capacity/social and cultural capital

Example strategies for inclusion MACRO: SOCIOECONOMIC/ POLITICAL CONTEXT Competition for resources Power imbalances Racism, stereotypes and misconceptions FINANCIAL ASSISTANCE PARTICIPATORY DECISION MAKING SYSTEM REFORM MESO: INSTITUTIONAL/ PRACTICE Failure to recognise/ meet needs/ poorer service Barriers to service provision Inequalities in service & outcome REVISE POLICIES EMPLOY BME STAFF MANAGED CARE PROTOCOLS Causes and outcomes difficult if not impossible to disentangle - can be linked both horizontally and vertically and mechanism can be circular MICRO: INDIVIDUAL LEVEL Lower system understanding/ concordance Mistrust / Fear of services Lower literacy/ capacity/social and cultural capital BEHAVIOUR CHANGE TRAINING HEALTH PROMOTION SKILLS DEVELOPMENT

Ghazala Mir: g.mir@leeds.ac.uk Project website: https://medhealth.leeds.ac.uk/info/615/research/2381/socially_inclusive_cities Further information: Ghazala Mir: g.mir@leeds.ac.uk This presentation presents independent research commissioned by the Economic and Social Research Council NICE (2009) Guideline 90 The treatment and management of depression in adults