I will do. Thank you, Jenny. So, I think, for me, in terms of some of the research that we've done in Public Health Wales and the ACE support hub, the outstanding challenge through all of this is the barrier of language and the barrier of not understanding perhaps the meaning of how things are communicated, both in terms of how it's done visually, but also the use of language. So, when you have somebody who's translating, that literal meaning might not be communicating what they're intending to say, in terms of the use of the language. And I think we see that as coming up over and over again in terms of accessing any services, but particularly difficult when it comes to accessing services around domestic abuse and sexual violence, because there is also, I think, in many cultures a real difficulty in trying to articulate what that actually has been in terms of an experience, and also around some of the bits that are linked to that, so that the actual act of violence itself might be something that can be communicated. But the experience of it, including the impacts on mental health, may not be recognised by the people who've experienced it in the first place, because we know that there is a large amount of stigma still in the UK around mental health, let alone in countries where it's not even discussed in any sort of public services. But then, secondly, if there is a recognition that there is an ill-health consequence of the violence that they may have suffered, often that is described as something that manifests in a physical form. So, people will describe pain, people will describe more physical health impacts, without necessarily describing mental health because they don't understand that that's the consequence of it. So, I think there's a huge issue there around being able to communicate in a way that not only explains what's happened to that individual, but also in a way that gets them the help that they actually need, because being unable to articulate, for whatever reason, what exactly is going on, I think is one of the big challenges.
Then it comes to the challenges of public service in accessing interpreters to enable that discussion, accessing interpreters that perhaps need to be of a specific gender. So, we often talk, particularly over the years in the 'Uncharted Territory' reports, which I'm sure Naomi will mention in a minute, around the need to have some choice and empowerment within this process for women in particular to be able to say that they would prefer to have a female interpreter or a female interviewer, or however they're engaging with public services, and even if that's available, sometimes it can only be made available if possible. So, there is always every chance to try and subscribe to this, but actually, in reality, are there enough interpreters? Are there enough people who are able to facilitate that conversation in that way? So, I think that, for me, is the second element of this.
And actually, what was really interesting around some of the work that we did when we just started—and when I say 'we', it's in partnership with the Wales Strategic Migration Partnership, public health, the Home Office and the Welsh Government—thinking about what we could do to better facilitate access, in particular to healthcare, and making assumptions around, 'Well, all Syrian people will want to have a Syrian interpreter to speak Arabic,' well, that's not the case. And actually, in some cases it became a real challenge because people were quite frightened about who might be the person that had been brought into that conversation and where their allegiances might be. So, I think the other thing is around perhaps not having enough understanding and cultural depth to our understanding so that we make those assumptions, perhaps, without realising, basically, the consequences of them. So, there's that lack of understanding at that sort of level of depth about people's experience.
And then I think the last thing on barriers and gaps—it's a bit intertwined here, I'm afraid; sorry, I've just realised—but one of the last things I wanted to say on this as well, I think, is that something that's come out particularly in the 'Uncharted Territory' reports, but also in some of the more recent work around whether the experience of sexual violence in particular has taken place in conflict, in another country, actually there are no real justice outcomes that are being sought in this country, in Wales. So, actually getting access to support is quite difficult when it's just the experience you're talking about, which has happened somewhere else, and there's no justice outcome that can be met. So, here is a group of people who are asking for help for something that hasn't happened in the UK, and I think that in itself is quite difficult for lots of services to get their heads around, actually, in terms of, 'Well, it's not here, it hasn't happened here. So, we understand that there might be an impact in terms of your health or in terms of sexual health or something like that, but the proximity of it is different', and I think, for me, that's something that we haven't really engaged with properly in terms of how public services understand the experiences that people have had before they've come to the UK, perhaps on the way to the UK, and then compounded perhaps by being in relationships in the UK that are still where they are being abused or subject to violence. I'll pause there.