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Co-design and Co-production

— Discussion and Analysis

Ideas of and issues in co-design and co-production including overcoming barriers.

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In the design of mental health services and facilities, co-design requires that people with lived experience are equal partners with clinicians, staff and other experts and involved at every stage in decision making – from problem identification to design, development, delivery and evaluation.

University of Melbourne Medical School 
Co-design Living Labs program for end to end research design to translation in mental health research. 
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Co-Design Living Labs bring people with technological, industry, policy and research skills together with people who have lived-experience of a service, role, or mental health condition. We brainstorm ways to improve research, policy and practice in mental health and co-develop solutions and new approaches for primary care to respond to mental health needs in the community. Working together, a Living Lab offers the potential for private-public-partnerships to co-create new technologies, solutions and co-design research projects and materials.

Tindall, R. M., Ferris, M., Townsend, M., Boschert, G., & Moylan, S. 
A first-hand experience of co-design in mental health service design: Opportunities, challenges, and lessons. 
International Journal of Mental Health Nursing
30, 1693-1702. 
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In an era of mental health service reform, co-design is emerging as a leading framework to guide the design and implementation of new services. Co-design uses the expertise of clinicians, those with lived experiences of services (both consumers and carers) and provocateurs (curious questioners) to understand a ‘problem’ and develop innovative strategies to address it.

Rose, D., & Kalathil, J. 
Power, privilege and knowledge: The untenable promise of co-production in mental “health”. 
Frontiers in Sociology
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This paper examines the concept and practice of coproduction in mental health. By analyzing personal experience as well as the historical antecedents of coproduction, we argue that the site of coproduction is defined by the legacy of the Enlightenment and its notions of “reason” and “the cognitive subject.”

A year of co-production: What have we learned and what is to come?. 
University College London (UCL) Public Engagement Blog
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Publications from 2020 confirm that interest in co-production is gathering pace. But from some perspectives, this approach to research is unwanted, unhelpful, or unrealistic. In this review, Rory takes a critical look at co-production and the new frontiers we can look forward to as it continues to develop.

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“A lived experience recognises the effects of ongoing negative historical impacts and or specific events on the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. It encompasses the cultural, spiritual, physical, emotional and mental wellbeing of the individual, family or community.

“People with lived or living experience of suicide are those who have experienced suicidal thoughts, survived a suicide attempt, cared for someone through a suicidal crisis, been bereaved by suicide or having a loved one who has died by suicide, acknowledging that this experience is significantly different and takes into consideration Aboriginal and Torres Strait Islander peoples ways of understanding social and emotional wellbeing.” - Aboriginal and Torres Strait Islander Lived Experience Centre

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