Co-designing Services for Youth With Mental Health Issues: Novel Elicitation Approaches
Co-designing Services for Youth With Mental Health Issues: Novel Elicitation Approaches
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DOI：
10.1177/1609406918816244
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发表时间：
2019-02-21
影响因子：
5.4
通讯作者：
Sassi, Roberto B.
中科院分区：
文献类型：
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作者：
Mulvale, Gillian;Moll, Sandra;Sassi, Roberto B.
基于经验的协同设计（EBCD）是一种基于参与式行动研究、叙事和学习理论以及设计思维原则的创新的、以证据为基础的健康和社会系统变革方法。独特的启发策略，如经验映射，触发视频和原型开发中使用EBCD参与服务用户和服务提供商在识别接触点和系统级问题的解决方案的协作过程。在这篇文章中，我们提出了调查结果，从采访一个有目的的样本18名参与者（4青年，6服务提供者，6家庭成员，2雇主）在三个共同设计的项目，旨在解决心理健康或就业服务的青年（16-24岁）在一个城市中心的心理健康问题。通过采访参与者，探讨了有关三个启发技术的看法：创建经验地图，创建和查看触发视频，共同设计视觉“原型”的解决方案。对与会者评论的分析表明，这些技术可以成为促进相互理解和协作想法的有力工具，但它们需要一个社会、空间和时间背景，以优化其价值。我们需要一个“安全空间”，在这个空间里，建立信任、寻找声音、分享观点和创造共同愿景等启发的基本要素都可以发生。确定了三个核心的、重叠的协同设计启发过程：“建立共同的观点”、“建立相互理解”和“建立创新”。“我们提出了一个概念框架，描述了过程和启发技术的相互作用，在EBCD过程中建立相互理解和创新至关重要。
Experience-based co-design (EBCD) is an innovative, evidence-based approach to health and social system change based on principles of participatory action research, narrative and learning theory, and design thinking. Unique elicitation strategies such as experience mapping, trigger videos, and prototype development are used in EBCD to engage service users and service providers in a collaborative process of identifying touchpoints and solutions to system-level problems. In this article, we present findings from interviewing a purposeful sample of 18 participants (4 youth, 6 service providers, 6 family members, and 2 employers) across three co-design projects designed to address either mental health or employment services for youth (aged 16-24) with mental health issues in one urban center. Through interviewing participants, perceptions were explored relating to three elicitation techniques: creating experience maps, creating and viewing trigger videos, and co-designing visual "prototype" solutions. Analysis of participants' comments indicated that these techniques can be powerful tools to foster mutual understanding and collaborative ideas, but they require a social, spatial, and temporal context that optimizes their value. A "safe space" is needed within which the essential elements of elicitation-building trust, finding voice, sharing perspectives, and creating a common vision-can occur. Three core, overlapping processes of co-design elicitation were identified: "building common perspectives," "building mutual understanding," and "building innovation." We present a conceptual framework depicting the interplay of processes and elicitation techniques, essential to building mutual understanding and innovation during the EBCD process.