Youth co-Production for sustainable Engagement and Empowerment in health

大多数传统的青年心理健康干预措施未能取得可持续的大规模影响，因为它们过度依赖个性化的，以医疗疾病为重点的模式，并将青年视为被动的受益者。citiesRISE是一个多利益相关者的倡议，成立于2017年，旨在解决这些差距，与五个城市的青年，社区和专业人士以及二十多个国家的社会创新者合作，制定了一套基于证据的，可扩展的青年心理健康干预措施和实施模式。YiPEE项目旨在提供强有力的证据，证明多成分干预的可行性、适应性、有效性和成本效益，这些干预针对内在、社会和环境层面，这些层面是心理健康和更广泛的非传染性疾病风险降低成果的基础，当使用青年知情和激活的方法实施时。这将通过一种混合方法来实现，在四个地点（印度钦奈;肯尼亚内罗毕;南非开普敦;瑞典斯德哥尔摩）进行现实主义的评价，以研究按照实用的稳健实施和可持续性模式（PRISM）的关键实施成果，以及干预措施为什么有效、为谁服务以及在什么样的现实条件下有效的机制。在钦奈，YiPEE将进行一项随机对照试验，以更有力地评估实现关键心理健康和其他非传染性疾病相关生活方式行为结果的有效性和成本效益。YiPEE专注于结合以学校为基础的多成分干预，针对青少年心理健康的内在，社会和环境方面的积极破坏，以及将年轻人置于转型中心的青年知情和激活的实施模式，与一系列其他利益相关者合作。

Most traditional youth mental health interventions fail to achieve sustainable impact at scale because they overly rely on individualized, medical illness-focused models and treat youth as passive beneficiaries. citiesRISE, a multi-stakeholder initiative founded in 2017 to address these gaps, has worked with youth, communities, and professionals across five cities, as well as social innovators in over twenty countries, to develop a set of evidence-based, scalable youth mental health interventions and implementation models. The YiPEE project aims to provide robust evidence on the feasibility, adaptability, effectiveness, and cost-effectiveness of a multi-component intervention targeting the inner, social, and environmental dimensions that underpin mental health and broader NCD risk reduction outcomes, when implemented using a youth-informed and -activated approach. This will be achieved through a a mixed-methods approach, conducting a realist evaluation across the four sites (Chennai, India; Nairobi, Kenya; Cape Town, South Africa; Stockholm, Sweden) to study key implementation outcomes following the Practical Robust Implementation and Sustainability Model (PRISM) as well as the mechanisms underlying why the intervention works, for whom, and under what real-world conditions. In Chennai, YiPEE will conduct a randomized controlled trial for more robust evaluation of effectiveness and cost-effectiveness in achieving key mental health and other NCD related lifestyle behavioral outcomes. YiPEE focuses on the combination of a school-based multicomponent intervention targeting positive disruption in the inner, social, and environmental dimensions of adolescents’ mental health and a youth-informed and -activated implementation model that puts young people at the centre of transformation, working collaboratively with a range of other stakeholders.