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无法在规模上产生可持续的影响，因为它们过度依赖以疾病为重点的个人化模式，并将青年视为被动的受益者。CitiesRISE是一个多方利益攸关方倡议，成立于2017年，旨在解决这些差距，它与五个城市的青年、社区和专业人员以及20多个国家的社会创新者合作，制定了一套以证据为基础、可扩展的青年心理健康干预和实施模式。该项目旨在提供强有力的证据，证明在使用青年知情和主动的方法实施时，针对心理健康和更广泛的非传染性疾病风险降低结果的内部、社会和环境层面的多成分干预措施的可行性、适应性、有效性和成本效益。这将通过一种混合方法的方法来实现，在四个地点(印度金奈、肯尼亚内罗毕、南非开普敦、瑞典斯德哥尔摩)进行一次务实的评估，以研究切实有力的实施和可持续发展模式(PRISM)之后的主要实施成果，以及干预措施为什么有效、对谁有效以及在什么现实条件下有效的机制。在金奈，伊佩将进行一项随机对照试验，以更有力地评估在实现关键心理健康和其他与非传染性疾病相关的生活方式行为结果方面的有效性和成本效益。Ipee侧重于以学校为基础的多元干预措施，旨在对青少年心理健康的内部、社会和环境层面进行积极破坏，并结合青年知情和激活的实施模式，将年轻人置于变革的中心，与一系列其他利益攸关方合作。

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.