Democratic Co-Production

Verschuere, Bram; Vanleene, Daphne; Steen, Trui; Brandsen, Taco

doi:10.4324/9781315204956-38

Cited by 31 publications

(21 citation statements)

References 1 publication

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“…This can clash with the underlying principles of co-production and co-design, which demand democratic, innovative and creative techniques. 58 59 The concept of co-production in mental health was not commonplace even 5 years ago. 60 Traditionally, professional knowledge had a higher status than service users’ lived experiential knowledge.…”

Section: Discussionmentioning

confidence: 99%

Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study

et al. 2021

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ObjectivesOur objectives were threefold: (1) describe a collaborative, theoretically driven approach to co-designing complex interventions; (2) demonstrate the implementation of this approach to share learning with others; and (3) develop a toolkit to enhance therapeutic engagement on acute mental health wards.Design and participantsWe describe a theory-driven approach to co-designing an intervention by adapting and integrating Experience-based Co-design (EBCD) with the Behaviour Change Wheel (BCW). Our case study was informed by the results of a systematic integrative review and guided by this integrated approach. We undertook 80 hours of non-participant observations, and semistructured interviews with 14 service users (7 of which were filmed), 2 carers and 12 clinicians from the same acute ward. The facilitated intervention co-design process involved two feedback workshops, one joint co-design workshop and seven small co-design team meetings. Data analysis comprised the identification of touchpoints and use of the BCW and behaviour change technique taxonomy to inform intervention development.SettingThis study was conducted over 12 months at an acute mental health organisation in England.ResultsThe co-designed Let’s Talk toolkit addressed four joint service user/clinician priorities for change: (1) improve communication with withdrawn people; (2) nurses to help service users help themselves; (3) nurses to feel confident when engaging with service users; (4) improving team relations and ward culture. Intervention functions included training, education, enablement, coercion and persuasion; 14 behaviour change techniques supported these functions. We detail how we implemented our integrated co-design-behaviour change approach with service users, carers and clinicians to develop a toolkit to improve nurse–patient therapeutic engagement.ConclusionsOur theory-driven approach enhanced both EBCD and the BCW. It introduces a robust theoretical approach to guide intervention development within the co-design process and sets out how to meaningfully involve service users and other stakeholders when designing and implementing complex interventions.

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Section: Discussionmentioning

confidence: 99%

Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study

et al. 2021

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“…In any case, this is also, at least in theory, a solvable challenge. However, we need more research on procedures and actions that can strengthen and build resources for co-creation among less advantaged citizens, which so far har largely been neglected in the literature (Reitan, 2019; Steen & Tuurnas, 2018; Verschuere et al, 2018). This is also pointing at a more practical concern.…”

Section: Discussionmentioning

confidence: 99%

“…To what extent they also improve participation and democracy and increase legitimacy is a more open question that needs to be discussed and explored through empirical analysis. So far, only a limited number of such studies exist (Hertting & Kugelberg, 2018; Verschuere et al, 2018; Warren, 2009).…”

Section: Introductionmentioning

confidence: 99%

Co-creating Democratic Legitimacy: Potentials and Pitfalls

Roiseland

2021

Administration & Society

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The aim of the article is to discuss how and to what extent co-creation has the capacity to strengthen democratic legitimacy. By distinguishing between output-based and input-based co-creation, and by discussing types of legitimacy in relation to deliberative, participatory, and representative conceptions of democracy, the article points to potentials and pitfalls inherent in the idea of co-creation. Four examples from Denmark and Norway are used to illustrate the argument. In conclusion, the article points to main challenges associated with co-creation which deserves more research—particularly inequality of individual resources and the clash with the party-political system.

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“…While there is much literature on users and citizens in co-production, initiatives tend to favour “qualified citizens”, considered more likely to generate successful outcomes (Fledderus, 2018:260). Those viewed as qualified tend to be middle-class and educated, excluding those from low socio-economic backgrounds who are often the target of such efforts (Vanleene et al, 2018; Verschuere et al, 2018). There is a dearth of literature on co-production with marginalised groups in general (Brandsen, 2021; Loeffler and Bovaird, 2021), with some emergent literature on the potential for co-production with marginalised young people (e.g.…”

Section: Setting the Contextmentioning

confidence: 99%

“…For example, gaps in knowledge include the role of public professionals (Fledderus, 2018;Steen and Tuurnas, 2018;Van Eijk and Steen, 2014;Vennik et al, 2016), the role of leadership (Schlappa and Imani, 2018), the dynamics of power relationships in co-production in contemporary public governance contexts (e.g. Strokosch and Osborne, 2021;Turnhout et al, 2020), and the involvement of marginalised social groups (Brandsen, 2021;Loeffler and Bovaird, 2021;Vanleene et al, 2018;Verschuere et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Not the usual suspects: creating the conditions for and implementing co-production with marginalised young people in Glasgow

Cullingworth

Brunner

Watson

2022

Public Policy and Administration

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Co-production is now an established part of public service delivery. Despite its popularity, there is only a limited understanding about how co-production works in practice, particularly with marginalised groups. This paper identifies and explores insights from three case studies of a successful co-productive approach in Glasgow, Scotland. Operation Modulus is a criminal justice initiative involving public and third sector partners in the co-production of services with marginalised young people to reduce their involvement in crime and antisocial behaviour. The data highlighted the importance of leadership, the role of public service professionals and the process of working with marginalised young people; these are explored, all within the context of the authorising environment created at the level of a collaborative governance body. The findings underscore, first, the importance of distributed leadership and process in developing trust amongst partners and in turn in the relationships of partners with young people. Second, the essential role of effective co-management amongst service providers in creating the requisite conditions for meaningful co-production with marginalised citizens. Third, the potential for and importance of shared management to facilitate changes in professional relationships and ways of working, even if these do not lead to organisational systems change. Fourth, the significance of public service professionals having the authority and agency to explore collaborative ways of working.

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Democratic Co-Production

Cited by 31 publications

References 1 publication

Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study

Developing a theory-informed complex intervention to improve nurse–patient therapeutic engagement employing Experience-based Co-design and the Behaviour Change Wheel: an acute mental health ward case study

Co-creating Democratic Legitimacy: Potentials and Pitfalls

Not the usual suspects: creating the conditions for and implementing co-production with marginalised young people in Glasgow

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