Provision of a Multidisciplinary Post-Suicidal, Community-Based Aftercare Program: A Longitudinal Study

Kehoe, Michelle; Wright, Angela M.; Lee, Stuart; Rylatt, Daniel; Fitzgibbon, Bernadette M.; Meyer, Denny; Rossell, Susan L.; Henderson, Kathryn

doi:10.1007/s10597-022-01051-4

Cited by 8 publications

(10 citation statements)

References 30 publications

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“…The outcomes from the co‐design process were collated and documented. These outcomes are reported elsewhere 21 …”

Section: Introductionmentioning

confidence: 88%

“…The programme was one of four newly funded pilot programmes in different child and youth mental health services and followed the successful implementation of a similar service for adults. 21 The co-design process sought to include features of the adult model, such as providing intense, psychosocial outreach support, while seeking new perspectives regarding the adaptations required to meet the specific needs of young people.…”

Section: Background Information On the Co-design Process Evaluated In...mentioning

confidence: 99%

“…It was conducted at the height of the COVID‐19 pandemic, in Melbourne, Victoria, Australia. The programme was one of four newly funded pilot programmes in different child and youth mental health services and followed the successful implementation of a similar service for adults 21 …”

Section: Introductionmentioning

confidence: 99%

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A qualitative evaluation of a co‐design process involving young people at risk of suicide

Kehoe,

Whitehead,

de Boer

et al. 2024

Health Expectations

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BackgroundCo‐design is becoming common practice in the development of mental health services, however, little is known about the experience of such practices, particularly when young people are involved.ObjectiveThe aim of this study was to conduct a process evaluation of the co‐design which was undertaken for the development of an intervention for youth and adolescents at risk of suicide. This paper briefly outlines the co‐design process undertaken during a COVID‐19 lockdown and then focuses on a qualitative evaluation of the experience of taking part in a co‐design process.Setting and ParticipantsThe evaluation involved young consumers of a public youth mental health service, their carers/parents and service delivery staff who had taken part in the co‐design process.MethodThis study used follow‐up semistructured interviews with the co‐design participants to explore their experience of the co‐design process. Inductive thematic analysis was used to draw out common themes from the qualitative data.ResultsIt was found that despite the practical efforts of the project team to minimise known issues in co‐design, challenges centred around perceptions regarding power imbalance, the need for extensive consultation and time constraints still arose.DiscussionDespite these challenges, the study found that the co‐design provided a human‐centred, accessible and rewarding process for young people, parents and staff members, leaving them with the feeling that they had made a worthwhile contribution to the design of the new service, as well as contributing to changing practice in service design.ConclusionWith sensitivity and adaptation to usual practice, it is possible to include young people with suicidal ideation, their parents/carers and professional staff in a safe and effective co‐design process.Patient and Public ContributionThe authors would like to thank and acknowledge the young people with a lived experience and their carers who participated in the co‐design process and research evaluation component of this study. We also wish to thank the clinical staff, peer workers and family peer workers who participated in this research.

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“…The outcomes from the co‐design process were collated and documented. These outcomes are reported elsewhere 21 …”

Section: Introductionmentioning

confidence: 88%

Section: Background Information On the Co-design Process Evaluated In...mentioning

confidence: 99%

See 1 more Smart Citation

A qualitative evaluation of a co‐design process involving young people at risk of suicide

Kehoe,

Whitehead,

de Boer

et al. 2024

Health Expectations

Self Cite

View full text Add to dashboard Cite

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“…The model of care was codesigned specifically for young people by a range of stakeholders, following the implementation of a similar adult model of care. 21 Details of the codesign process evaluation are reported elsewhere. 22 However, the outcomes from the codesign workshops are briefly described below.…”

Section: Background For This Studymentioning

confidence: 99%

“…The intervention referenced in this paper is an intense, psychosocial out‐reach model of care, designed for young people aged 12–26 with persistent suicidal ideation or postsuicide attempt. The model of care was codesigned specifically for young people by a range of stakeholders, following the implementation of a similar adult model of care 21 . Details of the codesign process evaluation are reported elsewhere 22 .…”

Section: Introductionmentioning

confidence: 99%

Are codesigned programmes more difficult to implement? A qualitative study of staff perceptions on the implementation of a new youth mental health programme

Kehoe,

Whitehead,

de Boer

et al. 2024

Health Expectations

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BackgroundCodesigned interventions are becoming more common in health services and, in particular, in the design and development of mental health programmes and interventions. However, previous research has established that the transition from codesign to implementation can experience several challenges and that this transition process has received little research attention.ObjectiveThe aim of this study was to explore the experience of staff members charged with the implementation of a codesigned intervention for young people and adolescents at risk of suicide.Setting and ParticipantsFive staff members involved in the implementation of the new codesigned programme took part in semi‐structured interviews.MethodThe study involved qualitative evaluation of staff experiences during the implementation of a new child and youth suicide intervention. Interviews were analysed using reflexive thematic analysis.ResultsThe analysis identified four themes of ‘disconnect’, ‘operational challenges, ‘service user’ and ‘being authentic’. ‘Disconnect’ captures the difficulties of implementing a codesigned programme which leads to ‘operational challenges’ in meeting broader expectations while ensuring the feasibility of the programme. The third theme, ‘service user’, captures the realisation that the young people accessing the new service were different to those involved in the codesign process. The final theme, ‘being authentic’, highlights how staff needed to be responsive and flexible while remaining true to the principles proposed in the codesign.DiscussionThis study yielded some valuable insights into the challenges around the implementation of a codesigned intervention, an under‐researched area. The findings suggest that adaption of the design may be necessary, if it is not informed by implementation constraints, making it necessary for the implementation team to be well‐briefed on the initial design and given plenty of time to make the necessary adjustments in a coproduction process. Limitations for the generalisation of the results include a small sample of staff and particular challenges that may be unique to this study.ConclusionThe present study highlights that for health services undertaking codesign approaches, appropriate time and resources need to be considered for the implementation phase of an initiative, to ensure that there is effective translation from design to implementation and that new codesigned services can be effective within operational constraints.Patient and Public ContributionThe authors would like to thank and acknowledge the young people with a lived‐experience and their carers who participated in the codesign process and research evaluation component of this study. We also wish to thank the clinical staff, peer workers and family peer workers who participated in the evaluation.

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The Impact of Allied Health Brief Therapy Clinic Interventions in Consumers in Suicidal Crisis

He¹,

Mansfield

Meehan³

2023

Community Ment Health J

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Provision of a Multidisciplinary Post-Suicidal, Community-Based Aftercare Program: A Longitudinal Study

Cited by 8 publications

References 30 publications

A qualitative evaluation of a co‐design process involving young people at risk of suicide

A qualitative evaluation of a co‐design process involving young people at risk of suicide

Are codesigned programmes more difficult to implement? A qualitative study of staff perceptions on the implementation of a new youth mental health programme

The Impact of Allied Health Brief Therapy Clinic Interventions in Consumers in Suicidal Crisis

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