Utilising co-design to develop a lived experience informed personal safety tool within a mental health community rehabilitation setting

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2024-08-12 DOI:10.1111/1440-1630.12988

Anna Francis, Amily Le, Karen Adams-Leask, Nicholas Procter

{"title":"Utilising co-design to develop a lived experience informed personal safety tool within a mental health community rehabilitation setting","authors":"Anna Francis, Amily Le, Karen Adams-Leask, Nicholas Procter","doi":"10.1111/1440-1630.12988","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Mental health personal safety tools aim to promote a recovery focus and empower an individualised approach to consumer care. These clinical tools are predominantly utilised in acute mental health settings with a person during or straight after a crisis. There is currently a gap in the literature regarding the preparation of personal safety tools in non-acute mental health settings. This descriptive article discusses the learnings and outcomes from a co-designed project that aimed to develop a personal safety tool suitable for a community mental health rehabilitation setting.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Seven people with lived experience engaging within a mental health community-based rehabilitation service were recruited through convenience sampling to participate in the co-design project. A focus group approach was utilised during four group meetings to develop a personal safety tool template. Experiences and ideas about safety planning were transcribed during meetings and thematic analysis extracted key themes. Five steps underpinned the co-design process that included identifying the need, establishing the co-design group, planning, design and development, and review and closure.</p>\n </section>\n \n <section>\n \n <h3> Consumer and community involvement</h3>\n \n <p>Consumer involvement commenced at step two of the co-design process. The completed personal safety tool was designed with consumer input and review.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>The personal safety tool consisted of nine intervention components. Four key themes emerged from focus group meetings that informed the content of the tool: (i) ensuring the personal safety tool is individualised and meaningful, (ii) promoting exploration of personal strengths and interests, (iii) enabling opportunities to learn self-management skills, and (iv) treating the personal safety tool as a dynamic and adaptable tool.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Findings suggest that a personal safety tool targeted to a mental health community-based rehabilitation setting should have an individualised and preventative focus to mental health care. Embedding co-design principles can support opportunities for meaningful consumer engagement and establishing consumer and clinician partnerships.</p>\n </section>\n </div>","PeriodicalId":55418,"journal":{"name":"Australian Occupational Therapy Journal","volume":"71 6","pages":"1076-1088"},"PeriodicalIF":1.6000,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1440-1630.12988","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian Occupational Therapy Journal","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1440-1630.12988","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Mental health personal safety tools aim to promote a recovery focus and empower an individualised approach to consumer care. These clinical tools are predominantly utilised in acute mental health settings with a person during or straight after a crisis. There is currently a gap in the literature regarding the preparation of personal safety tools in non-acute mental health settings. This descriptive article discusses the learnings and outcomes from a co-designed project that aimed to develop a personal safety tool suitable for a community mental health rehabilitation setting.

Methods

Seven people with lived experience engaging within a mental health community-based rehabilitation service were recruited through convenience sampling to participate in the co-design project. A focus group approach was utilised during four group meetings to develop a personal safety tool template. Experiences and ideas about safety planning were transcribed during meetings and thematic analysis extracted key themes. Five steps underpinned the co-design process that included identifying the need, establishing the co-design group, planning, design and development, and review and closure.

Consumer and community involvement

Consumer involvement commenced at step two of the co-design process. The completed personal safety tool was designed with consumer input and review.

Findings

The personal safety tool consisted of nine intervention components. Four key themes emerged from focus group meetings that informed the content of the tool: (i) ensuring the personal safety tool is individualised and meaningful, (ii) promoting exploration of personal strengths and interests, (iii) enabling opportunities to learn self-management skills, and (iv) treating the personal safety tool as a dynamic and adaptable tool.

Conclusion

Findings suggest that a personal safety tool targeted to a mental health community-based rehabilitation setting should have an individualised and preventative focus to mental health care. Embedding co-design principles can support opportunities for meaningful consumer engagement and establishing consumer and clinician partnerships.

Abstract Image

查看原文本刊更多论文

利用共同设计，在精神健康社区康复环境中开发一种基于生活经验的个人安全工具。

导言：心理健康个人安全工具旨在促进以康复为中心，并赋予消费者个性化的护理方法。这些临床工具主要用于急症心理健康环境中的危机期间或危机后的直接护理。目前，关于在非急性期心理健康环境中准备个人安全工具的文献还是空白。这篇描述性文章讨论了从一个共同设计的项目中获得的经验和成果，该项目旨在开发一种适用于社区心理健康康复环境的个人安全工具：方法：通过方便抽样的方式，招募了七名在精神健康社区康复服务机构中有生活经验的人参与共同设计项目。在四次小组会议期间，采用焦点小组的方法来开发个人安全工具模板。会议期间对有关安全规划的经验和想法进行了记录，并通过主题分析提取了关键主题。共同设计过程分为五个步骤，包括确定需求、建立共同设计小组、规划、设计和开发以及审查和结束：消费者和社区参与：消费者参与始于共同设计过程的第二步。消费者和社区的参与：消费者的参与始于共同设计过程的第二步，在设计完成的个人安全工具时考虑了消费者的意见和审查：结果：个人安全工具由九个干预部分组成。焦点小组会议提出了四个关键主题，为该工具的内容提供了参考：(i) 确保个人安全工具是个性化的、有意义的；(ii) 促进对个人优势和兴趣的探索；(iii) 提供学习自我管理技能的机会；(iv) 将个人安全工具视为动态的、可调整的工具：结论：研究结果表明，针对精神健康社区康复环境的个人安全工具应注重精神健康护理的个性化和预防性。将共同设计原则融入其中，可以为消费者提供有意义的参与机会，并建立消费者与临床医生之间的合作关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.