Developing Strategies to Improve Patient Engagement Among Young People Accessing Mental Health Services at SCARF, Chennai: An Experience-Based Co-Design Approach

IF 2.3 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2026-06-22 DOI:10.1111/eip.70194

Jagadeesan Settu, Sanjna Shukla, R. Helen Victory, Baskar Priyadharshni, Vijayaraghavan Dhandapani

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引用次数: 0

Abstract

Background

Experience-Based Co-design (EBCD) is a participatory action research technique aimed at enhancing the experiences of both service users and service providers within healthcare services. Hence, the aim was to develop strategies to improve the engagement of youth with mental health services being delivered in Chennai, India.

Method

We adopted a modified EBCD method involving three phases (data collection, designing strategies and implementation) spread across six stages. Starting from stage-1 interviews with service users and providers to identify factors that may lead young service users to disengage from treatment, followed by group interactions undertaken separately with service providers and users to pinpoint key areas for improvement. This also included a co-design process with all stakeholders, where solutions were refined using SMART criteria and rated on a scale of 1–5, with 1 being less prioritised and 5 being highly prioritised. The final stage involved a meeting with institution management to deliberate and decide on the plan for implementation of the generated solutions.

Results

Service users, providers, and stakeholders found key areas such as outpatient department (OPD) timings, continuity in MHP-client associations, awareness about medication and treatment processes, and the facilities, including the physical environment and refreshments provided for service users, were major reasons why patients disengaged from the treatment. In this study, service users, providers, and stakeholders prioritised touch points grouped under three major themes: (1) appointments, (2) facilities and (3) awareness.

Conclusion

Despite some challenges, EBCD was successfully implemented at the Schizophrenia Research Foundation (SCARF) in the Youth Mental Health Department, Chennai, India. EBCD was a promising methodology for service improvement and empowering service users. It identified crucial areas for enhancement and empowered the service users by involving them in the decision-making process, ultimately contributing to improved engagement and satisfaction with mental health services.

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发展策略以提高在钦奈围巾获得精神卫生服务的年轻人的患者参与度：基于经验的共同设计方法。

背景：基于体验的协同设计（EBCD）是一种参与式行动研究技术，旨在提高医疗保健服务中服务用户和服务提供者的体验。因此，其目的是制定战略，提高青年对印度金奈提供的精神卫生服务的参与程度。方法：采用改进的EBCD方法，包括数据收集、策略设计和实施三个阶段，分为六个阶段。从第一阶段开始，与服务使用者和提供者进行面谈，以确定可能导致年轻服务使用者脱离治疗的因素，然后分别与服务提供者和使用者进行小组互动，以查明需要改进的关键领域。这还包括与所有利益相关者的共同设计过程，其中解决方案使用SMART标准进行改进，并在1-5的范围内进行评分，1表示优先级较低，5表示高度优先级。最后阶段涉及与机构管理层开会，审议并决定实施产生的解决方案的计划。结果：服务使用者、提供者和利益相关者发现关键领域，如门诊（OPD）时间安排、mhp客户协会的连续性、对药物和治疗过程的认识，以及为服务使用者提供的设施，包括物理环境和茶点，是患者脱离治疗的主要原因。在这项研究中，服务用户、供应商和利益相关者根据三个主要主题对接触点进行了优先排序：(1)预约、(2)设施和(3)意识。结论：尽管面临一些挑战，EBCD在印度金奈青年精神卫生部门的精神分裂症研究基金会（SCARF）成功实施。EBCD是一种很有前途的改进服务和赋予服务用户权力的方法。它确定了需要加强的关键领域，并使服务使用者参与决策进程，从而增强了他们的权能，最终有助于提高心理健康服务的参与度和满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.