Mental Health Engagement & Recovery, St. Loman's Hospital, D20 HK69 Dublin, Ireland.
Adult Continuing Education, The Laurels, University College Cork, College Road, T12 YN60 Cork, Ireland.
Int J Environ Res Public Health. 2021 Nov 12;18(22):11897. doi: 10.3390/ijerph182211897.
Mental health services are currently experiencing much systemic and organisational change. Many countries have adopted a recovery approach to service provision through the development of national policies and frameworks. Within an Irish context, co-production has been identified as one of the four pillars required for services to become recovery orientated. However, there is a paucity of literature relating to the concept within child and adolescent mental health services. This paper aims to synthesise the peer-reviewed evidence on co-production within such services. A PRISMA compliant systematic review was undertaken. This includes how the reviewer retrieved, shortlisted, and selected studies for inclusion in the review. It outlines the inclusion/exclusion criteria and how these were further developed through the PICO framework. Finally, the methods also outline how the reviewer assessed bias and quality, as well as the process of data synthesis. Two studies were included in this review, both focusing on co-production, but in different contexts within child and adolescent mental health. Two themes were identified: '' and ''. These themes and the associated sub-themes describe how co-production works in these services. These results highlight the paucity of quality literature in co-production within child and adolescent mental health. Both studies scored poorly in terms of quality. Resulting from this review, a number of actions relating to the therapeutic environment need to be taken into account for co-production to be further implemented. The reviewer has not received any funding for this paper. A protocol was not created or registered for this review.
心理健康服务目前正在经历许多系统和组织上的变革。许多国家通过制定国家政策和框架，采用了恢复服务提供的方法。在爱尔兰的背景下，共同生产被确定为服务实现恢复导向所必需的四个支柱之一。然而，关于儿童和青少年心理健康服务中共同生产的概念，文献却很少。本文旨在综合综述该服务中共同生产的同行评议证据。进行了一项符合 PRISMA 的系统评价。这包括评论员如何检索、筛选和选择纳入审查的研究。它概述了纳入/排除标准，以及如何通过 PICO 框架进一步制定这些标准。最后，方法还概述了评论员如何评估偏倚和质量，以及数据综合的过程。本综述纳入了两项研究，都集中在共同生产方面，但在儿童和青少年心理健康服务的不同背景下。确定了两个主题：“”和“”。这些主题和相关的子主题描述了共同生产在这些服务中的运作方式。这些结果突显了儿童和青少年心理健康领域共同生产高质量文献的匮乏。这两项研究在质量方面得分都很低。基于本次综述，需要采取一些与治疗环境有关的行动，以进一步实施共同生产。评论员没有为本论文获得任何资金。该综述没有为该审查创建或注册协议。
