Santana de Lima Ediane, Preece Cristina, Potter Katie, Goddard Ellen, Edbrooke-Childs Julian, Hobbs Tim, Fonagy Peter
Dartington Service Design Lab, Buckfastleigh, UK.
Dartington Service Design Lab, Bristol, UK.
Res Involv Engagem. 2023 Nov 23;9(1):104. doi: 10.1186/s40900-023-00510-w.
Identifying locally relevant and agreed-upon priorities for improving young people's mental health, aligned with social and environmental factors, is essential for benefiting target communities. This paper describes a participatory approach to engage young people and professionals in identifying such priorities, whilst considering the social determinants related to them.
We utilised a community-based participatory approach to support young people and professionals in identifying, reviewing, refining, and prioritising, locally relevant opportunity areas that are crucial for understanding and addressing social determinants of young people's mental health. We adopted a flexible five-stage process, which enabled greater reflection and adaptation in response to young people's and professionals' feedback and reflections.
Over seven months, we engaged with young people and professionals in Northern Devon, (a rural area in southwest England), involving over 290 individuals to identify locally relevant priorities for supporting young people's mental health. Three priorities were identified for subsequent exploration using co-design approaches: (1) identity and belonging; (2) mental health awareness and literacy; and (3) diverse opportunities (for education, employment and leisure). The engagements suggested that designing initiatives and strategies in these areas could contribute to improvements in young people's mental health.
Young people in Northern Devon prioritised three themes for the next phase of the Kailo Programme-mental health literacy, access to diverse careers and employment opportunities, and identity and belonging within their communities. Rural communities face unique barriers associated with these issues, related to less diverse populations, lack of access to reliable and affordable transport and local industries, and seasonal working. The perceived neglect by authorities towards rural young people has resulted in a lack of activities and opportunities catering to their specific needs, compared to urban areas. Although the government has recognised the need to address these disparities, community members suggest that there is still more work to be done.
确定与当地相关且达成共识的改善年轻人心理健康的优先事项，并使其与社会和环境因素保持一致，对于使目标社区受益至关重要。本文描述了一种参与式方法，让年轻人和专业人员参与确定此类优先事项，同时考虑与之相关的社会决定因素。
我们采用基于社区的参与式方法，支持年轻人和专业人员确定、审查、完善和确定对理解和解决年轻人心理健康的社会决定因素至关重要的当地相关机会领域。我们采用了一个灵活的五阶段过程，该过程能够根据年轻人和专业人员的反馈和思考进行更多的反思和调整。
在七个多月的时间里，我们与英格兰西南部农村地区北德文郡的年轻人和专业人员进行了接触，涉及290多人，以确定支持年轻人心理健康的当地相关优先事项。确定了三个优先事项，以便随后使用共同设计方法进行探索：（1）身份认同和归属感；（2）心理健康意识和知识；（3）多样化的机会（教育、就业和休闲）。这些活动表明，在这些领域设计倡议和战略有助于改善年轻人的心理健康。
北德文郡的年轻人将凯洛计划下一阶段的三个主题列为优先事项——心理健康知识、获得多样化的职业和就业机会，以及在社区中的身份认同和归属感。农村社区在这些问题上面临着独特的障碍，这些障碍与人口多样性较少、缺乏可靠且负担得起的交通和当地产业以及季节性工作有关。与城市地区相比，当局对农村年轻人的忽视导致缺乏满足他们特殊需求的活动和机会。尽管政府已经认识到需要解决这些差距，但社区成员表示仍有更多工作要做。
