Hobbs Tim, Santana De Lima Ediane, Bevington Dickon, Preece Cristina, Allen Kate, Barna Pia, Berry Vashti, Booker Thomas, Davies Karuna, Davis George, Deighton Jessica, Freeman Leanne, Fuggle Peter, Goddard Ellen, Greene Barker Tamsin, Harris Julie, Heather Amy, Jardiel Mary-France, Joshi Krishna, Keenan Megan, Kennedy Laura, Malhotra Tamanna, March Anna, Pilling Steve, Pitt Martin, Potter Katie, Rehill Nirandeep, Shand Jenny, Surtees Rachel, Fonagy Peter
Dartington Service Design Lab, Buckfastleigh, England, TQ11 0EE, UK.
Anna Freud Centre, London, England, N1 9JH, UK.
Wellcome Open Res. 2023 Nov 13;8:524. doi: 10.12688/wellcomeopenres.20095.1. eCollection 2023.
The mental health and wellbeing of children and young people is deteriorating. It is increasingly recognised that mental health is a systemic issue, with a wide range of contributing and interacting factors. However, the vast majority of attention and resources are focused on the identification and treatment of mental health disorders, with relatively scant attention on the social determinants of mental health and wellbeing and investment in preventative approaches. Furthermore, there is little attention on how the social determinants manifest or may be influenced at the local level, impeding the design of contextually nuanced preventative approaches. This paper describes a major research and design initiative called Kailo that aims to support the design and implementation of local and contextually nuanced preventative strategies to improve children's and young people's mental health and wellbeing. The Kailo Framework involves structured engagement with a wide range of local partners and stakeholders - including young people, community partners, practitioners and local system leaders - to better understand local systemic influences and support programmes of youth-centred and evidence-informed co-design, prototyping and testing. It is hypothesised that integrating different sources of knowledge, experience, insight and evidence will result in better embedded, more sustainable and more impactful strategies that address the social determinants of young people's mental health and wellbeing at the local level.
儿童和青少年的心理健康与幸福状况正在恶化。人们越来越认识到，心理健康是一个系统性问题，存在多种促成因素且相互作用。然而，绝大多数的关注和资源都集中在心理健康障碍的识别和治疗上，而对心理健康与幸福的社会决定因素以及预防性方法的投入相对较少。此外，对于社会决定因素在地方层面如何表现或可能受到何种影响几乎没有关注，这阻碍了因地制宜的预防性方法的设计。本文介绍了一项名为“凯洛”的重大研究与设计倡议，该倡议旨在支持设计和实施因地制宜的预防性策略，以改善儿童和青少年的心理健康与幸福状况。“凯洛框架”涉及与众多地方合作伙伴和利益相关者（包括年轻人、社区伙伴、从业者和地方系统领导者）进行结构化互动，以更好地理解地方系统性影响，并支持以青年为中心且基于证据的共同设计、原型制作和测试项目。据推测，整合不同来源的知识、经验、见解和证据将产生更具嵌入性、更可持续且更有影响力的策略，从而在地方层面解决年轻人心理健康与幸福的社会决定因素问题。
