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运用干预映射法与患有精神疾病的青少年共同设计一项心理社会服务。

Using Intervention Mapping to co-design a psychosocial service with youth experiencing mental illness.

作者信息

Savaglio Melissa, Yap Marie B H, Mitchell Grace, O'Connor Mandy, Vincent Ash, Skouteris Helen

机构信息

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Eval Program Plann. 2025 Feb;108:102513. doi: 10.1016/j.evalprogplan.2024.102513. Epub 2024 Oct 18.

Abstract

BACKGROUND

Descriptions of service development processes in the youth mental health sector are lacking. Further, youth with lived experience of mental illness are rarely involved in service design. Intervention Mapping (IM) is a well-established framework for program development, implementation and evaluation, yet its applicability in the youth mental health sector is unknown. This paper describes the use of IM methodology to co-design and develop a psychosocial service to support youth aged 10-25 years experiencing mental illness in Tasmania, Australia.

METHODS

The six steps of IM were followed: 1) needs assessment; 2) define program outcomes and objectives; 3) program design; 4) program production; 5) implementation planning; and 6) evaluation planning.

RESULTS

Key outputs of each IM step are described. The service was successfully co-designed with young people at the centre of each step. The service includes wrap-around psychosocial support from lived-experience peer-support workers; outreach; and flexible frequency/intensity/duration to achieve young people's psychosocial goals.

CONCLUSIONS

This is the first study to document the use of IM in co-designing a psychosocial service with youth experiencing mental illness. IM may provide a valuable roadmap for the youth mental health sector in supporting collaborative service design, implementation and evaluation planning, and systematic documentation of service development.

摘要

背景

青少年心理健康领域缺乏对服务发展过程的描述。此外,有精神疾病亲身经历的青少年很少参与服务设计。干预映射(IM)是一个成熟的项目开发、实施和评估框架,但其在青少年心理健康领域的适用性尚不清楚。本文描述了使用IM方法共同设计和开发一项心理社会服务,以支持澳大利亚塔斯马尼亚州10至25岁患有精神疾病的青少年。

方法

遵循IM的六个步骤:1)需求评估;2)确定项目成果和目标;3)项目设计;4)项目制作;5)实施规划;6)评估规划。

结果

描述了IM每个步骤的关键产出。该服务在每个步骤都以年轻人为中心成功地进行了共同设计。该服务包括来自有亲身经历的同伴支持工作者的全方位心理社会支持;外展服务;以及灵活的频率/强度/时长,以实现年轻人的心理社会目标。

结论

这是第一项记录IM在与患有精神疾病的青少年共同设计心理社会服务中应用的研究。IM可能为青少年心理健康领域提供一个有价值的路线图,以支持协作性服务设计、实施和评估规划,以及服务发展的系统记录。

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