Jones Verity Rose, Waring Justin, Wright Nicola, Fenton Sarah-Jane
University of Birmingham Birmingham UK.
University of Nottingham Birmingham UK.
JCPP Adv. 2024 Aug 21;4(4):e12272. doi: 10.1002/jcv2.12272. eCollection 2024 Dec.
An overview of internationally published literature on what works for co-production in youth mental health services is missing, despite a practice and policy context strongly recommending this approach. This rapid realist review develops a theory about how and why co-production methods in youth mental health services work, for whom and in which circumstances.
Relevant evidence was synthesised to develop Context-Mechanism-Outcome configurations (CMOs) that can inform policy and practice. Stakeholders were iteratively involved by engaging an expert panel including young people and a separate youth advisory group. Searches across eight databases and expert panel suggestions identified 5716 documents which were screened at abstract level, 532 at full-text and 57 documents were included in the review.
Data extracted from 57 papers contributed to five CMO configurations to describe the generative mechanisms by which co-production in youth mental health services are linked to outcomes and influenced by context. The final programme theory is: Youth experts by experience (YEBE), particularly those from minoritised communities, provided with a supportive organisational culture can experience authentic engagement where their knowledge is perceived as credible by wider stakeholders. This leads to personal development for participating YEBE as well as service improvements from their input.
Rich data from a heterogenous sample of papers along with stakeholder consultation enabled this review to refine a clear programme theory for co-production in mental health services for young people. Nevertheless, further information is needed to identify what constitutes a supportive organisational culture and to explore rival theories or under-evidenced areas.
尽管实践和政策背景强烈推荐这种方法，但目前缺少对国际上已发表的关于青年心理健康服务中共同生产有效方法的文献综述。本快速实证综述提出了一种理论，阐述青年心理健康服务中的共同生产方法如何、为何起作用，对谁起作用以及在何种情况下起作用。
综合相关证据以构建情境 - 机制 - 结果配置（CMO），为政策和实践提供参考。通过组建包括年轻人在内的专家小组和一个单独的青年咨询小组，让利益相关者反复参与进来。在八个数据库中进行检索，并参考专家小组的建议，共识别出5716篇文献，经摘要筛选后有532篇进入全文筛选，最终57篇文献纳入综述。
从57篇论文中提取的数据形成了五个CMO配置，以描述青年心理健康服务中共同生产与结果相联系并受情境影响的生成机制。最终的项目理论是：有生活经验的青年专家（YEBE），特别是来自少数族裔社区的青年专家，在支持性的组织文化中能够获得真实的参与感，其知识能被更广泛的利益相关者视为可信。这会为参与的YEBE带来个人发展，并因他们的投入使服务得到改善。
来自不同论文样本的丰富数据以及利益相关者的咨询，使本综述能够完善针对青年心理健康服务共同生产的清晰项目理论。然而，仍需要进一步信息来确定什么构成支持性的组织文化，并探索对立理论或证据不足的领域。
