Rohner Shauna L, Stadtmann Manuel P, Gattinger Heidrun, Paulus Stefan, Indermaur Esther, Renz Andrea, Wälle Melina, Brunner Emanuel, Vosseler Birgit, Beer Thomas
Competence Centre for Mental Health, School of Health Sciences, OST - Eastern Switzerland University of Applied Sciences, St. Gallen, 9001, Switzerland.
IGW Institute of of Health Sciences, School of Health Sciences, OST - Eastern Switzerland University of Applied Sciences, St. Gallen, 9001, Switzerland.
BMC Psychiatry. 2025 Mar 18;25(1):254. doi: 10.1186/s12888-025-06703-9.
Mental health conditions represent a significant global public health issue, affecting millions of people worldwide. To meet the increasing demands on mental health services in Switzerland, the development of a competence centre for mental health can provide the necessary structures and resources for a comprehensive and innovative approach to mental health care. This paper outlines the participatory process used in the development and implementation of a competence centre for mental health in Eastern Switzerland for the promotion of positive mental health.
The process was conducted using a participatory design and a co-creation approach. This involved the collaborative engagement of all relevant mental health stakeholders, working together as equals throughout all stages of the process. A key stakeholder group was established with N = 10 individuals, including persons with lived experience, (mental) health care professionals, researchers, educators, and decision-makers at institutional and regional levels. Between March 2020 and June 2021, four conceptualisation meetings were conducted using participatory methods and tools to facilitate collaborative, reflexive, and innovative engagement.
The participatory process resulted in a framework for a competence centre for mental health, informed by the needs and experiences of key mental health stakeholders. Three main areas were identified in which the competence centre could effect change for the promotion of positive mental health and the improvement of mental health services in Eastern Switzerland: (1) Academic teaching of future health professionals; (2) further education for current health professionals; and (3) a research agenda that provides a scientific contribution to the improved mental health care of the population.
The co-creation process resulted in an inclusive, practice-oriented framework for a competence centre for mental health at the intersection of research, education, and practice. By continuing to adopt a participatory approach, the competence centre can provide evidence-based training for health professionals, foster innovative and needs-based models of care, advocate for policy change, and promote best practices for the promotion and recovery of mental health. The successful development and implementation of the competence centre using a co-creation process provides encouraging support for the use of participatory approaches in the field of mental health.
心理健康问题是一个重大的全球公共卫生问题,影响着全球数百万人。为了满足瑞士对心理健康服务日益增长的需求,建立一个心理健康能力中心可以为全面和创新的心理健康护理方法提供必要的架构和资源。本文概述了瑞士东部一个促进积极心理健康的心理健康能力中心在开发和实施过程中所采用的参与式方法。
该过程采用参与式设计和共同创造方法进行。这涉及到所有相关心理健康利益相关者的协作参与,在过程的各个阶段平等合作。成立了一个由10人组成的关键利益相关者小组,包括有实际生活经验的人、(精神)卫生保健专业人员、研究人员、教育工作者以及机构和地区层面的决策者。在2020年3月至2021年6月期间,使用参与式方法和工具召开了四次概念化会议,以促进协作、反思和创新参与。
参与式过程产生了一个心理健康能力中心的框架,该框架以关键心理健康利益相关者的需求和经验为依据。确定了能力中心可以在三个主要领域产生变革,以促进瑞士东部的积极心理健康并改善心理健康服务:(1)对未来卫生专业人员的学术教学;(2)对当前卫生专业人员的继续教育;(3)一个研究议程,为改善人群心理健康护理提供科学贡献。
共同创造过程产生了一个包容性的、以实践为导向的心理健康能力中心框架,该框架处于研究、教育和实践的交叉点。通过继续采用参与式方法,能力中心可以为卫生专业人员提供循证培训,培养创新和基于需求的护理模式,倡导政策变革,并推广促进心理健康和康复的最佳实践。通过共同创造过程成功开发和实施能力中心,为在心理健康领域使用参与式方法提供了令人鼓舞的支持。