Co-producing formulation within a secure setting: a co-authorship with a service user and the clinical team
| Pages | 230-239 |
| Published date | 14 August 2017 |
| Date | 14 August 2017 |
| DOI | https://doi.org/10.1108/MHSI-03-2017-0013 |
| Author | Ruth Lewis-Morton,Sarah Harding,April Lloyd,Alison Macleod,Simon Burton,Lee James |
| Subject Matter | Health & social care,Mental health,Social inclusion |
Co-producing formulation within a secure
setting: a co-authorship with a service
user and the clinical team
Ruth Lewis-Morton, Sarah Harding, April Lloyd, Alison Macleod, Simon Burton and
Lee James
Abstract
Purpose –The purpose of this paper is to explore the process of co-producing a formulation alongside a
service user and the clinical team within a secure inpatient service. This paper has been co-authored by the
service user and members of the multi-disciplinary team (MDT).
Design/methodology/approach –An open-ended focus group discussion was facilitated with the service
user and members of her MDT. The process of thematic analysis was applied to the focus group transcript.
Findings –The following themes highlighted important outcomes of co-producing a formulation within a
secure inpatient setting; “Meaningful Collaboration”,“Co-Produced Understanding”and a “Shift in Power
Differential”. This paper demonstrates the importance of meaningful co-production within a secure inpatient
servicewhilst also highlightingthe challenges and tensions of workingin a co-produced way within thiscontext.
Research limitations/implications –This paper explores the process of co-producing and developing a
formulation from the perspective of one service user and their MDT within a secure inpatient setting.
It would be unhelpful to extrapolate broad assumptions from this case study although this study does raise
important considerations for future research and encourages an emphasis on a co-produced design
and dissemination.
Practical implications –This case study highlights the importance of co-production in clinical endeavours,
service delivery and development perspectives and in the dissemination of this information.
Originality/value –The importance of co-producing and co-authoring alongside service users have been
highlighted in this paper. This approach to co-production and co-authorship is highly recommended in future
research endeavours.
Keywords Formulation, Co-production, Mental health, Secure inpatient setting
Paper type Case study
Introduction
The concept of co-production has become increasingly recognised in healthcare settings
within recent years and many of the core values of co-production are now central to government
legislation that are informing se rvices (Department of Health, 20 14). The process of
co-production involves joint decision making and shared power between service users and
professionals. Central to this approach is the valuing of service users as equal partners in the
design, commissioning, delivery and evaluation of services, rather than merely recipients of a
service. The principal notion in co-production is that people who use services are hidden
resources, not drains on the system and, no service that ignores this resource can be efficient
(Boyle and Harris, 2009).
Research conducted by the New Economics Foundation, commissioned by MIND, found that
the co-production of services and the notion of doing “with”rather than doing “to”or “for”
facilitates better recovery outcomes for service users. This comprises improved well-being,
self-esteem, confidence and social inclusion (Slay and Stephens, 2013). The devolution of power
Ruth Lewis-Morton is a Clinical
Psychologist, Sarah Harding is
a Service User, April Lloyd and
Alison Macleod are
Psychosocial Recovery
Worker, Simon Burton is a
Medical Director and Lee
James is a Mental Health
Nurse, all are at Ludlow Street
Healthcare, Cardiff, UK.
PAGE230
j
MENTALHEALTH AND SOCIAL INCLUSION
j
VOL. 21 NO. 4 2017, pp. 230-239, © Emerald Publishing Limited, ISSN 2042-8308 DOI 10.1108/MHSI-03-2017-0013
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