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Designing in highly contentious areas: Perspectives on a way forward for mental healthcare transformation
Politecn Milan, Dipartimento Design, Milan, Italy..
Univ Hosp Bristol NHS Fdn Trust, NIHR CLAHRC West, Bristol, Avon, England.;Univ Bristol, Bristol Med Sch, Populat Hlth Sci, Bristol, Avon, England..
Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, London, England..
McMaster Univ, DeGroote Sch Business, Hlth Policy & Management, Hamilton, ON, Canada..
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2019 (English)In: Design journal, ISSN 1460-6925, E-ISSN 1756-3062, Vol. 22, p. 309-330Article in journal (Refereed) Published
Abstract [en]

There is growing interest in service design to support transformation in mental healthcare. Early research in this area has shown some promising results, but has also revealed the contentious nature of this work. A better understanding of the complexity of design in mental health is needed to support the development of approaches that are appropriate for this context. As such, the aim of this paper is to examine areas of contention and related strategies employed when designing for mental health transformation. To realize this aim, a qualitative multiple case study of ten service design initiatives in mental health contexts was conducted. The analysis revealed five interconnected contentious issues: organizational constraints; ensuring meaningful participation; culture clashes; power dynamics; and systems approaches. These contentious issues are detailed and related strategies from various cases are put forward, providing a rich foundation for the ongoing development of service design approaches in mental health.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2019. Vol. 22, p. 309-330
Keywords [en]
Mental health, service design, participatory design, contentious issues, strategies
Identifiers
URN: urn:nbn:se:kau:diva-73216DOI: 10.1080/14606925.2019.1595422ISI: 000470072200021OAI: oai:DiVA.org:kau-73216DiVA, id: diva2:1332777
Conference
12th International Conference of the European-Academy-of-Design (EAD) - Running with Scissors, APR 10-12, 2019, Univ Dundee, Dundee, SCOTLAND
Available from: 2019-06-28 Created: 2019-06-28 Last updated: 2019-07-02

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
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Output format
  • html
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  • asciidoc
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