Return to flip book view

‘Closing the Loop’: Exploring the Process and Challenges of Co-Production from implementation to evaluationPresenters:Dr Michelle Kehoe (in person) &Dr Rick Whitehead (pre-recorded)Acknowledgement of countryWe acknowledge the traditional owners of the land we meet on today. We thank them for allowing us to work on their country. We pay our respects to their Elders, past, present and emerging and the Aboriginal Elders of other language groups present here today. We acknowledge that the sovereignty of this land has never been ceded.

Overview- The co-design process of a new headspace- Conducting the workshops using a double diamond approach- Challenges of the co-design process- Key learnings- The next step, co-design and academia (video presentation – Dr Rick Whitehead)- Take-away messages- Questions

Designing and developing a new headspace (using the double diamond approach)Workshop 1. What should a new headspace look like? (discover)Workshop 2. Volunteer model (define)Workshop 3. The user experience (develop)Youth only workshop

Workshop 1: Discover. Identifying the needMost responses2ndhighest response3rdhighest response/s

Workshop 2: - Define. The volunteer model of care Most responses2ndhighest response3rdhighest response/s

Workshop 3. Develop. What (should) HAPPENS when you come to hSyndal? What we were told …First contact• Proactive information sharing• Accessible• Normalize contact with service, explain in advance how it works• What to expect• Wait times• How to get there & where to park• Individualized communication• Not rushing or pressuring decisions• Adapting to language barriers• Text instead of calls• Clarity about what is going to happen nextArrival• Welcoming• Allowing time for paperwork• Knowing preferred name, pronouns, language and culture in advance• Orientation (knowing where you can go)• Who the staff are• Where you go for helpAfter the session• Time and space to wind down• Sensory room• Somewhere to cry• Not feeling rushed• Opportunity to debrief• Reflect on clinician fit• Knowing what happens next• Time to reflect• Experience of service (via QR code)

Delivering the new hSyndalCo-design follow-up feedback

COVID-19 and technology Preparedness“we undershot in some circumstances or we didn't quite have enough prepared or we needed more structure on the activities” (stakeholder 1)“There were obviously internet connection issues, or people getting used to zoom … I think one thing to make sure is that the hosts are sure of every feature of zoom, like how it works” (young person1 )Connecting to others“it's hard to talk online when there's a big group because you don't want to interrupt. It's harder to tell the body language” (young person 2)“I think I've course there's a bit of that gap where you sort of miss the connection which you could in the real world like face-to-face” (young person 1)The challenges

Stakeholder views “we noticed in the breakout groups, or even just in the first couple of workshops that young people were getting really talked over in the space that it was heavily dominated by service providers”“So I definitely think there was a hierarchy there and you could feel that. It wasn't negative, but it was there”Young people views“I think getting together in that way is really interesting …you could really collaborate with people of all skills and really bring that together. I think it is good because there were different perspectives. People had different opinions because they were coming from different sides. Yes, I knew they were in high positions, but I mean it's not like they were trying to show it off or anything. I think it was rather more of a learning experience, that I actually get to learn from people who have experienced in this field and we can actually work together to do something“I found it actually quite beneficial to hear what they thought as well (talking about the stakeholders)”Addressing the power hierarchy

Being authentic“I guess, to do much authentic co-design even in terms of the layout of the building. It's very heavily dictated by the headspace National model fidelity, which isn't necessarily always a bad thing”“accountability is a huge thing. I think if you say you're going to do something, you should do it. Like don't invite people to share what they want and what they need and listen to them and then not do it. And especially stuff that's doable. If you can't do it, sometimes you can't do it”‘The things we cannot change’COVID burnout“it's a really difficult environment to have done co-designing in. Like the timing of it, the lack of resources, the lack of emotional and mental space that mental health staff have to act on this stuff” The physical space“Equally, it then existed in some very serious limitations of finances and a physical space and access to resources during a pandemic. We wanted to add a sensory space and went to put it in and there was a structural pole in the middle of where we needed it”

Facilitators Neutral“I think having external facilitators was really great. I think that was really key to having an external party to do the facilitating because otherwise, we subconsciously steer it however we want” Inclusive and supportive“they were fantastic. Very inclusive…I had a young person involved who did not have the confidence to speak or type, but I was able to be on the phone with her during co-design sessions, through the workshops, and provide written things through the phone, through her…. So that was a really positive experience for this young person who has a lot to share, but the space, particularly online …They were very, very inclusive and welcoming of that challenge of process, I guess, to make sure a young person's voice was heard”Key learnings

TechnologyUsing polling“I think it was really effective. It was a new concept at that time…. where you can see what everyone's thinking”Chat function (anonymity)that was definitely a positive influence, having those anonymous and non-anonymous but you can just keep submitting things There's always someone reading the chat, you are always feeling heard that way because no matter who it is someone will raise it up. That's something I noticed. Some people would type something in the chat. Even if the host doesn't notice, there'll be another person that would bring it up.WhiteboardI thought that was a really great concept. I just think there wasn't enough time to do it justiceKey learnings

Big picture thinking“I loved the big picture thinking, the ideal situation. The fact that let's dream big and see what we really want from a service. That was definitely very positive and being able to hear young people's perspectives” “There was lots of opportunity to share what I thought, but sometimes in it more encouragement or inspiration, I suppose, in terms of being like, "imagine you are this person and what would you want?" Concluding comment“everyone helping to run [the workshops] have been super friendly and super approachable, which is really important for me and yeah it's been a good experience overall” Key learnings

From co-design to co-evaluationResearch translationPresented by: Dr Rick WhiteheadVIDEO presentation

Takeaway messages• The need to acknowledge the challenges, barriers and limitations that exist• The importance of the steps needed to facilitate the process well• To be effective all voices need to be heard • We need to address our own personal biases

Thank youQuestions?For further information please contact: -Michelle Kehoe Rick WhiteheadEmail: m.kehoe@Alfred.org.au Email: r.whitehead@Alfred.org.au