Louise Starting the Co-design Process Challenges includes, state wide, both mental health and AOD sectors, many stakeholders and required Ministerial approval. Co-design on tight time line. The co-design process was still relatively new to nearly everyone but the language was beginning to be used. We wanted to make sure that the practice needed to match the integrity of co-design and not confuse it with ‘tweaked’ consultation or other engagement strategies. Foundations - other stakeholders had experience in co-design and Commissions Paid Partnership Policy was co-produced and an AOD Best Practices in Engagement report had been completed a year or so earlier. Relationships had been established and trust had been built which was critical, in fact the Steering Committee had started work on co-designing the Commission’s internal engagement policy when they were asked to change focus to a statewide framework. The project was led by people with a lived experience, the Engagement Team at the Commission (Louise as Project Lead from her role as MHC Consumer Advisor). Steering Committee was mainly consumers, family members and carers and their representative organisations, hosted by the Mental Health Commission. This enabled the Commission to offer respectful participation payments under its policy. Co-chaired by a family member (Margaret). Due to the tight time line and to maximise diversity of input, it was decided to hold a series of stakeholder workshops.
Margaret Principles in Practice Warm starts to the workshops with morning tea available on arrival. Having active ‘meet and greeters’ available well before the beginning of each workshop. Making sure the venue & room are well signed with natural light and lots of space. Having support people available including peer support. Just first names and no titles on name tags. Workshops were co-facilitated with Co-chairs and lived experience leading. Used photo cards to help with conversations and stimulate thinking. Lunches at the end of the workshops allowed for debriefing and relationship building. Respectful paid participation was offered and organised in a dignified way. What about having the one-page Paid Participation guide as a slide here…could also help to promote it Open communication channels – keep people informed all the way though from start to finish. Feedback received across the whole timeline of the project not just during the workshop and consultation period. Workshop reports circulated after each workshop to all stakeholders not just workshop participants. Making sure language did not default to service or government speak. There are no acronyms in the Framework! We were flexible where we could be. This the end result………….
Margaret Engagement Approaches The Toolkit show cases a range of Engagement Approaches. And its based on Arnstein's Ladder of Participation. This horizontal approach can be used to identify: the aim of project or program (promotion and prevention campaigns to inform and educate like the Alcohol Think Again, involvement like mental health week, citizen led like the establishment of CoMHWA and more recently the AOD Consumer and Community Coalition). It can also be used to identify engagement approaches and techniques. And also used to gage where your current engagement practices are at (doing to, for, with and by), either individually or within your team or organisation. --------------- The circle diagrams show the communication and influence with each approach ranging from a doing to, doing for, doing with and doing by. Each approach explained further on in the Framework. Co-design and Co-production In co-production, consumers are partners throughout all of these stages. The real difference is how co-production deliberately sets out to create a culture that values all expertise and knowledge, particularly the expertise and knowledge of the people that are most affected by the problem and solution. Co-production recognises and seeks to address power differentials within partnerships. Co-production in mental health, therefore privileges consumer perspective, and promotes and develops consumer leadership, which shifts away from an historical positioning of ‘professionals’ as the experts that steer the agenda.
Louise Howe and Margaret Doherty - Working Together
Western Australian Mental Health Conference 2019
Louise Howe and Margaret Doherty
Why a Framework?
Nothing about us, without us!
Guiding Principle in the Plan -
supported to be fully involved…
Plan Actions 70 & 71
Fifth Mental Health and Suicide
Delivering Community Services
in Partnership Policy (2018)
Starting the Co-design Process
• State wide
• Both sectors
• Many stakeholders
• Co-design approach
• Some experience
• Lead by lived experience
• Guided by lived
Developing the Principles
• Working Together
• Valuing People
• Reciprocity and Mutuality
• Inclusivity and Diversity of
• Equality, Equity and
• Equal Leadership, Support and
• Authenticity, Humanity and Safety
Developing the Framework
• Identify what a health service did
in regard to positive engagement
• What is the change or influence
we want to see?
• What should the Engagement
• What should it contain?
• How could it be implemented?
• What would success look like?
Principles in Practice
Active ‘meet and greeters’
Warm starts and welcoming
Support at hand
Lived experience leading
Respectful paid participation
• Individual care
• Service and Program Delivery
• Sector - Statewide mental
heath and alcohol and other
• System - Local, State and
• Co-production is a relationship where
professionals and citizens share
power to plan and deliver support
together, recognising that both
partners have vital contributions to
make in order to improve quality of life
for people and communities.
Plan, Develop, Action and Review
Specific strategies and resources for
Barriers to effective participation.
Indicators of effective engagement.
Monitoring and evaluation
Examples of the Guiding Principles
Templates, checklists and
Doing things differently
Feeling comfortable with the
Stepping outside of comfort
Using a strengths lens
Within constraints and
Meets the need
Builds capacity, relationships
Agents of change
New ways of working
Ownership and Openness
Doing with and by…..
Co-design and Co-production
approaches – identifying solutions
together, shared decision making,
working in equal and reciprocal
Doing to and for…..
Decisions are already made,
token engagement to
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