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How can peer support workers co-produce and co-design mental health services with service users?

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Co-production and co-design are approaches that involve service users, peer support workers, and other stakeholders in shaping and improving mental health services. They are based on the principles of equality, diversity, and partnership, and aim to empower people with lived experience of mental health issues to have a voice and a choice in their recovery journey. In this article, you will learn what co-production and co-design mean, why they are important for peer support work, and how you can apply them in your practice.

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David Schirmer

Veteran | MBA | MS | Analytics | AI/ML

1 What is co-production?

Co-production is a way of working together that values the expertise and contributions of everyone involved in a service or a project. It means that service users, peer support workers, professionals, and managers share the power and responsibility for planning, designing, delivering, and evaluating services. Co-production is not just consultation or participation; it is about creating meaningful and lasting change that benefits everyone.

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Ally Linfoot

Head of Peer Support
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In my experience professionals need to be willing to adopt the values and ethics that are the foundation of peer support in order to arrive at an equitable process. It should not be expected that peers will make concessions or “bend” their values to ensure the comfort of others. Trauma aware processes need to be understood and honored. Incorporating trauma aware values within business processes benefits all, not just peers. It creates an environment of transparency, equity, and kindness and encourages honesty, integrity, and direct communication. The final element is that peers lead the introduction of these values to the team. With these elements incorporated into the co-production process all but ensures a quality peer support product.

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2 What is co-design?

Co-design is a specific method of co-production that focuses on the creative and collaborative process of developing new or improved services, products, or systems. It involves service users, peer support workers, and other stakeholders in generating ideas, testing prototypes, and refining solutions. Co-design is based on the assumption that people who use or deliver services are the best experts on their own needs and preferences, and can offer valuable insights and feedback.

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3 Why are co-production and co-design important for peer support work?

Co-production and co-design are important for peer support work because they align with the core values and principles of peer support, such as mutuality, respect, hope, and recovery. They also offer opportunities for peer support workers to use their lived experience, skills, and knowledge to influence and improve mental health services, and to enhance their own personal and professional development. By engaging in co-production and co-design, peer support workers can demonstrate their leadership, creativity, and innovation, and challenge stigma and discrimination.

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4 How can peer support workers co-produce and co-design mental health services?

Peer support workers can co-produce and co-design mental health services by following some key steps and principles. First, they need to establish a clear and shared vision, purpose, and goals for the co-production or co-design project, and identify the roles and expectations of everyone involved. Second, they need to build trust, rapport, and mutual understanding among the co-producers or co-designers, and ensure that everyone has equal access, opportunity, and support to participate. Third, they need to use a variety of methods and tools to facilitate the co-production or co-design process, such as workshops, focus groups, surveys, interviews, brainstorming, prototyping, testing, and feedback. Fourth, they need to communicate, document, and celebrate the outcomes and impacts of the co-production or co-design project, and share the learning and recommendations with others.

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David Schirmer

Veteran | MBA | MS | Analytics | AI/ML
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A few basic ideas I have found helpful, unfortunately limited do to length restrictions: Co-creation workshops: Organizing workshops where service users, peer support workers, and mental health professionals collaborate to identify needs and share ideas. Service user involvement in training: Inviting service users and peer support workers to participate in the training and education of mental health professionals to promote empathy, understanding, and collaborative working. Co-facilitating support groups: Peer support workers can co-facilitate support groups with mental health professionals, ensuring that the needs and preferences of service users are considered and incorporated into group dynamics.

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5 What are the benefits and challenges of co-production and co-design?

Co-production and co-design can bring many benefits for peer support workers, service users, and mental health services. These include increased satisfaction and engagement of users, enhanced quality and relevance of services, greater diversity in development, improved relationships among stakeholders, and reduced stigma of mental health issues. However, there can also be challenges for peer support workers such as lack of time and resources, difficulty in balancing roles, risk of tokenism or marginalization, conflict between perspectives, and resistance from professionals or managers.

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6 How can peer support workers overcome the challenges of co-production and co-design?

Peer support workers can overcome the challenges of co-production and co-design by taking certain steps, such as getting trained, mentored, and supervised on co-production or co-design skills and methods. It is also important to negotiate clear and realistic agreements, roles, and boundaries with co-producers or co-designers. Moreover, advocating for the recognition, value, and remuneration of peer support work and co-production or co-design work is essential. Additionally, peer support workers should build alliances and networks with other peer support workers, service users, and allies who are involved or interested in co-production or co-design. Lastly, it is important to seek feedback, evaluation, and reflection on the co-production or co-design process and outcomes.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can peer support workers co-produce and co-design mental health services with service users?

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1 What is co-production?

2 What is co-design?

3 Why are co-production and co-design important for peer support work?

4 How can peer support workers co-produce and co-design mental health services?

5 What are the benefits and challenges of co-production and co-design?

6 How can peer support workers overcome the challenges of co-production and co-design?

7 Here’s what else to consider

Peer Support

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How can peer support workers co-produce and co-design mental health services with service users?

1

2

3

4

5

6

7

1 What is co-production?

2 What is co-design?

3 Why are co-production and co-design important for peer support work?

4 How can peer support workers co-produce and co-design mental health services?

5 What are the benefits and challenges of co-production and co-design?

6 How can peer support workers overcome the challenges of co-production and co-design?

7 Here’s what else to consider

Peer Support

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