The article reports on research conducted in a public, specialised mental health and substance abuse service unit in Norway. The inquiry followed an action research framework, with patients, leaders and staff as co-researchers. Power sharing within such constrained institutions suggests that service providers risk engaging in paternalistic or avoidance approaches. Despite the inherent challenges of attempting a participative approach on an equal footing, facilitating service co-production may be served by mediation and support. Here, developing meeting spaces for dialogue between patients, staff and leaders appears vital. We argue that focussing on service providers’ own professional development may be benefiting to co-production. We propose steps to unlock the potential of genuine co-production partnerships in constrained organisational settings when staff and leaders have no prior experience involving patients systematically in service development.

这篇文章报道了在挪威一个公共的，专门的精神卫生和药物滥用服务部门进行的研究。调查遵循一个行动研究框架，患者，领导者和工作人员为共同研究者。在这种受约束的机构中进行权力共享表明，服务提供商可能会冒父辈或回避的方式冒险。尽管在平等的基础上尝试采用参与式方法存在固有的挑战，但是在调解和支持下可以促进服务共同生产。在这里，建立患者，员工和领导者之间对话的会议空间显得至关重要。我们认为，专注于服务提供商自身的专业发展可能会有益于联合生产。