ABSTRACT

Coproduction is increasingly positioned as the gold standard for improving health engagement with marginalised groups. Yet little is known about how key factors such as power, position and culture impact success. Our research aims to identify the psychosocial factors and resources that enable successful coproduction between Black, Asian and other Minority communities and statutory agencies within a coproduction network for mental health services in London. Within our multi-site ethnography, 53 individuals completed: participatory learning appraisal (PLA) workshops, focus groups, and semi-structured interviews. Unstructured observations of network activities were also completed. Data were analysed using thematic network analysis.

The findings highlight that coproduction is enabled by symbolic, relational and material resources. Resources are input before coproduction activities begin, within a newly conceptualised ‘phase zero’. Unconstrained by typical funding cycles, the phase shifts power, resources and relationships through recognising and addressing power asymmetries and histories of oppression facing marginalised groups. Implications for coproduction are discussed.

摘要

联合生产越来越被视为提高与边缘化群体的健康互动的金标准。对于诸如权力，职位和文化等关键因素如何影响成功，人们知之甚少。我们的研究旨在确定促使黑人，亚洲人和其他少数族裔社区与法定机构在伦敦精神卫生服务联合生产网络中成功联合生产的社会心理因素和资源。在我们的多站点民族志研究中，有53个人完成了：参与式学习评估（PLA）研讨会，焦点小组和半结构化访谈。还完成了对网络活动的非结构化观察。使用主题网络分析对数据进行分析。

调查结果突出表明，联合生产是通过符号，关系和物质资源实现的。在联合生产活动开始之前，在新概念化的“零阶段”内输入资源。该阶段不受典型融资周期的约束，通过识别和解决边缘群体面临的权力不对称和压迫历史来转移权力，资源和关系。讨论了共同生产的含义。