DESIGN IN MENTAL HEALTH
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- Peter Goodman
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1 DESIGN IN MENTAL HEALTH a literature review of design thinking in UK and European mental health
2 The current financial challenges faced by UK Na7onal Health Services are dras7cally impac7ng mental health service provision. Innova7ve approaches to care have the poten7al to: improve service user experience CONTEXT respect the individual s needs through collaborative endeavour re-design systems - positively impacting funding and resource issues inform service provision through the lived experience of service users, support networks, carers and staff
3 Our inten7on is to inform service users, providers, researchers and designers of: the benefits of diverse forms of engagement between service user and provider AIMS challenges in staff and public patient involvement in care service quality management, and design research the philosophical frameworks underpinning research methodologies and service provision, or lack of them gaps in the literature and directions for future research, education and service development! There have been reviews of the design for health literature, but not the intersections between design and mental health. In doing so we support current NHS mandates citing parity of esteem.
4 The literature review aims to deliver a current picture of design thinking, methodology and prac7ce being u7lised or explored within the field of mental health , UK or EU based SCOPE literature iden7fied from outside these parameters eg; USA, Australia, saved for future extended review Modeled on: Chamberlain, P, Wolstenholme, D, Dexter, M, Seals, E (2015). The State of the Art of Design in Health: An expert-led review of the extent of the art of design theory and practice in health and social care. Sheffield, Sheffield Hallam University. Orlowski, S., Matthews, B., Lawn, S., Venning, A., & Bidargaddi, N. (2015). Design Thinking: Consumer involvement in mental health intervention design. The Young and Well Cooperative Research Centre, Flinders University and Country Health SA.
5 FIRST APPROACH Sarah Kettley & Rachel Lucas! Review of Library Databases -based on coverage of design or mental health subject -interdisciplinary nature! Grey Literature -databases and search locations CADBE conference June 2016
6 search terms developed around the separate domains of mental health and design rigorous key word search developed a final search string run across selected databases SEARCH STRATEGY identifying those in scope highly iterative process, facilitated by the following key question: Does the paper include description of design processes or thinking, alongside consideration of mental health or wellbeing issues, or refer to design methodology or practice within a mental health?
7 ! Design or interdisciplinary WHERE TO SEARCH -Art Bibliographies Modern -Design and Applied Art Index -International Bibliography of Art -British Humanities Index
8 ! Mental health WHERE TO SEARCH -SCOPUS -PsychINFO -Web of Science -IBSS -PsychArticles -ASSIA
9 WHERE TO SEARCH! GREY literature (unpublished) databases -OpenGrey -BASE -The Kingsfund -greylit.eu! Extended search -Google and relevant conferences -Service Design Network (SDN-UK and Global)
10 ! Engaging with the process -Incorporating creative thinking approach to the search. CREATIVE THINKING! -Mind maps to facilitate search. -Purging early thoughts and ideas onto paper, as in design thinking, generated search terms. -Awareness of any researcher bias (eg humanistic stance) impacting use of language. Remain open to varied models.
11 ! Strategy for search -Words and combinations of words: capable of delivering on target material. WHAT TO SEARCH FOR -Iterative process developed around both domains- (consultation with others could be included here). -Issues of language identified, across domains, differing meaning eg- person-centred?
12 EMERGING SEARCH STRANDS! Terms relating to: -Design methodology and practice -Creative engagement -Stakeholders -Mental health experiential -Mental health medical model, diagnostic.
13 METHODOLOGY cont./ A grounded theory approach was taken to identify themes and sub-themes (Bryman 2013) Immersion within the data (Moustakas 1990) allowed for specific on target intersections to be located A development of Sanders (2008) Framework for Design Research integrated philosophical frameworks later used to analyze the literature: behavioural, cognitive, relational/social and medical models
14 ! 1731 total database returns before removal of duplicates PAPERS FOUND! (179) database results found to be within scope +! (134) results from IoSoft project expert review! = 310 manually transferred to spreadsheet Title, abstract, keywords reviewed:! 151 found relating closely GREY LITERATURE Full papers reviewed:! 130 found accurately on target Top 100 Google results (28) in scope (25) non-eu 71 further papers saved for review
15 Design thinking practices such as Service and Participatory Design, currently lack an awareness of: FINDINGS the larger mental health service provision landscape range of mental health challenges faced by service users the philosophical modalities underpinning different services the potential personal and ethical impact of working within this sector
16 FINDINGS The following theoretical models can extend frameworks of design research to fully support studies within this sector: Behavioural Relational/social Cognitive Medical model Technological developments and design of assistive digital devices for mental health emerged as the largest category of papers User centred design effectively asks for a medical model and engages in design for a diagnostic label or disorder Increasing interest in participatory art, craft and creative practice in mental health research Language can be very misleading
17 ! Time limited and manpower therefore search boundaries applied - UK/Europe and post LIMITATIONS! Grey literature gathered but not analysed.! Analysis of modality in design for mental health ongoing.
18 This review suggests the following future research directions: Review of non-eu and Grey literature. (Australia in particular looks busy in terms of collaborative research in this area) FUTURE WORK Digital/tech developments designed for the person not the diagnosis? Growing interest in evidence-based outcomes re- creative practice and mental health recovery Service design concepts brought to wellbeing services with a view to expand involvement including NHS commissioning bodies
19 FINAL REPORT! WILL BE AVAILABLE FROM THE INTERNET OF SOFT THINGS WEBSITE:! ACKNOWLEDGEMENTS: The authors would like to thank Nottingham Trent University s Research Development Fund (UoA 34), Heather Parsonage from NTU library services, and the EPSRC An Internet of Soft Things project (EP/ L023601/1) for making this research possible. contact: sarah.kettley@ntu.ac.uk CADBE conference June 2016
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