Experience-based investigation and codesign of approaches to prevent and reduce Mental Health Act use (CO-PACT): a protocol.
Open accessAbstract
INTRODUCTION: The Independent Review of the Mental Health Act (MHA) in England and Wales confirmed increasing levels of compulsory detentions, especially for racialised communities. This research aims to: (a) understand the causes of and propose preventive opportunities to reduce the disproportionate use of the MHA, (b) use an adapted form of experience-based codesign (EBCD) to facilitate system-wide changes and (c) foreground the voices of service users at risk of detention to radically reform policy and implement new legislation to ensure the principles of equity are retained. METHODS AND ANALYSIS: This is a qualitative study, using a comparative case study design. This study is composed of five work packages; photovoice workshops will be conducted in eight local systems with service users and healthcare professionals separately (WP1); a series of three EBCD workshops in each local system to develop approaches that reduce detentions and improve the experience of people from racialised communities. This will inform a comparative analysis and national knowledge exchange workshop (WP2); an evaluation led by the patient and public involvement group to better understand what it is like for people to participate in photovoice, codesign and participatory research (WP3); an economic evaluation (WP4) and dissemination strategy (WP5). The impact of the involvement of patients and public will be independently evaluated. ETHICS AND DISSEMINATION: This study is sponsored by the University of Oxford and granted ethical approval from the NHS Research Ethics Committee and Health Research Authority (21/SC/0204). The outputs from this study will be shared through several local and national channels.
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Collaborative care planning approaches such as codesign and coproduction have become increasingly important in mental health intervention design and delivery and have been shown to improve service quality.
“Collaborative care planning approaches, such as codesign and coproduction, have thereby become increasingly important in mental health intervention design and delivery, and have been shown to improve service quality (44–47).”
From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [45]
The Methods and analysis sections describe using codesign with service users and professionals to develop mental health service approaches, supporting that part of the claim. But this is a study protocol: it does not establish that these approaches have become increasingly important or have been shown to improve service quality. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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- Authors
- Mooney, R., Newbigging, K., McCabe, R., McCrone, P., Halvorsrud, K., Raghavan, R., Joseph, D., & Bhui, K.
- Affiliations
- University of Oxford (GB)
- City, University of London (GB)
- University of Greenwich (GB)
- National Institute for Health and Care Research (GB)
- De Montfort University (GB)
- Corresponding author
- Mooney, Roisin
- ORCID
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2022-02
- Volume
- 12
- Issue
- 2
- Pages
- e060086
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC8823141
- OpenAlex
- W4210873150
- Cited by
- 11
- References
- 31
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 4
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- DMU Open Research Archive (De Montfort University) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- NIHR Policy research programme (NIHR201704)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- Mental Health Act, compulsory detention, racialized communities, photovoice, service user involvement, mental health policy reform, equity in mental health services, patient and public involvement, economic evaluation
- MeSH terms
- Cost-Benefit Analysis, Delivery of Health Care, Health Personnel, Humans, Mental Health, Qualitative Research
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