A community-based participatory research approach to co-designing youth mental health service improvements: A case study from Southern England

Objectives: Existing youth mental health services are unable to meet a rising demand for care. Changes are required to align care with young people’s needs and priorities. In this paper, we present a case study examining the developmental stages of a community-based participatory research project in which young people and professional stakeholders co-designed a youth mental health service blueprint in Southern England. Methods: We took a reflexive approach to critique, appraise and evaluate how our subjectivity – as embedded researchers – influenced the research process. Findings: In this paper, we reflect on (1) the impact of an immersive approach on the development of trust with stakeholders and participants; (2) our methodology for developing and implementing community-based research and (3) the ways in which the complexity and the fragmentation of youth mental health services affected the research process. Conclusion: A participatory approach can be complex and challenging; however, we argue that by engaging with communities and building relationships and trust, researchers can develop a deeper and more nuanced understanding of how to create and shape services that better reflect local needs and priorities.