251 Co-creating the cultural adaptation of health and social services to the needs and aspirations of youth who identify as im·migrants, refugees, racialized and/or belonging to a cultural minority group: insights from an intersectoral process in Que

Abstract PTH 6: Health Policy and Health Services 1, B307 (FCSH), September 4, 2025, 16:30 - 17:30 Aims Youth who identify as im·migrants, refugees, racialized and/or belonging to a cultural minority group face significant physical and mental health challenges in Global North countries like Canada. This presentation showcases the preliminary evaluation results of a co-creation process aiming at culturally adapting youth services to the needs and aspirations of these youth. It focuses on the co-initiation and co-design phases of an intersectoral process involving multiple stakeholders - youth, parents, community leaders, practitioners, as well as researchers – in Quebec, Canada. Methods This study consists of a process evaluation method designed to analyse how co-created interventions are implemented and how they can be improved. Its main stages are co-initiation (ideation and launching), co-design (conception) and co-implementation (implementation of the co-creation process). It is anchored in critical and anti-racist approached to service and knowledge co-creation. Results Preliminary results show the potential of involving all concerned stakeholders in the co-creation of culturally adapted services. They highlight specific institutional challenges in engaging all concerned stakeholders in the co-initiation phase of the co-creation process. They also underline how the co-design phase of the co-creation process has potential to benefit stakeholders at the individual and organizational level. Conclusions Despite facing additional challenges, youth who identify as im·migrants, refugees, racialized and/or belonging to a cultural minority group are underrepresented in youth services. In order to address this situation, better understanding and adapting services to their needs and aspirations is crucial. Co-creation appears as a promising process and methods to reach the goal of culturally adapting services.