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Service users as the key to service change? The development of an innovative intervention for excluded young people

Zlotowitz, S; Barker, C; Moloney, O; Howard, C; (2016) Service users as the key to service change? The development of an innovative intervention for excluded young people. Child and Adolescent Mental Health , 21 (2) pp. 102-108. 10.1111/camh.12137. Green open access

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Abstract

Background. Excluded young people, especially those affected by street gangs, often have complex unmet needs and high levels of health and social inequalities. This paper outlines the development of Music & Change, an innovative and comprehensive intervention accessible to young people, which aimed to holistically meet the mental health and other needs of its participants and ultimately to reduce offending rates. Its central principle was co-production and partnership with its potential users. Method. The setting was an inner-city housing estate; the core group of participants was 15 young people aged 16-22. The intervention used contemporary music skills (e.g. DJing and lyric writing) and other co-produced project activities as a vehicle to build relationships with practitioners and address young people’s multiple needs. Data was gathered using a focused ethnography, largely from field notes, and analysed using thematic analysis in order to ascertain users’ perceptions of its delivery. Results. Young people identified six key principles of the intervention, such as the need for, consistent relationships with trusted staff, mental health support to be wrapped round other youth-led activities and local service delivery within their safe territories. Discussion. Music & Change was valued by young people who do not easily engage with professionals and services. The findings led to the development of the ‘Integrate’ model, which is using these co-produced principles to underpin several new pilot projects that aim to address the health and social inequalities of excluded young people.

Type: Article
Title: Service users as the key to service change? The development of an innovative intervention for excluded young people
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/camh.12137
Publisher version: http://dx.doi.org/10.1111/camh.12137
Language: English
Additional information: This is the peer reviewed version of the following article: Zlotowitz, S; Barker, C; Moloney, O; Howard, C; (2016) Service users as the key to service change? The development of an innovative intervention for excluded young people. Child and Adolescent Mental Health, 21 (2) pp. 102-108, which has been published in final form at: http://dx.doi.org/10.1111/camh.12137. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms).
Keywords: Young offenders; coproduction; intervention; mental health; gangs
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1470824
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