An Ethnographic Study: Exploring co-production in a forensic unit

  • Research type

    Research Study

  • Full title

    An Ethnographic study: Exploring co-production and its impact on staff and patients lived experience in developing a therapeutic environment within a forensic setting.

  • IRAS ID

    311413

  • Contact name

    Suryia Nayak

  • Contact email

    s.nayak@salford.ac.uk

  • Sponsor organisation

    Cygnet Health Care

  • Duration of Study in the UK

    0 years, 6 months, 2 days

  • Research summary

    This research will explore the impact of co-production in relation to developing a therapeutic environment through the exploration of early developmental processes (i.e., attachment, object relations) within a male personality disorder forensic medium secure in-patient ward. Although there has been research on co-production within secure settings, there is limited research exploring both staff and patients’ perspectives on co-production in secure settings, particularly under the lens of early developmental psychological processes and its impact on therapeutic environments. Co-production has been described as joint process of decision making and shared power between service users and professionals with valuing service users as equal partners and not recipients, being the central focus of co-production (Lewis-Morton 2017). This research will investigate co-produced activities that occur within the therapeutic ward environment for example care and treatment activities (formulation meetings where by patients and psychology jointly develop the patient formulation and are both involved in sharing the formulation with ward staff). Other co-produced activities include ward improvement activities ( ward induction training, ward expectations meetings and community meetings where patients chair the meeting and contribute to the agenda items and actions to be taken and follow up on the actions. The research will collate and examine lived experiences of staff and patients to generate recommendations to inform good practice and influence policy on co-production. Insights from the research will be used to critically examine the barrier and enablers within forensic mental health settings and other health professionals with reference to power dynamics and the embracing of staff and patients' strengths to inform best practice. Research on the impact of coproduction on service users exists but and none in relation to practitioners (Slay and Stephens (2013). My research will attempt to address both perspectives.

  • REC name

    North East - Tyne & Wear South Research Ethics Committee

  • REC reference

    22/NE/0203

  • Date of REC Opinion

    13 Dec 2022

  • REC opinion

    Further Information Favourable Opinion