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2201 A multi-stakeholder analysis on preparing future pediatricians to improve the mental health of children
- Cori M. Green, John Walkup, William Trochim
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- Journal:
- Journal of Clinical and Translational Science / Volume 2 / Issue S1 / June 2018
- Published online by Cambridge University Press:
- 21 November 2018, p. 78
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- Article
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- You have access Access
- Open access
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OBJECTIVES/SPECIFIC AIMS: (1) Develop a concept map of ideas from diverse stakeholders on how to best improve training programs. (2) Assess the degree of consensus amongst stakeholders regarding importance and feasibility. (3) Identify which ideas are both important and feasible to inform policy and curricular interventions. METHODS/STUDY POPULATION: Concept mapping is a 4 step approach to data gathering and analysis. (1) Stakeholders [pediatricians (peds), MH professionals (MHPs), trainees, parents] were recruited to brainstorm ideas in response to this prompt: “To prepare future pediatricians for their role in caring for children and adolescents with mental and behavioral health conditions, residency training needs to...”. (2) Content analysis was used to edit and synthesize ideas. (3) A subgroup of stakeholders sorted ideas into groups and rated for importance and feasibility. (4) A large group of anonymous participants rated ideas for importance and feasibility. Multidimensional scaling and hierarchical cluster analysis grouped ideas into clusters. Average importance and feasibility were calculated for each cluster and were compared statistically in each cluster and between subgroups. Bivariate plots were created to show the relative importance and feasibility of each idea. The “Go-Zone” is where statements are feasible and important and can drive action planning. RESULTS/ANTICIPATED RESULTS: Content analysis was applied to 497 ideas resulting in 99 that were sorted by 40 stakeholders and resulted in 7 clusters: Modalities, Prioritization of MH, Systems-Based, Self-Awareness/Relationship Building, Clinical Assessment, Treatment, and Diagnosis Specific Skills. In total, 216 participants rated statements for importance, 209 for feasibility: 17% MHPs, 82% peds, 55% trainees. There was little correlation between importance and feasibility for each cluster. Compared with peds, MHPs rated Modalities, and Prioritization of MH higher in importance and Prioritization of MH as more feasible, but Treatment less feasible. Trainees rated 5 of 7 clusters higher in importance and all clusters more feasible than established practitioners. DISCUSSION/SIGNIFICANCE OF IMPACT: Statements deemed feasible and important should drive policy changes and curricular development. Innovation is needed to make important ideas more feasible. Differences between importance and feasibility in each cluster and between stakeholders need to be addressed to help training programs evolve.
Participatory action research and policy change
- Catherine Durose, University of Birmingham, Liz Richardson, University of Manchester
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- Book:
- Designing Public Policy for Co-production
- Published by:
- Bristol University Press
- Published online:
- 01 September 2022
- Print publication:
- 11 November 2015, pp 125-138
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Summary
The Morris Justice Project (MJP) works in an area of New York City that is internationally renowned for its place in urban music and culture as much as the stigma that is associated with its reputation. MJP is an informal collection of collaborators and, through its members, is connected with an academic institution. The Project engaged in research-driven activism which attempted to change aggressive community policing methods. One core idea was to use participatory action research methods to generate fresh data on the official policy of ‘stop and frisk’ of residents who were seen as suspect by police. This data was then discussed with a wider set of local people, and used by MJP as part of a city-wide movement for reform of New York Police Department's ‘Broken Windows’ and ‘zero tolerance’ policies. Theirs is a powerful and uplifting story of community mobilisation for social justice.
With 12 authors actively involved in producing and editing, this writing team is itself an example of co-produced knowledge from the start of the inquiry through to and including writing this contribution. It is an illustration of what it could mean for all parties to take seriously multiple forms of expertise. This is not only about elites or professional experts respecting lived expertise, but includes community experts advocating the value of research, or what one participant in the MJP describes eloquently as ‘coming from a place of knowing’.
My first time in the neighbourhood was also my first introduction to Jackie and Fawn. It was quickly interrupted because two of their friend's sons were just taken to the 44th police precinct for no apparent reason and another friend's son had a court date, in which the attorney forgot to show. There was a sense of urgency and frustration but also a basic lack of surprise. I remember how impressed I was with how highly coordinated and responsive the mothers were. In minutes, over texts and phone conversations, some went to the court and some went to the precinct. It all suggested this was not their first time. Of course, we found out later it wasn’t. (Brett)
The Morris Justice Project brought together a diverse collective of academics, lawyers, artists, activists and residents of a South Bronx neighbourhood outraged by New York Police Department's (NYPD) aggressive use of ‘Broken Windows’ policing.