Contextualising co-production and complex needs: Understanding the engagement of service users with severe and multiple disadvantages

Much has been written about co-production in mainstream services but less is known about its applicability to service users with severe and multiple disadvantages (SMD). Given the sometimes-precarious relationship between providers and users with SMD, the paper argues that co-production should not b...

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Bibliographic Details
Published in:Public policy and administration 2024-04, Vol.39 (2), p.259-277
Main Author: Broadhurst, Kate
Format: Article
Language:English
Subjects:
Marginality
Production
Stigma
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Summary:Much has been written about co-production in mainstream services but less is known about its applicability to service users with severe and multiple disadvantages (SMD). Given the sometimes-precarious relationship between providers and users with SMD, the paper argues that co-production should not be approached in the same way as conventional user engagement because of the degree of marginalisation, stigma and exclusion users with SMD face. Through a thematic analysis of evidence systematically collated via a rapid evidence assessment, the author proposes a co-production framework comprising a series of organisational principles to create an enabling environment for co-production with vulnerable service users. The application of the model is encouraged across a range of sectors and settings so that all service users can become empowered participants in the design and delivery of services that affect their lives.
ISSN:0952-0767
1749-4192
DOI:10.1177/09520767221122277