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Abstract
Purpose of review
The personal and social harms from unmanaged substance use disorders (SUD) are substantial. Too few people with SUD are engaged in treatment, partly due to the acceptability and accessibility of services. Co-production – sharing power and decision-making between professionals and people with lived experience (PWLE) – could address barriers to improve uptake and outcomes of SUD treatment. This scoping review examined recent (18 months) literature on co-production in community SUD treatment services.
Recent findings
Co-production has been used to address barriers to care and co-design new interventions and services, especially for marginalised populations and groups with complex needs. Methods, processes, and the degree of meaningful involvement of PWLE varied across projects. Most work occurred in higher income countries and the impacts on PWLE were rarely explored.
Summary
Co-production is feasible and can inform the development of more patient-centred SUD treatment services. Projects should be grounded in theory and power differentials in decision-making addressed to ensure equitable and meaningful participation throughout the process. There is a need to explore co-production in the design and evaluation of general SUD treatment, sustainability, impacts on participants, and evaluation of long-term outcomes.
The personal and social harms from unmanaged substance use disorders (SUD) are substantial. Too few people with SUD are engaged in treatment, partly due to the acceptability and accessibility of services. Co-production – sharing power and decision-making between professionals and people with lived experience (PWLE) – could address barriers to improve uptake and outcomes of SUD treatment. This scoping review examined recent (18 months) literature on co-production in community SUD treatment services.
Recent findings
Co-production has been used to address barriers to care and co-design new interventions and services, especially for marginalised populations and groups with complex needs. Methods, processes, and the degree of meaningful involvement of PWLE varied across projects. Most work occurred in higher income countries and the impacts on PWLE were rarely explored.
Summary
Co-production is feasible and can inform the development of more patient-centred SUD treatment services. Projects should be grounded in theory and power differentials in decision-making addressed to ensure equitable and meaningful participation throughout the process. There is a need to explore co-production in the design and evaluation of general SUD treatment, sustainability, impacts on participants, and evaluation of long-term outcomes.
| Original language | English |
|---|---|
| Pages (from-to) | 265-273 |
| Journal | Current Opinion in Psychiatry |
| Volume | 38 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Jul 2025 |
Keywords
- Co-production
- Co-design
- Substance use disorder, treatment
- Scoping review
Access to Document
- Schofield-et-al-2025-Co-production-in-community-CurrOpinPsych-AAM-CCBY
Copyright © 2025 the Authors. This work has been made available online in accordance with the University of St Andrews Open Access policy. This accepted manuscript is distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The final published version of this work is available at https://doi.org/10.1097/YCO.0000000000001011,
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Co-production in substance use treatment services: a scoping literature review
Schofield, J., Galea-Singer, S. & Baldacchino, A. M., 12 Mar 2025Research output: Other contribution
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