{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:21:42Z","timestamp":1789402902799,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T00:00:00Z","timestamp":1531958400000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Accessible summary?<\/jats:title><jats:sec><jats:title>What is known on the subject<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Analysis of co\u2010production in mental health and specifically Recovery Colleges has not previously considered the impact on clinicians and their clinical practice.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Co\u2010production as a concept is open to multiple interpretations. Core components of co\u2010produced work are as follows: a focus on assets, mutuality, peer support and the use of a facilitative approach.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to existing knowledge?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Senior clinicians who have chosen to become Practitioner Trainers describe the experience of collaboration with service users in an educational rather than clinical context.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Working together in this educational environment led to some shifts in their perceptions of professional power and authority, in some cases leading to personal disclosures about their mental health.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>This study suggests the mechanisms by which co\u2010production may transform professional practice: being in an educational rather than clinical context, the experience of being supported, the challenge of negotiating multiple roles (including that of being a colleague to someone with mental health needs) and experiencing a gradual shift of role emphasis as co\u2010trainer relationships develop.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>The practical challenge of holding a simultaneous role as clinician for and co\u2010trainer with Peer Trainers has been articulated, with the caveat that mental health support may be a feature of collegiate as well as clinical roles.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>What are the implications for practice?<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Being a Practitioner Trainer could be a professionally transformative experience.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Ground rules for how to support colleagues\u2019 mental health needs should be established and refined during co\u2010produced working.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Negotiating personal disclosure and professional role identity must be explored further in both co\u2010production research and practice.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Co\u2010production between service users and clinicians is a desirable element of recovery\u2010oriented practice in mental health, but the effect of co\u2010production on clinicians has not been explored thoroughly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the meaning of co\u2010production for clinicians based on their experience of co\u2010production in a Recovery College.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thematic analysis of eight semi\u2010structured interviews with clinicians who have co\u2010produced and co\u2010delivered workshops with a Recovery College Peer Trainer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The \u201cmeaning of co\u2010production\u201d had four themes: definitions, power dynamics, negotiating roles and influence on practice. Clinicians\u2019 experience of co\u2010production meant a reassessment of their expert role and power. They said that this altered their clinical practice, particularly the language they used and the personal information they shared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Role negotiation between Practitioner and Peer Trainers is an iterative process, whereby clinicians may revise their perspectives on personal disclosure, professional identity and collegiate support. The Peer and Practitioner Trainer relationship is characterized by reciprocity and mutuality, and there is some evidence that Practitioner involvement in a co\u2010produced activity has the potential to transform service user and provider relationships beyond the Recovery College setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for practice<\/jats:title><jats:p>Engaging in co\u2010produced educational workshops can alter clinicians\u2019 perspectives on roles, power and clinical expertise. Findings from this case study must be tested against research on other Recovery Colleges.<\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/jpm.12469","type":"journal-article","created":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T22:10:38Z","timestamp":1526422238000},"page":"349-357","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["The meaning of co\u2010production for clinicians: An exploratory case study of Practitioner Trainers in one Recovery College"],"prefix":"10.1111","volume":"25","author":[{"given":"Mark","family":"Dalgarno","sequence":"first","affiliation":[{"name":"SLAM Recovery College Maudsley Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Oates","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwfery &amp; Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,19]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"The Challenge of co\u2010production: How equal partnerships and the public are crucial to improve public services","author":"Boyle B.","year":"2009"},{"key":"e_1_2_9_3_1","volume-title":"Public services inside out: Putting coproduction into practice","author":"Boyle D.","year":"2010"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-05-2014-0016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13180"},{"key":"e_1_2_9_7_1","volume-title":"No more throwaway people: The co\u2010production imperative","author":"Cahn E.","year":"2001"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-10-2015-0030"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1257"},{"key":"e_1_2_9_10_1","volume-title":"No health without mental health A cross\u2010government mental health outcome strategy for people of all ages","author":"Department of Health","year":"2011"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12281"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363459315600774"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHSI-06-2015-0025"},{"key":"e_1_2_9_14_1","volume-title":"Qualitative research in nursing and healthcare","author":"Holloway I.","year":"2013"},{"key":"e_1_2_9_15_1","unstructured":"INVOLVE(2016).What is public involvement in research?Retrieved fromhttp:\/\/www.invo.org.uk\/posttyperesource\/what-is-public-involvement-in-research. 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