Gillian Mulvale
Biographic Data
| ID | 304048 |
|---|---|
| NAME | Gillian Mulvale |
| GIVEN NAMES | Gillian |
| FAMILY NAME | Mulvale |
| SIGNATURE | MULVALE G |
| AFFILIATIONS | McMaster University |
| ORCID | 0000-0003-0546-6910 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 21 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2006 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
How Is Equity‐Based Co‐Creation Enacted in Health and Social Services? An Evaluation of Four Case Studies
INTRODUCTION: Co-creation processes are part of a movement to create change in collaboration with people with lived and living experience (PWLLE); in this paper we focus on experience with health and social services. Research co-creation with PWLLE is increasing, however, processes tend to include people who are well connected in health and research environments, often excluding equity-deserving groups (EDGs) who experience barriers to engagement…
Understanding lived experience-driven co-production in health and social services
Person-centred care is often illusive in traditionally hierarchical systems. • Co-production equalizes professional and client power by centering lived experience. • These values mobilize professional and client advocacy driving 5 phases of growth. • A co-production mindset germinates, sprouts, blossoms, and propagates to new sites. • A community garden fosters sustainability, helping individual sites weather threats
Exploring Ambiguity in Social Prescribing
Introduction: Despite a growing social prescribing (SP) movement, the concept itself remains ambiguous, resulting in considerable variation in practice across different contexts. As discussions of SP emerge at the policy level, this ambiguity may influence program and policy spread. This research explores current literature and practices of SP to understand the different conceptual elements (i.e., goals and motivations) and core components (i.e.,…
Advancing a collective vision for equity‐based cocreation through prototyping at an international forum
BACKGROUND: Cocreation has the potential to engage people with lived and living experiences in the design and evaluation of health and social services. However, guidance is needed to better include people from equity-deserving groups (EDGs), who are more likely to face barriers to participation, experience ongoing or historical harm, and benefit from accessible methods of engagement. OBJECTIVE: The aim of this international forum (CoPro2022) was …
Unpacking the potential of developmental evaluation in codesign work
A Compass for Navigating Relationships in Co-Production Processes Involving Vulnerable Populations
When it comes to engaging vulnerable populations in co-production, power imbalances across stakeholder groups can create methodological challenges. A thoughtful, planned, and responsive approach is needed to prepare vulnerable participants to fully engage in co-production processes. Data from key informant interviews (n = 16) and author reflections on three Experience-based co-design (EBCD) studies involving youth (16–25 years) with mental health…
Special Issue- Engaging Vulnerable Populations in the Co-Production of Public Services
(2021). Special Issue- Engaging Vulnerable Populations in the Co-Production of Public Services. International Journal of Public Administration: Vol. 44, Engaging Vulnerable Populations in the Co-Production of Public Services, pp. 711-714
Finding harmony within dissonance
BACKGROUND: Deeply divided ideological positions challenge collaboration when engaging youth with mental disorders, caregivers and providers in mental health research. The integrative dynamics (ID) approach can restructure relationships and overcome 'us vs them' thinking. OBJECTIVE: To assess the extent to which an experience-based co-design (EBCD) approach to patient and family engagement in mental health research aligned with ID processes. METH…
Creative processes in co-designing a co-design hub
Background: Co-design is an approach to engaging stakeholders in health and social system change that is rapidly gaining traction, yet there are also questions about the extent to which there is meaningful engagement of structurally vulnerable communities and whether co-design leads to lasting system change. The McMaster University Co-Design Hub with Vulnerable Populations Hub (‘the Hub’) is a three-year interdisciplinary project with the goal of…
Are you really doing ‘codesign’? Critical reflections when working with vulnerable populations
‘Codesign’ and associated terms such as ‘coproduction’ or ‘patient engagement’, are increasingly common in the health research literature, due to an increased emphasis on the importance of ensuring that research related to service/systems development is meaningful to end-users. However, there continues to be a lack of clarity regarding the key principles and practices of codesign, and wide variation in the extent to which service users are meanin…
Codesigning health and other public services with vulnerable and disadvantaged populations
Co-designing Services for Youth With Mental Health Issues
Experience-based co-design (EBCD) is an innovative, evidence-based approach to health and social system change based on principles of participatory action research, narrative and learning theory, and design thinking. Unique elicitation strategies such as experience mapping, trigger videos, and prototype development are used in EBCD to engage service users and service providers in a collaborative process of identifying touchpoints and solutions to…
Co‐designing for quality
BACKGROUND: Although high quality mental health care for children and youth is a goal of many health systems, little is known about the dimensions of quality mental health care from users' perspectives. We engaged young people, caregivers and service providers to share experiences, which shed light on quality dimensions for youth mental health care. METHODS: Using experience-based co-design, we collected qualitative data from young people aged 16…
Data Elicited Through Apps for Health Systems Improvement
A promising approach to meeting the need in many jurisdictions for timely, in-depth qualitative health systems experience data, is to elicit feedback through smartphone and web applications (apps). Apps offer an appealing tool to elicit data from patients and family members who may feel stigma when receiving some services and a power imbalance when providing feedback to health-care providers. In this article, we examine the effectiveness of a sui…
Engaging civil society through deliberative dialogue to create the first Mental Health Strategy for Canada
Advancing Community-Based Collaborative Mental Health Care Through Interdisciplinary Family Health Teams in Ontario
Collaborative mental health care is a widely advocated model of community-based mental health care delivery. Previous work suggests that several contextual factors, such as the lack of stable funding for non-physician providers, have prevented widespread implementation of this model in Ontario. The introduction of interdisciplinary Family Health Teams (FHTs) as part of Ontario's primary health care renewal strategy presents an opportunity to over…
Mental health service delivery in Ontario, Canada
Like many jurisdictions, mental health policy-making in Ontario, Canada, has a long history of frustrated attempts to move from a hospital and physician-based tradition to a coordinated system with greater emphasis on community-based mental health care. This study examines policy legacies associated with the introduction of psychiatric hospitals in the 1850s and of public health insurance (medicare) in the 1960s in Ontario; and their effect on su…
Finding the Right Mix
The purpose of this research was (i) to describe the factors that affect collaboration among mental health service providers of different disciplines, (ii) to understand the mix of providers in existing collaborative care models, and (iii) to develop a framework to better understand the barriers and facilitators to interdisciplinary collaborative mental health delivery using Ontario as a case example. We draw upon the academic and policy literatu…
Collaborative health care teams in Canada and the USA
There has been a renewed interest in collaborative models of health care delivered by ‘interdisciplinary teams’ of providers across several health care systems. This growing phenomenon raises a host of issues related to the management of professional boundaries and the contemporary state of medical dominance. In this paper, we undertake a critical analysis of the factors both promoting and impeding collaborative care models of primary and mental …
Collaborative health care teams in Canada and the USA
There has been a renewed interest in collaborative models of health care delivered by ‘interdisciplinary teams’ of providers across several health care systems. This growing phenomenon raises a host of issues related to the management of professional boundaries and the contemporary state of medical dominance. In this paper, we undertake a critical analysis of the factors both promoting and impeding collaborative care models of primary and mental …
Co-designing Services for Youth With Mental Health Issues
Experience-based co-design (EBCD) is an innovative, evidence-based approach to health and social system change based on principles of participatory action research, narrative and learning theory, and design thinking. Unique elicitation strategies such as experience mapping, trigger videos, and prototype development are used in EBCD to engage service users and service providers in a collaborative process of identifying touchpoints and solutions to…
Engaging civil society through deliberative dialogue to create the first Mental Health Strategy for Canada
Creative processes in co-designing a co-design hub
Background: Co-design is an approach to engaging stakeholders in health and social system change that is rapidly gaining traction, yet there are also questions about the extent to which there is meaningful engagement of structurally vulnerable communities and whether co-design leads to lasting system change. The McMaster University Co-Design Hub with Vulnerable Populations Hub (‘the Hub’) is a three-year interdisciplinary project with the goal of…
Data Elicited Through Apps for Health Systems Improvement
A promising approach to meeting the need in many jurisdictions for timely, in-depth qualitative health systems experience data, is to elicit feedback through smartphone and web applications (apps). Apps offer an appealing tool to elicit data from patients and family members who may feel stigma when receiving some services and a power imbalance when providing feedback to health-care providers. In this article, we examine the effectiveness of a sui…
Finding the Right Mix
The purpose of this research was (i) to describe the factors that affect collaboration among mental health service providers of different disciplines, (ii) to understand the mix of providers in existing collaborative care models, and (iii) to develop a framework to better understand the barriers and facilitators to interdisciplinary collaborative mental health delivery using Ontario as a case example. We draw upon the academic and policy literatu…
Collaborative health care teams in Canada and the USA
There has been a renewed interest in collaborative models of health care delivered by ‘interdisciplinary teams’ of providers across several health care systems. This growing phenomenon raises a host of issues related to the management of professional boundaries and the contemporary state of medical dominance. In this paper, we undertake a critical analysis of the factors both promoting and impeding collaborative care models of primary and mental …
Mental health service delivery in Ontario, Canada
Like many jurisdictions, mental health policy-making in Ontario, Canada, has a long history of frustrated attempts to move from a hospital and physician-based tradition to a coordinated system with greater emphasis on community-based mental health care. This study examines policy legacies associated with the introduction of psychiatric hospitals in the 1850s and of public health insurance (medicare) in the 1960s in Ontario; and their effect on su…
Finding the Right Mix
The purpose of this research was (i) to describe the factors that affect collaboration among mental health service providers of different disciplines, (ii) to understand the mix of providers in existing collaborative care models, and (iii) to develop a framework to better understand the barriers and facilitators to interdisciplinary collaborative mental health delivery using Ontario as a case example. We draw upon the academic and policy literatu…
Advancing Community-Based Collaborative Mental Health Care Through Interdisciplinary Family Health Teams in Ontario
Collaborative mental health care is a widely advocated model of community-based mental health care delivery. Previous work suggests that several contextual factors, such as the lack of stable funding for non-physician providers, have prevented widespread implementation of this model in Ontario. The introduction of interdisciplinary Family Health Teams (FHTs) as part of Ontario's primary health care renewal strategy presents an opportunity to over…
Engaging civil society through deliberative dialogue to create the first Mental Health Strategy for Canada
Co‐designing for quality
BACKGROUND: Although high quality mental health care for children and youth is a goal of many health systems, little is known about the dimensions of quality mental health care from users' perspectives. We engaged young people, caregivers and service providers to share experiences, which shed light on quality dimensions for youth mental health care. METHODS: Using experience-based co-design, we collected qualitative data from young people aged 16…
Data Elicited Through Apps for Health Systems Improvement
A promising approach to meeting the need in many jurisdictions for timely, in-depth qualitative health systems experience data, is to elicit feedback through smartphone and web applications (apps). Apps offer an appealing tool to elicit data from patients and family members who may feel stigma when receiving some services and a power imbalance when providing feedback to health-care providers. In this article, we examine the effectiveness of a sui…
Codesigning health and other public services with vulnerable and disadvantaged populations
Co-designing Services for Youth With Mental Health Issues
Experience-based co-design (EBCD) is an innovative, evidence-based approach to health and social system change based on principles of participatory action research, narrative and learning theory, and design thinking. Unique elicitation strategies such as experience mapping, trigger videos, and prototype development are used in EBCD to engage service users and service providers in a collaborative process of identifying touchpoints and solutions to…
Are you really doing ‘codesign’? Critical reflections when working with vulnerable populations
‘Codesign’ and associated terms such as ‘coproduction’ or ‘patient engagement’, are increasingly common in the health research literature, due to an increased emphasis on the importance of ensuring that research related to service/systems development is meaningful to end-users. However, there continues to be a lack of clarity regarding the key principles and practices of codesign, and wide variation in the extent to which service users are meanin…
A Compass for Navigating Relationships in Co-Production Processes Involving Vulnerable Populations
When it comes to engaging vulnerable populations in co-production, power imbalances across stakeholder groups can create methodological challenges. A thoughtful, planned, and responsive approach is needed to prepare vulnerable participants to fully engage in co-production processes. Data from key informant interviews (n = 16) and author reflections on three Experience-based co-design (EBCD) studies involving youth (16–25 years) with mental health…
Special Issue- Engaging Vulnerable Populations in the Co-Production of Public Services
(2021). Special Issue- Engaging Vulnerable Populations in the Co-Production of Public Services. International Journal of Public Administration: Vol. 44, Engaging Vulnerable Populations in the Co-Production of Public Services, pp. 711-714
Finding harmony within dissonance
BACKGROUND: Deeply divided ideological positions challenge collaboration when engaging youth with mental disorders, caregivers and providers in mental health research. The integrative dynamics (ID) approach can restructure relationships and overcome 'us vs them' thinking. OBJECTIVE: To assess the extent to which an experience-based co-design (EBCD) approach to patient and family engagement in mental health research aligned with ID processes. METH…
Creative processes in co-designing a co-design hub
Background: Co-design is an approach to engaging stakeholders in health and social system change that is rapidly gaining traction, yet there are also questions about the extent to which there is meaningful engagement of structurally vulnerable communities and whether co-design leads to lasting system change. The McMaster University Co-Design Hub with Vulnerable Populations Hub (‘the Hub’) is a three-year interdisciplinary project with the goal of…
Unpacking the potential of developmental evaluation in codesign work
Advancing a collective vision for equity‐based cocreation through prototyping at an international forum
BACKGROUND: Cocreation has the potential to engage people with lived and living experiences in the design and evaluation of health and social services. However, guidance is needed to better include people from equity-deserving groups (EDGs), who are more likely to face barriers to participation, experience ongoing or historical harm, and benefit from accessible methods of engagement. OBJECTIVE: The aim of this international forum (CoPro2022) was …
Exploring Ambiguity in Social Prescribing
Introduction: Despite a growing social prescribing (SP) movement, the concept itself remains ambiguous, resulting in considerable variation in practice across different contexts. As discussions of SP emerge at the policy level, this ambiguity may influence program and policy spread. This research explores current literature and practices of SP to understand the different conceptual elements (i.e., goals and motivations) and core components (i.e.,…
How Is Equity‐Based Co‐Creation Enacted in Health and Social Services? An Evaluation of Four Case Studies
INTRODUCTION: Co-creation processes are part of a movement to create change in collaboration with people with lived and living experience (PWLLE); in this paper we focus on experience with health and social services. Research co-creation with PWLLE is increasing, however, processes tend to include people who are well connected in health and research environments, often excluding equity-deserving groups (EDGs) who experience barriers to engagement…
Understanding lived experience-driven co-production in health and social services
Person-centred care is often illusive in traditionally hierarchical systems. • Co-production equalizes professional and client power by centering lived experience. • These values mobilize professional and client advocacy driving 5 phases of growth. • A co-production mindset germinates, sprouts, blossoms, and propagates to new sites. • A community garden fosters sustainability, helping individual sites weather threats
Mental Health and Patient Involvement (13 works) · Political science (10 works) · Health Policy Implementation Science (9 works) · Medicine (9 works) · Mental health (9 works) · Psychology (9 works) · Business (8 works) · Health care (8 works) · Sociology (8 works) · Public relations (7 works)