Designing as Negotiating Across Logic Multiplicity: The case of mental healthcare transformation toward co-design and co-production

Sangiorgi, Daniela, Vink, Josina, Farr, Michelle, Mulvale, Gillian and Warwick, Laura (2022) Designing as Negotiating Across Logic Multiplicity: The case of mental healthcare transformation toward co-design and co-production. International Journal of Design, 16 (1). pp. 35-54. ISSN 1991-3761

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Designing within complex service systems implies navigating across a plurality of norms and beliefs that multiple stakeholder groups uphold, designers included. Transformational processes may be challenged by minimum, moderate or extensive conflict depending on the centrality or compatibility of competing logics. This article reflects on how the complexity inherent in higher level institutional orders of society can support or inhibit the potential and implementation of co-production in the public sector realm where designers operate. Using the context of public mental healthcare transformation as a backdrop, we identified and reflected on four predominant logics: the logic of state; the logic of market; the logic of profession; and the logic of community. We then developed a tool to support reflexivity – the Layers of Logics Map – that can be used to take “project logics snapshots” to represent the perceived strength of project stakeholder logics at the micro, meso and macro levels and their centrality and compatibility. Three co-design project examples were used to retrospectively test the Layers of Logics Map to reveal the role of competing logics in project challenges or triumphs. While we acknowledge that logics are often highly institutionalized and difficult to become aware of, we value as fundamental the creation of tools to better enable designers to consciously adopt adequate strategies to navigate this complexity.

Item Type: Article
Additional Information: Funding Information: The Example 2–Care Pathway Tool research was supported by the National Institute for Health Research (NIHR) Applied Research Collaboration West (NIHR ARC West). The views expressed in this article are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.
Uncontrolled Keywords: Co-Production Regimes, Institutional Logics, Logic Multiplicity, Mental Health, Co-design
Subjects: B900 Others in Subjects allied to Medicine
W200 Design studies
Department: Faculties > Arts, Design and Social Sciences > Design
Depositing User: John Coen
Date Deposited: 06 Jun 2022 13:52
Last Modified: 06 Jun 2022 14:00

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