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Using Photovoice to Codesign Strategies for Increasing Access to Behavioral Health Services in Community Health
Margaret L McGladrey1,2, Jeanette Hart2, Thomas Ard1
1University of Kentucky College of Public Health, Lexington, KY, USA.
Public Health Reports (Washington, D.C. : 1974)
|November 15, 2025
Summary
Local health departments can improve behavioral health service access by integrating community health assessment (CHA) and improvement planning (CHIP) with participatory codesign. This approach addresses barriers like stigma and enhances resource connection for better community well-being.
Area of Science:
- Public Health
- Community Psychology
- Health Services Research
Background:
- Community health assessment (CHA) and improvement planning (CHIP) are underutilized in practice-based research.
- Improving access to behavioral health services is critical due to persistent stigma.
Purpose of the Study:
- To present a novel community development approach leveraging CHA/CHIP for cross-sector codesign.
- To enhance access to behavioral health services through participatory methods.
Main Methods:
- Implemented a codesign process using photovoice in Lexington, KY (2023-2024).
- Engaged community members, including service users, to identify access barriers.
- Utilized collaborative inquiry to iteratively test solutions.
Main Results:
- Identified key barriers: stigma, transportation, and financial constraints.
- Developed a coalition-sourced directory of local behavioral health resources.
- Designed media campaigns and training programs targeting priority areas.
Conclusions:
- Situating codesign within CHA/CHIP processes is feasible and effective.
- This approach can improve access to behavioral health services.
- The methods are replicable for enhancing community-based support.
Keywords:
community healthcommunity planningcommunity-based participatory researchhealth servicespublic health systemsMore Related Videos
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