Background: Rates of poor mental health among children and young people (CYP) are increasing and wellbeing is declining, despite rising investment in treatment services. The argument for greater investments in prevention is well-established, with growing calls to address the social determinants of CYP’s mental health. However, there is a gap between this rhetoric and the knowledge required to design and implement such approaches locally. Methods: This paper outlines the methods and approaches used in two distinct local communities where CYP, community partners, and system leaders collaborate to co-design contextually relevant and prevention-focused solutions to improve CYP’s mental health and wellbeing.
Results and Conclusions: This paper examines the benefits, inherent tensions, and limitations of this approach. Youth-centred co-design approaches have value and potential, but to address the social determinants of mental health, it is crucial to maintain this focus and ensure that those with the power to effect structural and systemic change are integral members of co-design teams.