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Background <p>Successful implementation of innovations requires early, foundational steps that establish the groundwork for long-term sustainability. A key step in this process is defining the core components of an innovation: the indispensable, non-negotiable elements that, if removed, would fundamentally alter the innovation. While the importance of identifying core components has been recognized, practical guidance on how to develop them is limited. As an illustrative example, the Family Navigation Project (FNP), a youth and family mental health and addictions (MHA) service, developed a process for defining their core components. Clearly articulating these components is vital for broader implementation of FNP across diverse contexts, ensuring fidelity, maintaining foundational integrity, and enabling scalability of similar innovations.</p> Methods <p>Guided by Implementation Science frameworks, a five-phase methodology was used to co-develop the core components of FNP: (1) identification and extraction of preliminary component sources, (2) knowledge generation and interest-holder input, (3) conceptual analysis and core component identification, (4) member checking, and (5) finalization. All phases engaged FNP interest-holders, including FNP leadership, operational staff, research staff, frontline staff, and youth and family advisors, through an innovative co-design approach.</p> Results <p>Eight core components were identified: (1) Rooted in the Lived Experience of Youth and Families, (2) Low Barrier, (3) Personalized Care Pathways, (4) Expert Guidance of the Mental Health and Addictions Systems, (5) Compassionate Persistence (6), Championing Equity, Diversity, Inclusion, and Anti-Racism, (7) Interdisciplinary Collaboration, and (8) Relationship-Based Care.</p> Conclusions <p>Clearly identifying the core components of FNP supports successful and sustainable implementation in new contexts. This co-design approach offers a replicable model for other services and innovations to maintain fidelity while adapting and implementing in diverse settings. By grounding implementation in lived experience and collaboration, it positions FNP and similar services to expand access to other environments or settings that would benefit from youth and family MHA navigation programs.</p>

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Identifying a program’s “core components” using a co-design approach: a methodological worked example from a youth mental health and addictions navigation service

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月10日

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  • Elena Sheldrake,
  • Kristen Yee Joshi,
  • Susana Rivas,
  • Naomi Algate,
  • Anthony J. Levitt,
  • Roula Markoulakis

摘要

Background

Successful implementation of innovations requires early, foundational steps that establish the groundwork for long-term sustainability. A key step in this process is defining the core components of an innovation: the indispensable, non-negotiable elements that, if removed, would fundamentally alter the innovation. While the importance of identifying core components has been recognized, practical guidance on how to develop them is limited. As an illustrative example, the Family Navigation Project (FNP), a youth and family mental health and addictions (MHA) service, developed a process for defining their core components. Clearly articulating these components is vital for broader implementation of FNP across diverse contexts, ensuring fidelity, maintaining foundational integrity, and enabling scalability of similar innovations.

Methods

Guided by Implementation Science frameworks, a five-phase methodology was used to co-develop the core components of FNP: (1) identification and extraction of preliminary component sources, (2) knowledge generation and interest-holder input, (3) conceptual analysis and core component identification, (4) member checking, and (5) finalization. All phases engaged FNP interest-holders, including FNP leadership, operational staff, research staff, frontline staff, and youth and family advisors, through an innovative co-design approach.

Results

Eight core components were identified: (1) Rooted in the Lived Experience of Youth and Families, (2) Low Barrier, (3) Personalized Care Pathways, (4) Expert Guidance of the Mental Health and Addictions Systems, (5) Compassionate Persistence (6), Championing Equity, Diversity, Inclusion, and Anti-Racism, (7) Interdisciplinary Collaboration, and (8) Relationship-Based Care.

Conclusions

Clearly identifying the core components of FNP supports successful and sustainable implementation in new contexts. This co-design approach offers a replicable model for other services and innovations to maintain fidelity while adapting and implementing in diverse settings. By grounding implementation in lived experience and collaboration, it positions FNP and similar services to expand access to other environments or settings that would benefit from youth and family MHA navigation programs.