ArticleResearch involvement and engagement2026
Identifying a program's "core components" using a co-design approach: a methodological worked example from a youth mental health and addictions navigation service.
Article in Research involvement and engagement, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSuccessful 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.
methodsGuided 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.
resultsEight 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.
conclusionsClearly 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.
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