Co-production of an oral health intervention: Enabling Service Users with Severe Mental Illness to Learn about and Engage (SMILE) with Good Oral Health

Co-production in England produced an integrated oral health intervention for service users with severe mental illness, including weekly tooth brushing text reminders and five core components.

• Why it matters: People with severe mental illness have poorer oral health and face barriers to dental care, with limited and inconclusive intervention evidence.
• What they did: Using the Hawkins co-production framework, the team ran two online and two face-to-face workshops (N=22; service users n=6, mental health professionals n=8, dental professionals n=8) plus consultations and a stakeholder meeting to define components, format, and content.
• The result: The process yielded five intervention components, alongside a flowchart, a leaflet, and a training manual, enabling a planned single-arm feasibility study in the NHS.

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