Western University Scholarship@Western Electronic Thesis and Dissertation Repository 6-27-2019 2:30 PM Working with Youth as Stakeholders in Mental Health System Transformation: An Institutional Ethnography of a Service Organization in ACCESS Open Minds Eugenia Canas The University of Western Ontario Supervisor Wathen, N. The University of Western Ontario Co-Supervisor Berman, H. The University of Western Ontario Iyer, S. McGill University Graduate Program in Health Information Science A thesis submitted in partial fulfillment of the equirr ements for the degree in Doctor of PhilosophyFollow this and additional works at: https://ir.lib.uwo.ca/etd © E Pugeniaart of the Canas Health 2019 and Medical Administration Commons, Health Information Technology Commons, Health Services Research Commons, and the Mental and Social Health Commons Recommended Citation Canas, Eugenia, "Working with Youth as Stakeholders in Mental Health System Transformation: An Institutional Ethnography of a Service Organization in ACCESS Open Minds" (2019). Electronic Thesis and Dissertation Repository. 6327. https://ir.lib.uwo.ca/etd/6327 This Dissertation/Thesis is brought to you for free and open access by Scholarship@Western. It has been accepted for inclusion in Electronic Thesis and Dissertation Repository by an authorized administrator of Scholarship@Western. For more information, please contact
[email protected]. Abstract As national system- and research-agendas invest heavily in the improvement of youth mental health services delivery, the discursive and policy impetus for the inclusion of youth as advisors has increased. However, we know little about the work of youth engagement (YE) in the everyday realities of a care-delivery organization. Does the engagement of youth advisors ultimately inform care? This dissertation addresses the knowledge concerns of YE with a detailed account of the experiences of youth advisors, service providers, and an organization in the process of services reform.