Accessibility Tools

Engagement and Participation

— Engagement and Participation of CALD People

Harrison, R., Walton, M., Chitkara, U., Manias, E., Chauhan, A., Latanik, M., & Leone, D. 
Beyond translation: Engaging with culturally and linguistically diverse consumers. 
Health Expectations
23(1), 159–168. 
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Background: In the context of an effective consumer engagement framework, there is potential for health‐care delivery to be safer. Consumers from culturally and linguistically diverse (CALD) backgrounds may experience several barriers when trying to engage about their health care, and they are not acknowledged sufficiently in contemporary strategies to facilitate patient engagement.

Halvorsrud, K., Rhodes, J., Webster, G. M., Francis, J., Haarmans, M., Dawkins, N., Nazroo, J., & Bhui, K. 
Photovoice as a promising public engagement approach: capturing and communicating ethnic minority people’s lived experiences of severe mental illness and its treatment. 
BMJ Open Quality
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Mental health related stigma, within widespread discrimination and exclusion, inhibits many from seeking help. Moreover, conventional therapeutic methods relying on the spoken word only may not elucidate the full range and nuances of lived experiences. The use of photography alongside narratives (photovoice) can provide a powerful means for ethnic minority service users and their carers to communicate these experiences, with photographic displays to a broader audience contributing towards destigmatising mental illness.

Embrace Multicultural Mental Health 
Framework for mental health in multicultural Australia: Towards culturally inclusive service delivery. 
Full Text


The Framework for Mental Health in Multicultural Australia (the Framework) is a free, nationally available online resource which allows organisations and individual practitioners to evaluate and enhance their cultural responsiveness. It is mapped against national standards to help organisations meet their existing requirements, and provides free access to a wide range of support and resources.

Chauhan, A., Walpola, R. L., Manias, E., Seale, H., Walton, M., Wilson, C., Smith, A. B., Li, J., & Harrison, R. 
How do health services engage culturally and linguistically diverse consumers? An analysis of consumer engagement frameworks in Australia. 
Health Expectations
Full Text


Background: Engagement frameworks provide the conceptual structure for consumer engagement in healthcare decision making, but the level to which these frameworks support culturally and linguistically diverse (CALD) consumer engagement is not known.

Abdi, S. M., Miller, A. B., Agalab, N. Y., & Ellis, B. H. 
Partnering with refugee communities to improve mental health access: Going from “why are they not coming” to “what can I (we) do differently?”. 
Cultural Diversity and Ethnic Minority Psychology
28(3), 370–378. 
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Refugees are disproportionally impacted by trauma and its negative sequelae. Even after being resettled in the United States, refugees face disparities in accessing services due to the stigma attached to mental health symptoms and the paucity of culturally and linguistically accessible services. Thus, there is a great need to develop methods that facilitate the engagement of refugee communities.

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Acknowledgement of Country

The National Mental Health Consumer and Carer Forum and the National Primary Health Network Mental Health Lived Experience Engagement Network acknowledge the Traditional Custodians of the lands and waters on which we work and live on across Australia. We recognise their continuing connection to land, waters, culture and community. We pay our respects to Elders past and present.

Definition of Aboriginal and Torres Strait Islander Lived Experience

“A lived experience recognises the effects of ongoing negative historical impacts and or specific events on the social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. It encompasses the cultural, spiritual, physical, emotional and mental wellbeing of the individual, family or community.

“People with lived or living experience of suicide are those who have experienced suicidal thoughts, survived a suicide attempt, cared for someone through a suicidal crisis, been bereaved by suicide or having a loved one who has died by suicide, acknowledging that this experience is significantly different and takes into consideration Aboriginal and Torres Strait Islander peoples ways of understanding social and emotional wellbeing.” - Aboriginal and Torres Strait Islander Lived Experience Centre

We welcome Aboriginal and Torres Strait Islander people to this site and invite them to provide any feedback or items for inclusion.

Recognition of Lived Experience

We also recognise people with lived and living experience of mental ill-health and recovery and the experience of people who are carers, families, kin, or supporters.


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