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The Engagement Continuum in Mental Health Systems

"The engagement continuum can be pivotal in creating and implementing the systems. Each level of the engagement continuum can be applied to organize and optimize these systems."


In the ever-evolving landscape of mental health care, the role of lived experience leaders, patients, and community stakeholders is becoming increasingly significant. It is crucial to adopt a structured and comprehensive approach to empower these key players and improve mental health systems on a global scale. The Engagement Continuum offers a systematic framework for organizing and optimizing these systems, ensuring that each level contributes to improving mental health services.


The Engagement Continuum comprises five levels, each serving a unique purpose in enhancing engagement practices within the mental health sector. Let's explore how each level can be applied to create more effective and patient-centric care models:

  1. Informing (Basic Level): At the foundation of the continuum lies the Informing level. This level is all about gathering and disseminating information. We create a centralised knowledge repository by organizing the information collected and shared into a comprehensive database. This database contains data on best practices, research, resources, and other relevant information. It acts as the building block upon which all other levels are constructed.

  2. Consulting (Intermediate Level): Moving a step further, the Consulting level formalizes consultation methodologies into a best practices policy. This policy outlines the most effective ways to engage with stakeholders, ensuring that consultation processes are efficient and result in valuable feedback. It provides a structured approach to ensure that voices are heard and acted upon.

  3. Involving (Intermediate Level): Involvement in care models is critical for patient and community-centric healthcare. Models of involvement can be summarized as standards, establishing benchmarks for best practices. These standards guide healthcare providers and organizations in implementing effective, patient-centric care models. This level ensures that involvement is not just a concept but a tangible reality.

  4. Collaborating (Advanced Level): Collaboration is at the heart of meaningful engagement. The Collaborating level emphasizes the importance of co-design initiatives and Lived Experience Organizations. These can be organized into a database that includes their practices, achievements, and innovative approaches. This database is a reference for organizations looking to engage meaningfully with lived experience leaders and adopt successful collaboration strategies.

  5. Empowering (Advanced Level): The Empowering level brings it all together. Systems, including policies and legislation, can be organized into a comprehensive framework. This framework provides a holistic approach to lived experience engagement, ensuring that all aspects of the system align with best practices and principles. It empowers patients, communities, and stakeholders to actively participate in shaping the future of mental health care.

To assess and improve the effectiveness of these engagement levels, a Lived Experience Engagement Audit is invaluable. This audit identifies gaps and areas for improvement within each level, facilitating systematic changes. With this audit, it becomes easier to pinpoint the strengths and weaknesses in existing systems, paving the way for enhancements and optimizations.


In conclusion, the Engagement Continuum is a vital tool in the quest to empower lived experience leaders and enhance global mental health systems. By applying the principles of each level, mental health organizations can create structured and comprehensive approaches to improve the overall quality of care, significantly impacting the lives of individuals dealing with mental health challenges. The continuum informs, involves, collaborates, and empowers, ensuring a holistic and patient-centric approach to mental health care.

 
 
 

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