{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:38:43Z","timestamp":1792615123611,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001773","name":"University of New South Wales","doi-asserted-by":"publisher","award":["GNT2025098"],"award-info":[{"award-number":["GNT2025098"]}],"id":[{"id":"10.13039\/501100001773","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["CE200100025"],"award-info":[{"award-number":["CE200100025"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Co\u2010design is commonly adopted as a methodology within mental health research. However, little is known about the experiences of people involved in co\u2010design. We aimed to describe how a recent co\u2010design process was enacted, exploring experiences of this and how power was manifested through this process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Two workshops, seven focus groups, and a structured power reflection were conducted as part of an iterative co\u2010design process involving people living with mental illness experiencing food insecurity (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099), mental healthcare professionals, including peer workers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), and researchers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094). These took place in Sydney, Australia, between March 2023 and February 2024. Experiences of co\u2010design were explored using a mixed\u2010methods survey following workshops and qualitative enquiry during focus groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three analytic categories were constructed, relating to \u2018doing\u2019 co\u2010design, the experience of co\u2010design and the impacts of co\u2010design, comprising 12 interpretative themes. The development of strong relationships, through the diversity of collaboration and open communication, was perceived as contributing to the impact of overall positive experiences and personal growth. Challenges centred around managing expectations of the uncertain process and perceptions regarding power imbalances. Co\u2010design was also seen as having flow\u2010on effects on clinical culture and snowballing action within the health service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We identified mechanisms of how co\u2010design processes relate to experiences and impacts. Inequalities in power dynamics are inescapable but can be successfully navigated by building a sense of partnership and collaboration. Crucially, our findings emphasised the intrinsic value of including people with Lived\/Living Experience of mental illness in research which directly impacts them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Lived Experience or Public Contribution<\/jats:title>\n                    <jats:p>Two co\u2010authors with Lived\/Living Experience contributed directly to this article, one of whom is the first co\u2010author and co\u2010led the research from initial conceptualisation and funding acquisition. Findings were shared with all participants, as well as with a wider group of Lived\/Living Experience representatives and healthcare professionals, who informed interpretation and dissemination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70888","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:01:16Z","timestamp":1792062076000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u2018That Essence of Empowerment\u2019: An Exploration of People Living With Mental Illness', Healthcare Professionals', and Researchers' Experiences of Co\u2010Design"],"prefix":"10.1111","volume":"29","author":[{"given":"Catherine","family":"O'Donnell","sequence":"first","affiliation":[{"name":"Mindgardens Neuroscience Network Randwick New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7983-6999","authenticated-orcid":false,"given":"Oliver","family":"Ardill\u2010Young","sequence":"additional","affiliation":[{"name":"Mindgardens Neuroscience Network Randwick New South Wales Australia"},{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine University of New South Wales Kensington New South Wales Australia"},{"name":"South Eastern Sydney Local Health District Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7925-1862","authenticated-orcid":false,"given":"Jacqueline","family":"Huber","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital, Darlinghurst Sydney New South Wales Australia"},{"name":"Sydney School of Medicine (Central Clinical School) The University of Sydney Sydney New South Wales Australia"},{"name":"Australian Research Council (ARC) Centre of Excellence for Children and Families over the Life Course Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0419-9347","authenticated-orcid":false,"given":"Aaron","family":"Schokman","sequence":"additional","affiliation":[{"name":"Sydney School of Medicine (Central Clinical School) The University of Sydney Sydney New South Wales Australia"},{"name":"Australian Research Council (ARC) Centre of Excellence for Children and Families over the Life Course Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-7722","authenticated-orcid":false,"given":"Philip B.","family":"Ward","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine University of New South Wales Kensington New South Wales Australia"},{"name":"Schizophrenia Research Unit Ingham Institute for Applied Medical Research Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6884-0098","authenticated-orcid":false,"given":"Jackie","family":"Curtis","sequence":"additional","affiliation":[{"name":"Mindgardens Neuroscience Network Randwick New South Wales Australia"},{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine University of New South Wales Kensington New South Wales Australia"},{"name":"South Eastern Sydney Local Health District Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Milton","sequence":"additional","affiliation":[{"name":"Sydney School of Medicine (Central Clinical School) The University of Sydney Sydney New South Wales Australia"},{"name":"Australian Research Council (ARC) Centre of Excellence for Children and Families over the Life Course Sydney New South Wales Australia"},{"name":"Brain and Mind Centre The University of Sydney Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-8421","authenticated-orcid":false,"given":"Scott","family":"Teasdale","sequence":"additional","affiliation":[{"name":"Mindgardens Neuroscience Network Randwick New South Wales Australia"},{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine University of New South Wales Kensington New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aip.2015.01.001"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.25.3.720"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12653"},{"key":"e_1_2_12_5_1","unstructured":"World Health Organization Comprehensive Mental Health Action Plan. 2013\u20132030 (1st ed.) 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