{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:40:45Z","timestamp":1792435245760,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:00:00Z","timestamp":1790985600000},"content-version":"vor","delay-in-days":2,"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"}],"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>Background<\/jats:title>\n                    <jats:p>Integrating lived experience roles into health services is increasingly recognised as key for effective service delivery. The Adult Survivors Program (ASP) has been established to support adult survivors of childhood sexual abuse, a population with complex health needs and historical mistrust of services. This paper explores the implementation of a dedicated Lived Experience position within ASP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To critically reflect on the process of establishing a Lived Experience of child sexual abuse role in a Violence, Abuse and Neglect health service, and identify lessons for workforce development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A dialogical co\u2010reflection approach was used, involving a Lived Experience worker, senior clinician, clinical coordinator, and two researchers. Over 6 months, fortnightly reflective sessions were conducted. Individual written reflections are presented to form a shared narrative of the experience of implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The narrative highlights the transformative potential of Lived Experience roles in VAN, challenges of visibility and stigma, and the need for organisational readiness. Establishing trust, safety, and shared values was critical. Structural issues such as pay parity, scope clarity, and emotional load were identified as significant considerations. The Lived Experience role enhanced: survivor\u2010informed practice, disrupted hierarchical norms, and fostered cultural change, but also highlighted the importance of relational and systemic support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Embedding Lived Experience roles in health services offers opportunities for systemic reform and improved survivor engagement. Success depends on organisational commitment, flexible role design, reflective supervision, and sustainable resourcing. Findings inform policy and practice for integrating Lived Experience positions across health systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70891","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:55:23Z","timestamp":1791035723000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrating a Lived Experience Position Into an Adult Survivors Program in Health: A Co\u2010Reflection of Lived Experience, Clinical and Academic Perspectives"],"prefix":"10.1111","volume":"29","author":[{"given":"Charlene","family":"Hurwitz","sequence":"first","affiliation":[{"name":"Northern Sydney Local Health District Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"May","sequence":"additional","affiliation":[{"name":"Northern Sydney Local Health District Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Hayden","sequence":"additional","affiliation":[{"name":"Northern Sydney Local Health District Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"McCarthy","sequence":"additional","affiliation":[{"name":"The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1027-5847","authenticated-orcid":false,"given":"Sophie","family":"Isobel","sequence":"additional","affiliation":[{"name":"The University of Sydney Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Role Titles and Desrciptions for the Development of the Mental Health Lived Experience Workforce","author":"Roennfeldt H.","year":"2019"},{"key":"e_1_2_12_3_1","volume-title":"National Lived Experience Development Guidelines: Lived Experience Roles","author":"Byrne L.","year":"2021"},{"key":"e_1_2_12_4_1","unstructured":"A.Wark L.Simms andE.Morgan.Sources of Lived Experience in the Family Violence Sector: Issues Paper. Safe and Equal 2022."},{"key":"e_1_2_12_5_1","volume-title":"An Australian Framework for the ethical co\u2010production of research and evaluation with victim survivors of domestic, family, and sexual violence","author":"Lamb K.","year":"2023"},{"key":"e_1_2_12_6_1","unstructured":"K.Lamb K.Hegarty Amanda W. E. A. V. E. R. S.Cina andR.Parker.The Family Violence Experts by Experience Framework: Domestic Violence Victoria. safe and equal 2020 https:\/\/safeandequal.org.au\/resources\/family-violence-experts-byexperience-framework\/."},{"key":"e_1_2_12_7_1","volume-title":"Cultural, Lived experience and Identity Knowledge (CLIK) Guide: Building an Intersectional Lived Experience Workforce in the Family Violence and Sexual Assault Sectors","author":"Centre for Family Research & Evaluation","year":"2023"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12910"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069241257945"},{"key":"e_1_2_12_10_1","volume-title":"Responding to Adult Survivors of Child Sexual Abuse Across Three Distinct Service Sectors: A Review of the Current Literature","author":"Toivonen C.","year":"2019"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22268-4"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/17449871251407833"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12925"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1054\/nepr.2002.0047"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11723-7"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/22041451.2019.1677068"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1077800410383121"},{"key":"e_1_2_12_18_1","unstructured":"E.Paino J.River B.Bellingham et al.Towards a Meaningful Evaluation Framework for Peer Work. 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