Wadsworth, YolandEpstein, Merinda2024-11-212024-11-211998Wadsworth, Y., & Epstein, M. (1998). Building in Dialogue Between Consumers and Staff in Acute Mental Health Services.http://192.9.200.215:4000/handle/123456789/231The paper presents a detailed account of a participatory action research study focused on improving dialogue between consumers and staff in mental health services. The research utilized various methods, including story-telling, group discussions, and strategic surveys, to foster communication and address the systemic challenges of feedback and organizational change. It highlights the complexity of dialogue and the challenges of transforming mental health service practices through collaborative consumer-staff engagement.This paper describes the methodology, material, and findings from a participatory action research project conducted by an Australian consumer organization in collaboration with staff at a major public psychiatric hospital. The study aimed to establish a dialogue between consumers and staff, exploring how consumer feedback could be incorporated into the organizational structure and culture. The research focused on using systems thinking to address defensive routines and silences within the communication process between staff and consumers. The study’s findings suggest potential ways to improve staff-consumer communication in mental health services, promoting systems change and a more inclusive dialogue.enDialogueParticipatory action researchConsumer feedbackSystems changeDefensive routinesMental health servicesConsumer-staff communicationParticipatory researchSystems thinkingArticle