Unit rationale, description and aim

This unit develops students’ capability to engage in co-design with consumers, carers and communities. Moving beyond individual-level mental health practice, the unit examines what authentic co-design involves when people with lived experience and community stakeholders are engaged as partners from the outset to define what matters, set priorities and shape solutions. Co-design is considered across four connected contexts: mental health services, research, education and ongoing workforce development, and community-level mental health promotion. The unit explores principles, practices and relational conditions required for genuine co-design, including common purpose and transparency; power-sharing and governance; valuing lived experience, practice and community expertise; inclusive participatory methods; and relational conditions such as trust and psychological safety, respectful communication and humility, reciprocity and reflexivity. Learning activities build capability in scoping a co-design challenge; identifying and engaging stakeholders; selecting inclusive collaboration methods; and translating shared priorities into feasible, strengths-based proposals that draw on lived expertise and community resources. Students also consider evidence and evaluation approaches to assess co-design quality, impact and sustainability.

The overarching aim of this unit is to enable students to participate genuinely, effectively and ethically in co-design partnerships with consumers, carers and communities to strengthen mental health services, research, education and community initiatives.

2027 10

Campus offering

No unit offerings are currently available for this unit.

Prerequisites

Nil

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Analyse core concepts and principles of genuine co...

Learning Outcome 01

Analyse core concepts and principles of genuine co-design in mental health across service, research, education and community contexts.
Relevant Graduate Capabilities: GC1, GC4, GC6

Critically evaluate the quality and ethical integr...

Learning Outcome 02

Critically evaluate the quality and ethical integrity of co-design examples in mental health by examining purpose and transparency, power-sharing and governance, diverse expertise, inclusive methods, and relational conditions.
Relevant Graduate Capabilities: GC4, GC7, GC8, GC11

Apply co-design principles to scope mental health ...

Learning Outcome 03

Apply co-design principles to scope mental health challenges and opportunities for co-design initiatives, identifying stakeholders, participation supports and governance arrangements.
Relevant Graduate Capabilities: GC2, GC4, GC6

Design feasible co-design initiatives that integra...

Learning Outcome 04

Design feasible co-design initiatives that integrate implementation considerations and evidence-informed approaches to co-evaluating quality, impact and sustainability.
Relevant Graduate Capabilities: GC2, GC4, GC6, GC8, GC9, GC11

Content

Topics will include:

Foundations of genuine co-design in mental health

  • Co-design: definitions and distinctions
  • Co-design across service, research, education/workforce and community contexts
  • Common purpose and transparency (scope, constraints, influence and accountability)
  • Power-sharing and governance (roles, representation and decision-making)
  • Lived experience, carer and community knowledge as forms of expertise
  • Inclusive participatory methods
  • Understanding co-design fatigue
  • Relational conditions (trust, psychological safety, respectful communication, humility, reciprocity and reflexivity)


Co-scoping and stakeholder engagement

  • Framing a co-design challenge and defining success
  • Stakeholder identification and mapping (interests, influence, decision authority)
  • Engagement and recruitment approaches
  • Enablers for participation


Co-design methods and facilitation

  • Participatory methods and inclusive facilitation approaches
  • Managing group dynamics, disagreement and power in collaborative settings
  • Communication practices that support transparency and shared understanding


Translating priorities into feasible, strengths-based proposals

  • Converting co-design challenges into action
  • Feasibility, resourcing and implementation constraints
  • Implementation planning


Co-evaluation and evidence-informed learning

  • Co-evaluation planning (questions, indicators and data sources)
  • Assessing co-design quality, impact and sustainability

Assessment strategy and rationale

To pass this unit, students must attempt and submit both assessment tasks, demonstrate achievement of every unit learning outcome, and obtain a minimum mark of 50%.

The assessment strategy uses two authentic, scaffolded tasks that progressively develop knowledge and skills in co-design, supporting learning as well as providing opportunities for students to demonstrate their learning. Assessment 1 (Critical analysis) develops and assesses students’ understanding of core concepts and principles of genuine co-design (LO1) and their ability to evaluate the quality and ethical integrity of co-design examples using structured criteria (LO2, LO3, LO4). Assessment Task 2 (Co-design proposal) requires students to apply co-design principles to a scenario by scoping a co-design challenge and identifying stakeholders, participation supports and governance arrangements (LO1, LO2, LO3), and to design a feasible co-design initiative plan that integrates implementation considerations and an evidence-informed approach to co-evaluating quality, impact and sustainability (LO4). 

Overview of assessments

Assessment Task 1: Critical analysis   Stude...

Assessment Task 1: Critical analysis

 

Students critique a co-design approach used in a mental health service, research, education/ workforce development or community mental health promotion context. 

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC4, GC6, GC7, GC8, GC9, GC11

Assessment Task 2: Co-design proposal   Stu...

Assessment Task 2: Co-design proposal

 

Students develop a feasible, strengths-based proposal for a co-design initiative in response to a scenario. 

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC4, GC6, GC7, GC8, GC9, GC11

Learning and teaching strategy and rationale

Learning and teaching strategies utilised in this unit will support students in meeting the aim and achieving the learning outcomes relevant to this unit, as well as to the broader course learning outcomes. This unit uses an active learning approach to support students in the exploration of knowledge essential to co-design in mental health. Delivered as fully online, asynchronous learning allows students to learn at their own pace within the parameters of the teaching term. Weekly modules are structured around an inquiry cycle (engage, explore, apply and reflect) that guides students from key concepts and evidence to analysis of authentic scenarios. Learning is further supported through facilitated asynchronous discussion forums, weekly online drop-in sessions, and an online assessment session for each assessment task with the unit's online facilitator. The discussion forums provide students with activities that encourage students to critically discuss concepts, share practice-based examples (including from their own professional contexts), and provide constructive peer feedback. These activities are designed to build a learning community and deepen critical reflection in a supported online environment. Students receive regular and timely feedback on their learning, which includes information on their progress.

Representative texts and references

Representative texts and references

  • Arblaster, K., Mackenzie, L., Buus, N., Chen, T., Gill, K., Gomez, L., Hamilton, D., Hancock, N., McCloughen, A., Nicholson, M., Quinn, Y., River, J., Scanlan, J. N., Schneider, C., Schweizer, R., & Wells, K. (2023). Co-design and evaluation of a multidisciplinary teaching resource on mental health recovery involving people with lived experience. Australian Occupational Therapy Journal, 70(3), 354–365.
  • Arnstein, S. R. (1969). A ladder of citizen participation. Journal of the American Institute of Planners, 35(4), 216–224.
  • Australian Health Ministers’ Advisory Council. (2013). A national framework for recovery-oriented mental health services: Guide for practitioners and providers. Australian Government Department of Health and Ageing.
  • Bate, P., & Robert, G. (2006). Experience-based design: From redesigning the system around the patient to co-designing services with the patient. Quality and Safety in Health Care, 15(5), 307–310.
  • Byrne, L., Wang, L., Roennfeldt, H., Chapman, M., & Darwin, L. (2019). Queensland framework for the development of the mental health lived experience workforce. Queensland Mental Health Commission.
  • Gee, A., McGarty, C., & Banfield, M. (2016). Barriers to genuine consumer and carer participation from the perspectives of Australian systemic mental health advocates. Journal of Mental Health, 25(3), 231–237.
  • Happell, B., Byrne, L., McAllister, M., Lampshire, D., Roper, C., & Gaskin, C. J. (2014). Consumer involvement in the tertiary-level education of mental health professionals: A systematic review. International Journal of Mental Health Nursing, 23(1), 3–16.
  • Logan, A., Yule, E., Taylor, M., & Imms, C. (2018). Mental health consumer participation in undergraduate occupational therapy student assessment: No negative impact. Australian Occupational Therapy Journal, 65(6), 494–502.
  • Mind Australia. (2021). Mind’s participation and co-design practice framework: Working together to make a difference. Mind Australia.
  • National Mental Health Consumer and Carer Forum. (2004). Consumer and carer participation policy: A framework for the mental health sector. NMHCCF.
  • New South Wales Mental Health Commission. (2018). Lived Experience Framework for NSW. NSW Mental Health Commission.
  • Morse, A. R., Smith, D. G., Clifford, R., Shrimpton, B., & Banfield, M. (2024). Starting conversations about mental health and wellbeing in Australian culturally and linguistically diverse communities. Health Promotion International, 39(4), daae099.
  • Peters, S., Guccione, L., Francis, J., Best, S., Tavender, E., Curran, J., Davies, K., Rowe, S., Palmer, V. J., & Klaic, M. (2024). Evaluation of research co-design in health: A systematic overview of reviews and development of a framework. Implementation Science, 19(1), 63.
  • Povey, J., Sweet, M., Nagel, T., Mills, P. P. J. R., Stassi, C. P., Puruntatameri, A. M. A., Lowell, A., Shand, F., & Dingwall, K. (2020). Drafting the Aboriginal and Islander Mental Health Initiative for Youth (AIMhi-Y) App: Results of a formative mixed methods study. Internet Interventions, 21, 1-13. Article 100318. https://doi.org/10.1016/j.invent.2020.100318
  • Queensland Health. (2023, October). Lived Experience (peer) workforce framework. State of Queensland (Queensland Health). https://www.health.qld.gov.au/__data/assets/pdf_file/0039/929667/peer-workforce-support-framework.pdf
  • Roper, C., Grey, F., & Cadogan, E. (2018). Co-production: Putting principles into practice in mental health contexts. University of Melbourne, Centre for Mental Health Nursing.
  • Shahnaz, I., Rose-Clarke, K., Michelson, D., & Gronholm, P. C. (2025). Codesign of Mental Health Interventions With Young People From Racially Minoritised Populations: A Systematic Review of Methods and Outcomes. Health expectations : an international journal of public participation in health care and health policy28(2), e70204. https://doi.org/10.1111/hex.70204
  • State of Victoria, Department of Health and Human Services. (2021). Mental health lived experience engagement framework. Victorian Government.
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