Abstract
Objective: Drawing on recent Australian research into the lives of people experiencing major mental illness, this paper presents a consumer perspective on the failure of current mental health policy and practice in addressing the broader social determinants of health that impact upon and influence consumer recovery. Despite this, some basic ‘grassroots’ achievements by consumer and service providers in a regional city, almost devoid of nontreatment services, are detailed as examples of what is possible at a local level.
Conclusions: The third National Mental Health Strategy requires a focus on the provision of greater community support for consumers, including increased support for consumer initiatives, the non-government sector, and rehabilitation programs. Mental health policy and practice needs to address the social determinants of health.