Access to somatic healthcare for people with lived experience of mental health conditions in Austria: A trialogic participatory action research study

Author(s)

Tobias Fragner, Christopher Tupy, Lisa Kainzbauer, Lisa Lehner, Magdalena Eitenberger, Joy Ladurner, Igor Grabovac

Abstract

People with lived experience of mental health conditions (PWLE) encounter significant obstacles when accessing somatic healthcare services, contributing to higher morbidity and reduced life expectancy compared to the general population. This research sought to identify the barriers and facilitators that PWLE face in accessing and using somatic healthcare in Austria, with the goal of co-creating strategies to address current challenges. Employing a participatory action research approach from the conceptualization and grant-writing stages and reflecting the principles of “mental health trialogue,” this study involved a steering committee composed of a person with lived experience, a family member of PWLE, and a healthcare professional. Based on World Café methodology, two co-creation workshops fostered open dialogue and collaboration among participants representing these three perspectives. Data were gathered through participant observation and systematic collection of workshop contributions, which were thematically analyzed. A total of 52 participants, with 27 in the first and 25 in the second workshop, contributed to the study. Six overarching themes were derived: (1) Awareness among healthcare professionals; (2) Accessibility and health facility design; (3) Structural diversity of services; (4) Lack of care coordination; (5) Bureaucracy and material support; and (6) Societal awareness. Findings underscore the need for systemic changes to address diagnostic overshadowing in somatic healthcare services, particularly through the design of more inclusive services and the expansion of networking between and within PWLE and their caregivers. Aiming to achieve health equity, this study provides specific policy and practice pathways to counter diagnostic overshadowing and ensure PWLEs’ somatic health needs are adequately addressed.

Organisation(s)

Department of Social and Cultural Anthropology, Department of Political Science

Journal

SSM - Mental Health

Volume

8

Pages

100566

ISSN

2666-5603

DOI

https://doi.org/10.1016/j.ssmmh.2025.100566

Publication date

12-2025

Peer reviewed

Yes

Austrian Fields of Science 2012

504020 Medical sociology

Sustainable Development Goals

SDG 3 - Good Health and Well-being

Portal url

https://ucrisportal.univie.ac.at/en/publications/234f5a20-5187-4a92-91c6-47d74cc84a7e