The Pathways to Participation (P2P) program: A longitudinal evaluation

Dr Danielle Hitch1, Ms. Kate Lhuede1, Ms.  Sarah Palexas1

1North Western Mental Health, Coburg, Australia


The aim of this study is to determine whether consumers who participate in the Pathways to Participation (P2P) program experience improved recovery (including self and clinician rated daily living needs, psychosocial health, time use, vocational activity and social participation) from mental illness at program end and three months post program. The P2P program is a hybrid of two pre-existing evidence based interventions – Action over Inertia and The Works.

A longitudinal pre, post and follow up design was employed across four adult mental health services. Intervention effects were measured at baseline, post P2P program and 3 months post P2P program, using standardized outcome measures.

Sixteen consumers have participated in this study, and data collection is currently concluding. Preliminary findings have shown the majority of participants were female, and have co-morbidities including multiple mental and physical health diagnoses. A trend towards positive outcomes in regards to individual needs and recovery have been identified, and over 80% of consumers who have completed the program to date have reported tangible improvement in their recovery they attribute to the P2P program. However, there have been significant difficulties encountered around collecting data from clinicians, due to their existing heavy workloads.

Significance of the findings to allied health:
This study contribute to allied health understanding of interventions that directly address activity and participation for people with mental illness. While developed in occupational therapy, the P2P program can be delivered by other disciplines and is co-facilitated by peer support workers in its current form.


Dani Hitch is the Allied Health Research and Translation Lead at Western Health, and a Senior Lecturer in Occupational Therapy at Deakin University. Her particular areas of interest include knowledge translation, occupational therapy and social justice