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Assessing Diversity and Inclusivity is the Next Frontier in Mental Health Recovery Narrative Research and Practice

Kotera, Yasuhiro; Rennick-Egglestone, Stefan; Ng, Fiona; Llewellyn-Beardsley, Joy; Ali, Yasmin; Newby, Christopher; Fox, Caroline; Yeo, Caroline; Slade, Emily; Bradstreet, Simon; Harrison, Julian; Franklin, Donna; Todowede, Olamide; Slade, Mike

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Joy Llewellyn-Beardsley

Yasmin Ali

Senior Quantitative Methods Adviser and Researcher

Caroline Yeo

Emily Slade

Simon Bradstreet

Julian Harrison

Donna Franklin

Professor of Mental Health Recovery and Social Inclusion


Demand for digital health interventions is increasing in many countries. The use of recorded mental health recovery narratives in digital health interventions is becoming more widespread in clinical practice. Mental health recovery narratives are first-person lived experience accounts of recovery from mental health problems, including struggles and successes over time. Helpful impacts of recorded mental health recovery narratives include connectedness with the narrative and validation of experiences. Possible harms include feeling disconnected and excluded from others. Diverse narrative collections from many types of narrators and describing multiple ways to recover are important to maximize the opportunity for service users to benefit through connection and to minimize the likelihood of harm. Mental health clinicians need to know whether narrative collections are sufficiently diverse to recommend to service users. However, no method exists for assessing the diversity and inclusivity of existing or new narrative collections. We argue that assessing diversity and inclusivity is the next frontier in mental health recovery narrative research and practice. This is important, but methodologically and ethically complex. In this viewpoint, we propose and evaluate one diversity and two inclusivity assessment methods. The diversity assessment method involves use of the Simpson Diversity Index. The two inclusivity assessment methods are based on comparator demographic rates and arbitrary thresholds, respectively. These methods were applied to four narrative collections as a case study. Refinements are needed regarding a narrative assessment tool in terms of its practicality and cultural adaptation.


Kotera, Y., Rennick-Egglestone, S., Ng, F., Llewellyn-Beardsley, J., Ali, Y., Newby, C., …Slade, M. (2023). Assessing Diversity and Inclusivity is the Next Frontier in Mental Health Recovery Narrative Research and Practice. JMIR Mental Health, 10, Article e44601.

Journal Article Type Article
Acceptance Date Jan 1, 2023
Online Publication Date Apr 17, 2023
Publication Date 2023
Deposit Date Jan 5, 2023
Publicly Available Date Jan 5, 2023
Journal JMIR Mental Health
Electronic ISSN 2368-7959
Peer Reviewed Peer Reviewed
Volume 10
Article Number e44601
Keywords curation, collective action, mental health, diversity, telemedicine, recovery narrative, inclusivity, clinical practice, narrative research, digital health, web-based mental health interventions, demographic
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