Background: there has been much interest in recent years about the potential impact short-term therapy can have on those needing mental health support, relatively little attention has been paid to the needs of those who require longer term support. Methods: In an ethnographic study that incorporates a participatory action research (PAR) design, exploring long-term clients’ experiences of the recovery journey and the role of rural mental health support, a sample of 6 (n = 6) consumers who had a minimum of five years of continuous involvement with a community-based mental health clinic participated in a series of two focus groups. The first focus group examined consumers’ experiences of the recovery journey and the role of the clinic in supporting their journey. The second focus group involved a member-check that allowed for participant feedback on the researchers’ summary of themes that arose from the first session. In this way, participants were given voice in revising and shaping the thematic analysis, to share their lived experiences of illness, recovery and resilience. Results: Emerging findings demonstrate how the journeys shared highlight themes of contending with extreme violence, the importance of accessible ongoing support, and finding a reason to go on in the wake of devastating personal experiences. Interpretation: Themes of being too helpful as unhelpful, balancing relationship with being able to offer advice or a challenge and connection to people and places were all highlighted. Large part of what recovery meant and participants challenge and invitation to the practitioners of its meaning was voiced.

While there has been much interest in recent years about the potential impact that short-term therapy can have on those needing mental health support, relatively little attention has been paid to the needs of those who require long-term support. In this phenomenological study exploring long-term service-users’ experiences of the recovery journey and the role of mental health support in facilitating that journey, a sample (n = 6) of service-users who had a minimum of five years of continuous involvement with a community-based mental health clinic participated in a pair of focus groups designed to help them share their experience of the recovery journey. Our analysis revealed themes of contending not just with extreme violence and other adversities, but also with an often unhelpful helping system, as service-users expended effort in locating the consistent, accessible support they needed in order to find a reason to go on in the wake of devastating personal experiences. The study also emphasized how prioritizing the top-down need for efficiency over the bottom-up need for consistent, flexible support can have the inadvertent effect of extending rather than shortening treatment. Implications of these findings for the delivery of mental health services are discussed.