This project by the National Mental Health Commission (NMHC) examined ways to support people with lived experience of mental illness to safely and effectively participate in consumer and carer engagement. The NMHC made a number of recommendations to drive cultural change and achieve safer and more effective engagement and participation for those with lived experience. First, to develop a National Framework on Skills and Competencies to support people with lived experience to operate at different levels within the mental health and suicide prevention systems. Second, establish agreed objective and comparable performance reporting requirements and indicators for services and organisations on safe and effective engagement and participation. Third, further investigate whether the lived experience workforce supply will meet increasing requirements. Four, include safe and effective engagement and participation in mental health and suicide prevention as key requirements within the National Safety and Quality Health Service Standards and the National Standards for Mental Health Services. Five, increase awareness of, and access to, evidence-based education, training and development to support and develop skills required for lived experience roles to operate at different levels of the mental health and suicide prevention systems. Six, promote and develop the capabilities, principles and practices of recovery-oriented practice for providers, practitioners, managers and support staff and others working in mental health and suicide prevention who work with people with lived experience, their families and other support people.