Peter,
Thank you for your thoughtful question. When you are referring to consumer leadership, you may want to read this paper: /en/table-of-contents/sustain/long-term-sustainability.... It appears this work speaks to the ways in which consumers of mental wellness services lead the decision making/or inform their treatment or provided services. You may want to consider a few items on your assessment that speaks to how individuals who use such or seek such services inform the service design.
I am looking forward to hear about additional details if you have them.
Thank You
