They don't see us: Voices from Fiji on exclusion and the power of inclusion

Research summary of the report: ‘Understanding barriers and enablers to community participation for people with psychosocial disabilities in Fiji’

Background

Community participation is a fundamental right under the UN Convention on the Rights of Persons with Disabilities (UNCRPD), which Fiji has ratified. Despite this, people with psychosocial disabilities in Fiji continue to face significant barriers to inclusion. These barriers are rooted in stigma, discriminatory attitudes, and outdated legal frameworks that reinforce institutionalisation and deny individuals their rights to autonomy and participation.

This addresses a critical gap in evidence from the Pacific region by centering the voices of people with psychosocial disabilities and their families. It explores the lived experiences of inclusion and exclusion, identifies systemic and social barriers, and highlights strategies for promoting meaningful participation in community life.

This research was led by researchers from the Psychiatric Survivors Association of Fiji (the National Organisation of People with Disabilities representing people with psychosocial disabilities) and CBM Australia, and with research guidance from the University of Melbourne and Fiji National University, and made possible through funding from CBM Australia.

What did the researchers do? 

Most participants had experienced exclusion based on their disability, including denial of decision-making rights, abuse, and limited access to services. Stigma was reinforced by institutional legacies, media portrayals, and discriminatory laws. Inclusion – when present – was transformative, improving mental health and fostering a sense of belonging. Peer support networks, especially those led by the Psychiatric Survivors Association, were vital in enabling participation. Legislative frameworks, particularly the Mental Health Act 2010, were found to be inconsistent with CRPD principles and contributed to systemic exclusion.

How can readers use this research?

This research provides actionable insights for policymakers, service providers, community organisations, families and individuals. It underscores the importance of rights-based approaches, inclusive service design, and the central role of lived experience in shaping effective supports. Readers can use this evidence to advocate for legislative reform, scale up peer support, and promote inclusive practices in communities.

Policy implications

“Inclusion isn’t just about being present – it’s about being valued, heard, and supported. When we are included, we feel like we belong. That changes everything.”

• People with psychosocial disabilities in Fiji face systemic exclusion across social, cultural, economic, and political domains.

• Stigma, discriminatory laws, and lack of community-based supports are key barriers to inclusion.

• Inclusion and peer support significantly improve emotional wellbeing and community participation.

• Legislative reform and investment in rights-based, community-driven support systems are urgently needed:

• • Repeal or revise discriminatory laws, including the Mental Health Act 2010, to align with the CRPD.
  • Recognise psychosocial disability as a distinct impairment group in disability support systems.
  • Invest in community-based, rights-oriented services and supports.
  • Promote supported decision-making and ensure legal capacity for all individuals.
  • Include people with psychosocial disabilities in policy design, implementation, and evaluation.
  • Invest in community awareness raising and education about psychosocial disability using disability rights frameworks.