From April 2025 April 2026 CHARM CIC worked on a number of projects to support its objectives Our key work took place through the Empowering Communities project which sought to develop wider community understanding of psychosis and severe distress and consider alternative approaches to the standard pharmacological approaches to treatment In October 2025 and November 2025 5 members of CHARM including family members campaigners and people with lived experience of psychosis attended two key events that supported the group to educate themselves more deeply in alternative approaches and network with people internationally This included the Intervoice Hearing Voices Congress in Copenhagen and Our Call for Transformation Launch Conference in London Through the conferences members of CHARM were able to learn about some of the success of community and social approached to supporting people in deep distress to give hope for change and also to help us explore what we may want to do in Manchester Through the London Conference organised by the International Mental Health Collaborating Network we were able to learn about transformative approaches to mental health care that were taking place in Britain This gave hope for the possibility of change within and outside NHS services in the UK 1 The group was also involved in community advocacy to help empower individuals and communities through Supporting the Early Intervention team strikers who were raising awareness of unsafe working practices affecting our client group Contributing to a Steering group on Fixing the Mental Health Act an overdue return to dignity Taking part in Consultations with GMMH to put across the perspective of service users and carers 2 March 2025 We set up a Three day Open Dialogue training workshop entitled Hope for the Future an introduction to Open Dialogue to enable communities and professionals to come together in Manchester to learn more about the Open Dialogue approach and understand more about how this can be used in practice In setting up the workshop we collaborated with a Dutch Open Dialogue team who volunteered their time inorder to support our work in Manchester making it financially possible for us to conduct the workshop The workshop used the principles of coproduction and collaboration in its development through a series of online meetings where we met the workshop leaders and discussed the best way to develop knowledge through a flexible approach that centered people with lived experience The first day of the workshop was conducted in a way to raise the profile of the practise and included senior members of GMMH in the audience as well as a principle investigator of the ODESSI trial Russell Razzaque as a speaker This created significant interest to enable the deepser smaller group work to take place on the following two days a Enthusiasm for the course led to people developing an Open Dialogue promotion and practice group to increase knowledge and understanding of the practise to ensure best learning during the workshop b Feedback was collected after the Peer supported Open dialogue workshop The feedback emphasised Inspiration listening hope nothing about me without me Open Dialogue is relevant here as it is everywhere I would love to see this become the norm I think this is extremely relevant to where we find ourselves currently more trusts should be using Open Dialogue Information presented today do make this seem much more doable locally Does seem very relevant to Manchester and antidote to problems services have had here Professionals reflected on The importance of dialogue and not having solutions Being more open and honest in interactions refreshed my belief in the concept of family involvement and will take this back to my service this makes me want to work differently and more authentically excited to share with my CMHT colleagues One member of CHARM wrote the following A few weeks on and I can only speak for myself but I am absolutely feeling the powerful change and shift in my own body and mind from the workshops something Im aware is hard to communicate in this format Sharing ourselves and bringing to light understandings and thoughts alongside a lot of deep learning and listening was special and I would like to express the deepest appreciation for everyone who came and contributed in any way I am excited to continue conversing and having a dialogue about how we can take things forward 3 Established the Gaining Autonomy in Medication Group this group had its first meeting in March 2025 aWe were keen to develop a presence in Manchester while also offering support to people outside of Manchester Members of the group have joined from Manchester other areas of the UK Europe US and Canada The group began as a blended group meeting in a physical room to ensure wide participation and encourage participation from Manchester The group has been described as giving a safe space giving participants courage so much courage leading to gratitude that CHARM is leading the way to a more authentic and compassionate future Others have expressed how being a member of the group led to people feeling safe and secure no longer under threat Qualitiative feedback for GAM group included the following When I joined the GAM group I did not know what to expect It was the first self help support group I had joined To be honest I am not one for navel gazing and was slightly apprehensive What I found was a space where I could be myself identify with people from around the world who I could see and hear had gone through similar experiences and develop nascent ideas Words I associate with the group are Comradery shared experience and knowledge empathy ideas keg 4 Carried out development work to establish a Food and Mind Group to support peers to explore how healthier eating can support both their mental and physical health 5 Continued to support the development and running of the Womens hearing voices group that continued to operate in person as well as provide activities for women voice hearers 6 Carried out community development work to develop links with grass roots groups such as Community Works a small group in Whalley range Longsight Community Art Space Bembe Caf 7 Consolidated the Manchester Online Hearing voices group that continues to meet on a Thursday at 3pm

8 In October 2025 we held our Reenvisioning Day to explore what we have learned and to share the harvest of our experiences and to consider what we would like our services and support to look like in the future The day focused on encouraging participation and was organised around Open Dialogue principles to encourage as many people as possible to participate The morning included reflective circles where people involved in different aspects of our work reflected on what they had learned and what was important to them This included a circle on hearing voices gaining autonomy in medication food and mind and open dialogue We asked people to write notes on the day and how they felt Across all the notes and reflections there is a longing for time space and ordinary humanity bike rides nature retreats eg Kylie Farm food groups and joy of being human These are not marginal extras they are central to recovery There was a concern at how UK community services have become increasingly transactional and risk oriented with shrinking capacity for the ordinary relational work that keeps people well Another strong thread was peer wisdom which was described as gold that one size does not fit all everyone has something valuable to contribute Participants want networks documentaries radical conferencesforms of knowledge sharing and collective agency that services rarely fund

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