The citizenship of excluded groups : challenging the consumerist agenda

The language of consumerism suggests that through involvement in consumer processes, consumers can influence policy formation and service provision. This paper examines, as illustrative cases in Australia, how two groups of consumers, people with a mental illness and older people, engage with these consumer processes. It finds they critically evaluate the opportunity offered by consumer processes for inclusion in policy and programmes. Both people with a mental illness and interviewed older people indicated how they acted as "agents involved in interpreting their needs", despite finding that in consumer processes their needs were predefined. Rather than allowing themselves to be constructed as passive objects, they positioned themselves as active citizens, having agency not as individual consumers but through drawing on networks. The responses of both groups go some distance toward dismantling power differences between professionals and "consumers", suggesting that social policy and programmes for both people with mental illness and older people can and sometimes do develop in a context of greater inclusivity.