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Background: Collaborative approaches to consensus building or decision‐making are beneficial in health‐promoting activities targeting users of mental health services (users). However, little is known about how to achieve a collaborative approach in practice. Aim: The purpose of this study was to explore: (1) users’ preferences and ideas related to achieving a collaborative approach in health‐related communication and (2) perspectives of healthcare and social work professionals and family members on users’ ideas and preferences. Methods: Data were collected through interactive workshops with users (n = 15), professionals (n = 21) and users’ family members (n = 12). Data were analysed using systematic text condensation. Results: Users provided three recommendations for establishing a collaborative approach in communication about health: (1) involving users in deciding the agenda and setting for health‐promoting activities; (2) exchanging knowledge between users and professionals about health and values; and (3) exploring users’ motivation for change. Users and professionals had diverging perceptions of the value of establishing a collaborative approach. Professionals regarded relationship building and health promotion as separate phenomena, whereas users perceived relationship building as inherently health promoting. Family members of users requested specific guidance and support with regard to clarifying and fulfilling the best possible support role as a family member. Conclusions: The findings suggest that a collaborative approach in health promotion may be difficult to achieve without a focus on professional development for healthcare and social work professionals. • Published by arrangement with John Wiley & Sons.

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