A core aspect of the appeal of digital technologies in mental health is the granularity of the data and the capacity that this enables to virtually provide more personalised, targeted care. In a population that is already vulnerable, however and prone to prejudice extra care needs to be taken lest data oversight further enhances stigma. In order to optimise health outcomes, it is important that Digital Health processes cater for the preferences and needs of their intended participants. To that end, this study reports findings of a co-design study with a consumer and carers advisory group. This process was undertaken in parallel to the development and implementation of an automated mental health risk alert service. Participants identified the broad problem areas of Agency, Access, Interactions with Health Professionals and Health Systems, Medication Management, and (Self)Monitoring — with a range of solutions accompanying the problems within these categories.