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Immigrant youth face both unique and disproportionate barriers to sexual health. Targeted sexual health education to redress these disparities requires creative and inclusive approaches that consider personal and community challenges and strengths. This study piloted a novel intervention: SExT: Sex Education by Theatre, a theatre-based, culturally-relevant, participatory action research programme delivered in an immigration destination neighbourhood in Toronto, Canada.

Nineteen youth were trained as peer educators. They participated in theatre-based workshops on sexual health topics which culminated in a performance for local peers. Mixed methods evaluation included surveys which investigated changes in personal and social development over three time-points (pre, post, 4-month follow-up). The impact of the intervention on peer educators was explored in greater depth using qualitative peer interviews and focus groups.

Quantitative study findings indicated that peer educators experienced significant improvements in personal growth, social inclusion and social engagement after participating in SExT and these improvements were maintained at follow-up. Thematic qualitative analysis further indicates that meaningful involvement in a sex education theatre intervention may protect against adverse outcomes and promote self-actualization, connection and active citizenship.

This research stands out for its innovative approach to addressing sexual health disparities among immigrant youth in Toronto using culturally relevant theatre-based peer education. SExT may serve as a model for sexual health interventions for newcomer youth and other priority groups in diverse contexts.

This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns.

This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel.

There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change.

Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.

In response to the growing popularity of brands’ using social media as a customer service channel (webcare), this research examines how companies redirect consumers from the public social media feed to a private channel. The purpose of this paper is to understand how to redirect consumers using service failure apologies and to discuss personalization’s role in these service recoveries.

A text mining study reveals how companies use redirection on social media. Then, two experiments test the impact of redirection types and personalization on consumer perceptions and intentions.

Service representatives frequently require consumers to initiate the first message after redirecting them from the public social media feed (a consumer-responsible redirection). Personalizing webcare apologies increases repurchase intentions and relational advocacy regardless of the redirection strategy used. Consumers are more likely to publicly respond to companies that initiate the first message in a private channel (a company-responsible redirection).

Although most service providers require consumers to co-produce service recovery redirections (consumer-responsible redirection), this requirement may not be optimal. If a consumer-responsible redirection must be used, then personalization may improve consumers’ perceptions of webcare apology’s sincerity.

To the best of the authors’ knowledge, this study is the first to test different types of redirections in webcare. The authors extend the literature on personalization and webcare apologies by examining how these webcare components operate with redirections. The need to prevent public complaints’ spiraling out of control contributes to this research’s timely value.

The paper contends that the migrant workers experience a significant impact on their relations back in the place of origin. In this context, this paper aims to explore, in depth the migration of the labourers to Kashmir and the challenges experienced by them in terms of adaptation to an unfamiliar culture, health and well-being, stereotyping, limited availability of collective religious spaces and the impact of migration on their social relations with the kith and kin way back in the place of origin. This is a qualitative study based on 20 oral narratives with respondents who experienced significant socio-cultural challenges in the host societies. The evidence-based findings reveal that significant challenges are experienced by the migrant workers in Kashmir, with respect to the social and cultural aspects of their lives.

Keeping in view the nature and the objectives of the study, qualitative research approach was used to have an empathetic understanding of the experience of obstacles by the migrant workers pertaining to cultural adaptation, health and well-being, stereotyping and other hard to adjust problems. The study used a convenience sampling technique to recruit the respondents in the district Pulwama of the union territory of Jammu and Kashmir. In-depth face-to-face interviews were conducted with 12 daily wage migrant labourers who after migrating to the valley of Kashmir, experienced challenges with respect to the cultural adaptation, health and well-being, stereotyping and employment opportunities. The data was collected in the month of June and July, keeping in view the massive influx of migrant worker in the valley. While collecting data from the first ten participants, the study encountered data saturation, as the same set of responses were observed. Meanwhile, two more respondents were added to the study to ensure that no data is left out, but again the same set of response was recorded. This prompted the investigator to cease the data collection process. Moreover, the current study was conducted at a time and place convenient to participants, usually at the online e-service shops, where these daily wage migrant labourers come for money transfer and other related activities. Thematic analysis of data was practiced as per the technique of Braun and Clarke (2006), which involves becoming acquainted with the data, looking for themes, validating and refining those themes, identifying and labelling those themes and finally creating the report.

The evidence-based findings reveal that significant challenges are experienced by the migrant workers in Kashmir, with respect to the social and cultural aspects of their lives.

Original research paper.

Staff in secure mental health-care settings face unique occupational challenges that may conflict with their personal or professional moral code. Initial research has established the presence of moral injury in this population, though insight into the specific sources and driving factors at the root of this syndrome is limited. The purpose of this study was to identify potentially morally injurious events and associated risk factors for secure mental healthcare staff.

To address this gap, a three-round expert Delphi survey was conducted to gain consensus on the conceptualisation, types and drivers of potentially morally injurious experiences (PMIEs) for secure mental health-care workers. Health-care professionals and academics in the field were recruited.

A high level of consensus (= 80%) was achieved on several sources of moral injury, which related to aspects of the health-care system, the secure context, relational dynamics and individual practices, behaviours and attitudes. Experts also agreed on several items relating to the definition of a PMIE, the factors driving the occurrence of PMIEs and the factors increasing risk for the subsequent development of moral injury.

The findings suggest that current definitions of PMIEs may, in isolation, be too narrow, prompting the need to attend to the broad range of PMIEs experienced by secure mental health-care staff. In addition, recommendations for the primary and secondary prevention of moral injury in secure mental health-care staff are offered, recognising the particular need for intervention at a systemic level.

To the best of the authors’ knowledge, this study is the first to consider the range of sources of moral injury faced by staff providing for people with complex forensic and mental health needs.