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National Institute for Clinical and Health Excellence guidelines (2009) state that low intensity psychological interventions should not be used for borderline personality disorder. However, an emerging body of evidence suggests brief interventions such as psychoeducation may be relevant for those presenting with borderline personality difficulties. The purpose of this study is to evaluate the benefit of learning about thinking, emotions and relationships (LATER), a co-produced psychoeducation programme for borderline personality difficulties in a community-based setting.

Participants (n = 125) self-referred to LATER, a group-based psychoeducation programme delivered at the [NHS Trust] Recovery College. Participants were assessed pre- and post-intervention using the tailor-made psychological education group evaluation scale, the borderline evaluation of severity over time and work and social adjustment scale. Paired t-tests were conducted on pre- and post-scores, and effect sizes were calculated.

After LATER, participants reported a significant decrease in negative thoughts and feelings, destructive behaviours and overall borderline symptom severity, but no significant increase in positive behaviours. Significant decreases were found in areas of work and social impairment. Participants’ overall understanding of personality difficulties significantly improved. Effect sizes were small to moderate.

Limitations of the study include the lack of a control group, adjustment for confounders and follow-up. Replication with a more robust methodology is needed.

This study contributes to the evidence for the usefulness of brief interventions for personality difficulties, particularly in the context of a stepped model of care and adds to the research on co-production.

The authors provide three personal perspectives on personality disorder, based on their involvement in writing, directing and acting in a Resurgence Theatre Company production, Differentia, which provided a dramatic representation of personality disorder. The production was shown at the First National Personality Disorder Congress.

This study seeks to compare rates of blood lithium monitoring with rates of lithium prescription collection in order to evaluate whether identifying patients with low frequency of monitoring could alert clinicians to poor prescription collection. It examines whether routine monitoring of lithium prescription pick‐up would be likely to reduce admissions to hospital, as a way of identifying those who were poorly adherent with treatment. It also ascertains the frequency of lithium toxicity and its outcomes.

The frequency of monitoring of lithium was assessed through laboratory results of 773 patients. A sub‐sample of 119 patients on lithium was found through general practice records and the rates of medication collection determined. Admission data were examined to assess whether this was related to a failure in blood monitoring or prescription collection.

A total of 87 per cent of the GP group had lithium levels measured at least twice a year and 84 per cent collected more than 80 per cent of prescriptions. It was found that those patients not collecting their prescriptions were a different group from those who did not have their blood levels monitored. Admission rates were not higher in those who were less efficient at picking up prescriptions. Two per cent of the total sample had lithium levels above 1.6 mmol l⁻¹. There were no fatalities associated with high levels.

It is important to assess the real potential benefits of additional monitoring rather than assuming that increased surveillance will improve the outcome.

The University of Otago Library conducted a review of its postgraduate support program in 2018. The purpose of this paper is to report on the findings of a questionnaire and follow up focus group undertaken as part of the review. It highlights postgraduate student preferences for learning about support services, their ideas on marketing these services effectively and the kind of engagement that works best for them.

A questionnaire was developed and deployed in July 2018. It contained 20 questions and was emailed to 2,430 enrolled Otago doctorate and master’s students by the University of Otago (GRS). A total of 564 responded, 391 completing all questions. A follow-up focus group was held in August 2018. Quantitative data were collected and analyzed using Qualtrics software and qualitative data were coded and analyzed using NVivo software.

Respondents highlighted the difficulty they have learning what support services are available to them. In some cases, they also feel a stigma when seeking help because of their status as postgraduate students. They suggest practical ways libraries can better reach out to them. The findings confirm previous literature about the need for libraries to improve marketing of their services to postgraduate students, communicate via supervisors and departments where possible and provide a variety of engagement options.

Before (re)developing postgraduate programs, libraries can gain valuable insights and test assumptions by surveying students.

Autistic young people have health and care needs that may benefit from a multi-agency intervention. The “Current View” tool is routinely used in England to profile the needs of young people referred to mental health services. This study aims to examine associations between comorbidities and complex needs in autistic and non-autistic young people to assess the multifaceted needs of autistic young people.

A cohort study was conducted using data from the electronic patient record, comparing autistic and non-autistic young people to see which items in the four “Current View” tool categories were associated with autistic young people.

Issues associated with autistic young people were: “community issues”, “attainment issues” and “deemed child in need” (all p < 0.001). Autistic young people scored significantly more items (p < 0.05) in the categories complexity/contextual/educational factors. Comorbidities associated with autistic young people included anxiety, “behavioural difficulties”, “peer relationship difficulties” and “self-care issues” (all p < 0.001). There was an association with increased comorbidities and complexity factors in autistic young people which suggests increased support from agencies may be beneficial.

Few studies have used data in the “Current View” tool to assess young people referred to services. More use could be made of this data for planning and delivering services.

The purpose of this paper is to draw on data from 16 interviews (two each with eight women) to explore some of the ways in which everyday shopping may change as women become mothers. The meanings, practices and implications of the transition to motherhood have long been a topic for sociological inquiry. Recently, interest has turned to the opportunities offered by this transition for the adoption of more sustainable lifestyles. Becoming a mother is likely to lead to changes in a variety of aspects of everyday life such as travel, leisure, cooking and purchase of consumer goods, all of which have environmental implications. The environmental impacts associated with such changes are complex, and positive moves toward more sustainable activities in one sphere may be offset by less environmentally positive changes elsewhere.

This paper draws on data from 16 interviews (two each with eight women) to explore some of the ways in which everyday shopping may change as women become mothers.

This paper focuses on the ways in which modes and meanings of everyday shopping may shift through the transition to mother, and on indicating any potential sustainability implications. The paper explores the adoption of more structured shopping and of shifting the mode of grocery shopping online or offline. The paper draws attention to the way in which practices are embedded and interrelated and argue that more consideration needs to be given to the influence of all household members.

The question here is not whether women purchase different products or consume more once they have a child, but rather how does the everyday activity of shopping for groceries and the meanings it has change with new motherhood and what sustainability implications might this have? In this context, this paper provides a novel addition to research on new mothers and consumption.

Mental toughness describes a set of attributes relating to how individuals deal with challenges, stressors, and pressure. The purpose of this paper is to examine the relationships between mental toughness and perceived stress in police and fire officers.

The participants were 247 police officers and 130 fire fighters. Participants completed questionnaire measures of mental toughness and perceived stress, and provided information about their age, rank, and length of service within the force.

Mental toughness was found to be significantly related to perceived stress, with control of emotion, control of life, and confidence in abilities being particularly important. There was no consistent relationship of age, rank, or length of service with mental toughness and perceived stress. However, police officers reported lower levels of mental toughness and higher levels of perceived stress than fire officers.

The results suggest that assessing police and fire officers on a measure of mental toughness could provide a means of identifying individuals more likely to suffer from stress and stress-related physical and psychological illness. In addition, interventions that may enhance mental toughness could have beneficial effects within this population.

This is the first study to examine mental toughness and perceived stress within this population, and the findings have important implications for the management of stress.

Effective communication of information is central to integrated care systems (ICS), particularly between providers and care-consumers. Drawing on communication theory, this paper aims to investigate whether and why source effects increase positive evaluations of health-related messages among care-consumers.

A preliminary online survey (N = 525) establishes the discriminant validity of the measures used in the main experimental study. The main study (N = 116) examines whether identical messages disclosed to be created by different sources (i.e. institutional, care-consumer, collaborative) lead to different message evaluations, and whether source credibility and similarity, and message authenticity, explain this process.

In comparison to any other source, messages disclosed to be co-created are evaluated more positively by care-consumers. This effect occurs through a parallel serial mediation carried over by perceptions of source credibility and source similarity (parallel, first serial-level mediators) and message authenticity (second serial-level mediator).

The findings offer guidelines for leveraging source effects in ICS communication strategies, signaling how collaborative message sources increase the favorableness of health message evaluations.

This research demonstrates the efficacy of drawing on marketing communication theory to build ICS communication capacity by showing how re-configuring the declared source of informational content can increase positive evaluations of health-related messages. In so doing, this research extends existing literature on message authenticity by demonstrating its key underlying role in affecting message evaluations.