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Falls are common in older adults and are associated with injuries and serious ongoing problems. This paper aims to present a participatory evaluation of a Falls Awareness Programme implemented in South Wales for older adults living in sheltered housing schemes or in the community. It identifies methodological issues and provides recommendations for evaluation design and methods for community-based interventions in the future.

A mixed-methods study combining a non-experimental pretest–posttest design with face-to-face focus groups.

Concerns about falling and self-reported general health at baseline were worse for participants living in sheltered housing schemes, compared to participants in the community. There was no statistically significant change between baseline and follow-up in general health or concerns about falling; however, the data suggesting the programme may be more effective for people in sheltered housing schemes. Participants reported making small, but sustainable behaviour changes following the programme and described unexpected outcomes from the programme, e.g. socialising and meeting new people.

This paper demonstrates the benefit of engaging older adults in research using a participatory approach, highlights key components of community-based interventions for older people and identifies some methodological issues when conducting evaluations in the community. Specifically, it highlights the importance of selecting appropriate measurement tools for data collection and the utility of continuous monitoring where programme participation is flexible and fluid.

ALTHOUGH you are reading a professional journal, you may be interested in the impressions of a semi‐outsider, one who has teetered on the edge of the maelstrom of modern librarianship without actually having fallen in—yet. The experience may even be salutary; who knows?

Previous studies in the field have highlighted a bidirectional link between mental health and physical health. Students may be at a higher risk of both mental and physical health problems because of unhealthy lifestyle behaviours and the commencement of university occurring at the same mean age of onset for many psychiatric disorders. This study aims to examine how physical health variables influence changes in mental health symptoms, and vice versa, over time, in a sample of British undergraduate students.

A longitudinal design over a one-year time period. A national sample of 430 British undergraduate students completed measures of mental health and physical health online at up to four time-points across their first two years of university.

General physical health and energy and fatigue predicted more severe depression, anxiety, stress and poorer general mental health over time. Depression and stress predicted poorer physical functioning over time. Greater anxiety predicted poorer general health and more severe pain over time. General mental health was not predictive of general physical health. Overall, poor general physical health appears to exacerbate mental health symptoms in students to a greater extent than mental health problems lead to a deterioration in physical health.

This study adds a longitudinal design to a field that is usually cross-sectional, as well as a lack of consideration of how this relationship may differ within student samples. Early interventions should integrate physical and mental well-being rather than focus on any single health-related behaviour.

The purpose of this paper is to examine whether financial variables impact psychosis risk over time in students.

In total, 408 first-year British undergraduate students completed measures assessing psychosis risk and finances at three time points.

Greater financial difficulties increased psychosis risk cross sectionally both in terms of symptoms and distress. Other financial variables such as student loan amount were not significant. In longitudinal analysis financial difficulties increase psychotic symptoms and distress over time, but there was no impact of psychotic symptoms on later financial difficulties.

The study used a relatively small and heavily female sample. Future research is needed to confirm the findings.

Whilst amount of debt does not appear to impact psychotic symptoms in students, greater financial difficulties appear to increase the risk of psychosis over time. Professionals working with students should be aware of this potential link.

This is the first time a longitudinal study has examined the effect of finances on psychosis symptoms.

Self-recovery in post-disaster shelter is not the exception but the norm. Following earthquake, flood or storm, the majority of affected families will inevitably rebuild their homes themselves, using their own resources, but there is little support from the international community to encourage good safe building practice. While the communication of key messages about safer building has been carried out effectively in development contexts, it rarely forms a major part of humanitarian response programming. If the humanitarian shelter sector is committed to the principles of Disaster Risk Reduction (DRR), more can be done to support the process of safer reconstruction among self-rebuilders. This paper argues the case for the humanitarian community to link post-disaster shelter programming with the more developmental approach of communicating building safety to a much wider audience than just the most vulnerable beneficiaries. It proposes the shelter sector and the donor community direct more resources towards support for this process, which would augment the effectiveness and impact of a shelter response.

The purpose of this paper is to explore the relationship between lunchboxes, fun food and leisure. Looking beyond concerns focusing solely on health and nutrition, this article unpacks how mothers seek to provide lunchtime food that is also a source of leisure and pleasure.

Photo-elicitation interviews and a focus group were conducted with 11 mothers who regularly prepare lunchboxes for their children aged between 9 and 11 years.

Mothers intend the food they provide to act as a leisure experience and a break from the pressures of school. Mothers understand that lunchboxes must fit with children’s other activities taking place in their lunch-hour. Lunchboxes should support children’s future leisure opportunities by providing nutrition and variety to support their growth and development. The discussion of lunchboxes also shows that fun food is not simply understood in opposition to healthy food. Mothers have a wider understanding of the transgressive nature of fun through food, which goes beyond the market offer and understanding of fun.

As the study is based on a small sample of relatively affluent families in the UK, caution is needed in generalising the findings to wider groups. However, the study offers qualitative insights and highlights the connections between leisure, fun food and lunchboxes that can be explored in further research.

This is the first paper to explore the interconnections between lunchboxes, fun food and leisure. It provides valuable insight into mothers’ views about food prepared at home for consumption at school.

Professionals working with community populations are often presented with complicated cases where it is difficult to determine which diagnosis or diagnoses are appropriate. Differentiating among neurodevelopmental disorders such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder and intellectual disability can be a complex process, especially, as these disorders have some overlapping symptoms and often co-occur in young children. This series of case studies aims to present commonly overlapping symptoms in children who present to clinics with developmental concerns.

This paper presents three case studies that were completed at a free community ASD screening clinic in Southern California.

The case studies have common presenting behaviors and symptoms (e.g. social communication difficulties) that often co-occur across diagnoses; explanations for the final diagnoses are given in each case.

Conclusions from these three cases cannot generalize to all children being seen in clinics for neurodevelopmental concerns.

This series of case studies highlights commonly overlapping symptoms in children who present for differential diagnosis with social and/or behavioral concerns. Implications for educational placement and intervention are discussed.

These cases highlight the challenges involved in the differential and dual diagnostic process for young children with developmental concerns. Diagnostic considerations can affect later educational placement and opportunities for socialization.

This series of case studies provide practical information for clinicians about how to effectively differentiate between commonly occurring neurodevelopmental disorders, particularly given recent changes to the Diagnostic and Statistical Manual, 5th edition (DSM-5).

The purpose of this paper is to explore the teenager perspectives of the meaning of food safety, and the implications of those meanings.

Five focus groups were conducted with students (aged 12–14) from Calgary, AB. Participants were asked what food safety means to them and probed about their views on the relationship between food safety and packaged foods. Grounded theorizing informed the analysis.

Food safety was described as located within the system, located within the individual and located within the edible. Key to these teenagers’ understanding of food safety is the theme of food deception – a deception promulgated by food producers, manufacturers and advertisers who lack transparency about what they are actually selling. Teenagers draw attention to the risks associated with living in an industrialized food environment, and to the tension between safety and the industry-driven motive to sell.

Individuals start to make independent decisions around food preparation and consumption as teenagers; as present and future consumers, it is valuable to learn their perspectives and knowledge about food safety. More importantly, food safety is not only simply a health-related issue but also a semantic one. This study moves beyond the knowledge deficit approach characterizing most research on the topic. Instead, it probes the range of meanings associated with food safety and how they are worked out, revealing that the teenagers’ construction of food as “risk objects” reveals different links to harm than the food safety interventions typically directed to them.

The purpose of this chapter is to examine what it means for students with extensive support needs (ESN) to have opportunities to learn (OTL), why OTL is inexplicably tied to inclusive practices, and the in-school and post-school outcomes when students have OTL. Research will be provided that supports positive in-school and post-school outcomes, when students are provided equitable learning opportunities in inclusive contexts. Given the difference in possible outcomes for students with ESN when they do and do not have OTL, excluding them from general education contexts, where they have the best access to the intended and enacted curricula, is both unethical and limiting to society as a whole.

Using a mixed methodology comprising interviews, case file analysis and descriptive statistics, this study aims to examine the experiences of all 43 young people in Wales subject to secure accommodation orders between 1st April 2016 and 31st March 2018.

Children in the UK aged 10–17 years who are deemed to be at a significant level of risk to themselves or others may be subject to a secure accommodation order, leading to time spent in a secure children’s home (SCH) on welfare grounds. Following a rise in the number of children in Wales referred to SCHs for welfare reasons, this paper describes these young people’s journeys into, through and out of SCHs, giving insight into their experiences and highlighting areas for policy and practice improvements.

Findings indicate that improvements in mental health support and placement availability are key in improving the experiences of this particularly vulnerable group of young people throughout their childhood.

Other practical implications of the study’s findings, such as improvements in secure transport arrangements, are also discussed.

While the findings are limited by the reliance on self-report methods and the size of the study, namely, the small number of young people with experience of SCHs who were able to participate, the findings build on the existing knowledge base around children’s residential accommodation and provide new insights into how best to support these children.