Participation in developing youth mental health services: ‘Cinderella Service’ to service re-design

Whilst there are pockets of excellence in the provision of Child and Adolescent Mental Health Services (CAMHS), many services fail to meet young people’s needs. Considering this, the current research aimed to ascertain perceptions of CAMHS provision in a rural county of the UK to inform re-design of youth mental health services. Design Methodology and Approach: The study comprised of two phases: phase one involved analysis of questionnaire data of youth views of CAMHS. Phase two involved analysis of the ‘Have Your Say’ event data which explored perceptions of CAMHS and future service re-design. Data were thematically analysed. Findings: Knowledge of the existence and purpose of CAMHS was variable. Participants wanted accessible information about services, rights, confidentiality and for this to be provided in multiple medias. Young people wanted staff that are easy to talk to, genuine, understanding and who value their insights. Participants wanted to be offered choice about appointments, location and timing. An ideal mental health service was described as a ‘one-stop-shop’ of co-locality and multi-agency collaboration. Young people clearly expressed a desire to influence the design and delivery of the radical re-design and to be embedded in its development. Practical Implications: The results highlighted multiple problems with CAMHS provision and provided a clear justification for the re-design of services. Originality/value: This was a novel approach demonstrating the importance, utility and power of effective participatory practices for informing the re-design of services

Review: Delivering mental health support within schools and colleges – a thematic synthesis of barriers and facilitators to implementation of indicated psychological interventions for adolescents

Background: Increasing the role of schools and colleges in the provision of mental health services for young people has the potential to improve early intervention and access to treatment. We aimed to understand what factors influence the successful implementation of indicated psychological interventions within schools and colleges to help guide increased provision of mental health support within education settings. Methods: Systematic search for studies that have reported barriers or facilitators to the implementation of indicated interventions for adolescent emotional disorders delivered within schools and further education/sixth form colleges (CRD42018102830). Databases searched were EMBASE, MEDLINE, PsycINFO, CINAHL, British Nursing Index, ASSIA, ERIC and British Education Index. A thematic synthesis of factors reported to impact implementation was conducted. Results: Two thousand five hundred and sixty-nine records and 177 full texts were screened. Fifty studies were identified for inclusion, all of which were of school-based interventions. Eleven analytic themes were developed encompassing intervention characteristics, organisational capacity, training and technical assistance, provider characteristics and community-level factors. Findings indicate the need to select appropriate interventions, consider logistical challenges of the school context and provide training and supervision to enable staff to deliver interventions with fidelity. However, structural and environmental support is required for these facilitators to have the greatest impact on successful implementation. Conclusions: Implementing indicated school-based mental health interventions is challenging. Those involved in planning school-based mental health initiatives must be alert to the impact of factors on multiple interacting levels. There is a lack of research on implementing mental health support within further education and sixth form colleges

She\u27ll be ‘right… but are they? An Australian perspective on women in high performance sport coaching

Participation and media coverage of women in high-performance sport has been steadily increasing in recent years throughout the world. While this increase in interest has led to many young women and girls becoming involved in grassroots sport, there has yet to be a significant change in the number of women in coaching roles, particularly at the high-performance level. This paper synthesizes and summarizes the current challenges facing women sport coaches in Australia, drawing from existing research, media and government reports to understand the barriers for women entering and progressing in these roles. We also present some of the more recent initiatives to increase opportunities for women in high performance coaching. Within Australia, there is a need to (1) understand the pipeline for women coaches, (2) examine the interacting contexts and constraints that women are subject to within sporting organizations, and (3) create a preliminary framework for future research, outreach, and education to address gender inequity within Australian sport coaching

Exploring the evolution of GIS research using bibliographic data

This paper provides new insight into the evolution of geographical information science and systems (GIS) research via a computational analysis (in R) of 120,000 bibliographic records (from 1970 to 2022) downloaded from Scopus. We conduct an exploratory analysis of the data, then attempt to discover the thematic/topical structure of the GIS literature using the Structural Topic Model (STM) framework. We show how topics in GIS have evolved and discuss how our findings contribute to the understanding of the evolution and trajectory of GIS research. We conclude by highlighting the limitations of the approach and explaining our future research plans

A pilot e-cigarette voucher scheme in a rural county of the UK

Introduction: E-Cigarette voucher schemes have been piloted across the UK to support populations to quit smoking. This short report evaluates a scheme that targets vulnerable and disadvantaged smokers who had failed to quit smoking by other means. Methods: descriptive summary evaluation of service data on smoking outcomes and qualitative data from selected participants, as ‘key-informants’ (n=4) and key stakeholders (stop smoking staff, vape shop staff and GPs). Results: In total, 668 participants were referred to the scheme, and 340 participants redeemed a voucher. By intention to treat analysis (ITT) 143/668 (21%) were recorded as quit smoking at 4 weeks. At 12 weeks, 7.5% of participants had quit, by ITT. Overall, the pilot project was well received by clients as it offered an affordable route into vaping for smoking cessation. GPs supported the scheme and appreciated being able to offer an alternative to entrenched smokers. Conclusions: The scheme shows promise in supporting entrenched smokers to quit smoking. The offer of similar voucher schemes across the UK suggests potential to reduce overall smoking prevalence and associated morbidity and mortality

Social Justice Through Sport and Exercise Studies: A Manifesto

This manifesto reimagines social justice in physical cultural studies by renaming, broadening, and building new characterizations of the body, dis/ability, mental health, exercise, social oppression, and sport. We problematize embedded ‘myths’ in exercise and sports studies scholarship for purposes of informing praxis-based research, and emancipatory practical agendas. These ‘myths’ include the embodied tragedy myth, the myth of bodily control, the sport for peace/development myth, the exercise is medicine myth, the healthism and exercise myth, the compulsory ablemindedness and exercise myth, and the exercise is cost-effective myth. Using intersecting and diverging theories, we propose new ways of knowing these taken for granted notions to springboard a new, socially just, emancipatory approach to research and practice