Service users as the key to service change? The development of an innovative intervention for excluded young people.

Background: Excluded young people, especially those affected by street gangs, often have complex unmet needs and high levels of health and social inequalities. This paper outlines the development of Music & Change, an innovative and comprehensive intervention accessible to young people, which aimed to holistically meet the mental health and other needs of its participants and ultimately to reduce offending rates. Its central principle was coproduction and partnership with its potential users.

The Adolescent Mentalization-based Integrative Treatment (AMBIT) approach to outcome evaluation and manualization: adopting a learning organization approach.

AMBIT (Adolescent Mentalization-Based Integrative Treatment) is a developing team approach to working with hard-to-reach adolescents. The approach applies the principle of mentalization to relationships with clients, team relationships and working across agencies. It places a high priority on the need for locally developed evidence-based practice, and proposes that outcome evaluation needs to be explicitly linked with processes of team learning using a learning organization framework.

Teaching action sequences after brain injury: a comparison of modelling and moulding techniques.

Objective: To compare the relative effectiveness of a modelling and a moulding instructional technique for teaching action sequences to participants with brain injury in rehabilitation settings.

Design: Randomized crossover design.

Setting: Regional Neurological Rehabilitation Unit.

Gesture and speech integration: an exploratory study of a man with aphasia.

Background: In order to comprehend fully a speaker's intention in everyday communication, information is integrated from multiple sources, including gesture and speech. There are no published studies that have explored the impact of aphasia on iconic co-speech gesture and speech integration.

Aims: To explore the impact of aphasia on co-speech gesture and speech integration in one participant with aphasia and 20 age-matched control participants.

Effects of dietary management of phenylketonuria on long-term cognitive outcome.

Background: Phenylketonuria (PKU) is associated with dopaminergic depletion in the dorsolateral prefrontal cortex and abnormalities of myelination. Both mechanisms may lead to deficits in cognitive functioning. Studies of cognitive outcome in children treated with PKU at an early stage have suggested that there are benefits in remaining on diet into adolescence.