Levelling the playing field: Exploring inequalities and exclusions with a community-based football league for people with experience of mental distress.

Introduction: Sport workforce strategy in the United Kingdom (UK) has identified the occupational therapy profession as being ideally positioned to contribute to public health agendas relating to tackling physical inactivity amongst marginalised populations, such as disabled people and people with experience of mental distress. However, a robust understanding of the enablers, restrictions, and exclusions such groups encounter when seeking to participate in sport and physical activity is currently lacking.

Methods: This study aimed to gain an in-depth understanding of the different ways people with experience of mental distress talked about their participation in a community-based football league in England, in the UK.

Brown Adipose Tissue Exhibits a Glucose-Responsive Thermogenic Biorhythm in Humans.

High abundance of brown adipose tissue (BAT) is linked to lower glycaemia in humans, leading to the belief that BAT may protect against diabetes. The relationship between BAT glucose utilization and systemic glucose homeostasis has not been defined. In this paper we have characterized glycaemic excursions and BAT thermogenic responses in human brown adipocytes, BAT explants, and healthy adults through supraclavicular temperature profiling, revealing their circadian coupling in vivo and in vitro, orchestrated by UCP1, GLUT4, and Rev-erbα biorhythms.

'It's like having a day of freedom, a day off from being ill': exploring the experiences of people living with mental health problems who attend a community-based arts project, using interpretative phenomenological analysis.

To explore the psychosocial benefits of participating in a 2-year community arts project, eight people living with long-term mental health problems were interviewed. The project involved participants in selecting items of professional artwork, creating personal responses and curating a public exhibition. Interviews were analysed using interpretative phenomenological analysis.

Peer support in adult mental health services: a metasynthesis of qualitative findings.

Objectives: Peer support involves people in recovery from psychiatric disability offering support to others in the same situation. It is based on the belief that people who have endured and overcome a psychiatric disability can offer useful support, encouragement, and hope to their peers. Although several quantitative reviews on the effectiveness of peer support have been conducted, qualitative studies were excluded.

Community-based rehabilitation in Jordan: challenges to achieving occupational justice.

Purpose: This paper presents theories of occupational and social justice and applies the theoretical tenets to a community-based rehabilitation (CBR) program in a Palestinian refugee camp in Jordan.

Method: The example of building a playground for children with disabilities, and other aspects of the social, political and cultural context in Jordan are described in relation to the theory and practice of CBR, occupational and social justice.

Results: Key concepts are explained, analyzed and applied, namely occupational justice, social justice, occupational form and occupational deprivation (a strong determinant of occupational injustice), all of which were relevant in the refugee camp where children with disabilities were deprived of resources and chances to play.

Meeting in the mist: key considerations in a collaborative research partnership with people with mental health issues.

Objectives: This study explored the experiences of an established collaborative research group, which were collected as data to gain research skills. Currently ideas about user involvement and knowledge transfer have not been considered together, indicating possible gaps in knowledge.

Participants: Eight members of the group took part, including five people using local mental health services, an assistant and an occupational therapist from local services, and an academic.

A qualitative study of service user experiences of occupation in forensic mental health.

Background/aim:  This qualitative study explored occupational engagement of those detained in forensic units. Legal and institutional restrictions on occupation have implications for their health and wellbeing.

Method:  Twenty-six current forensic mental health service users participated in five focus groups, which were audio-recorded, transcribed verbatim and subjected to constant comparative analysis.

Diabetes guidelines: easier to preach than to practise?

Objective: To review the management of glycaemia, blood pressure and serum lipids in a hospital outpatient diabetes clinic, the director of which co-authored the current national diabetes management guidelines.

Design: Retrospective audit.

Setting: Outpatient diabetes clinic in a tertiary referral teaching hospital, Sydney, NSW.

Living in a glasshouse: exploring occupational alienation.

Background: Community mental health care has shifted focus from resettlement to empowerment, reflecting a wider agenda for social inclusion.

Purpose: This study evaluated mental health day services from the perspectives of thirty-nine clients.

Method: Data analysis of the four focus groups explored the implications for occupational therapy.