Objectives This study aims to determine how workplace experiences of National Health Service (NHS) staff varied by ethnicity during the COVID-19 pandemic and how these experiences are associated with mental and physical health at the time of the study.Methods An online Inequalities Survey was conducted by the Tackling Inequalities and Discrimination Experiences in Health Services study in collaboration with NHS CHECK. This Inequalities Survey collected measures relating to workplace experiences (such as personal protective equipment (PPE), risk assessments, redeployments and discrimination) as well as mental health (Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder 7 (GAD-7)), and physical health (PHQ-15) from NHS staff working in the 18 trusts participating with the NHS CHECK study between February and October 2021 (N=4622).Results Regression analysis of this cross-sectional data revealed that staff from black and mixed/other ethnic groups had greater odds of experiencing workplace harassment (adjusted OR (AOR) 2.43 (95% CI 1.56 to 3.78) and 2.38 (95% CI 1.12 to 5.07), respectively) and discrimination (AOR 4.36 (95% CI 2.73 to 6.96) and 3.94 (95% CI 1.67 to 9.33), respectively) compared with white British staff. Staff from black ethnic groups also had greater odds than white British staff of reporting PPE unavailability (AOR 2.16 (95% CI 1.16 to 4.00)). Such workplace experiences were associated with negative physical and mental health outcomes, though this association varied by ethnicity. Conversely, understanding employment rights around redeployment, being informed about and having the ability to inform redeployment decisions were associated with lower odds of poor physical and mental health.Conclusions Structural changes to the way staff from ethnically minoritised groups are supported, and how their complaints are addressed by leaders within the NHS are urgently required.

AIM:To understand how student nurse experiences on clinical placement, within National Health Service (NHS) hospitals, differ for ethnic minority and White British groups.DESIGN:A qualitative thematic analysis with an inductive approach.METHODS:Data from semi-structured interviews with 21 London (United Kingdom) hospital-based student nurses were examined using thematic analysis. Participants were interviewed as part of the Tackling Inequalities and Discrimination Experiences in Health Services (TIDES) study and asked about their experiences during clinical placement.RESULTS:Five main themes were identified: (1) Role of mentors, (2) Discrimination and unfair treatment, (3) Speaking up/out, (4) Career progression, and (5) Consequences of adverse experiences. All themes were linked, with the social dynamics and workplace environment (referred to as "ward culture") providing a context that normalizes mistreatment experienced by nursing students. Students from ethnic minority backgrounds reported racism as well as cultural and/or religious microaggressions. While being valued for their race and ethnicity, White British students also experienced discrimination and inequity due to their age, sex, gender, and sexual orientation. Students from both White British and ethnic minority groups acknowledged that being treated badly was a barrier to career progression. Ethnic minority students also noted the lack of diverse representation within senior nursing positions discouraged career progression within the UK NHS.CONCLUSION:These initial experiences of inequality and discrimination are liable to shape a student's perspective of their profession and ability to progress within nursing. The NHS is responsible for ensuring that student nurses' developmental opportunities are equal, irrespective of ethnicity.IMPACT:Ward culture is perpetuated by others who normalize mistreatment and concurrently disadvantage ethnic minority students, making them feel unvalued. This in turn impacts both staff retention and career progression within the NHS. Training assessors should be aware of the existing culture of discrimination within clinical placements and work to eradicate it.

Understanding how different Black and other racially minoritised communities thrive is an emerging priority area in mental health promotion. Literature demonstrates health benefits of social capital (social resources embedded within social networks). However, its effects are not always positive, particularly for certain subpopulations who are already disadvantaged.The CONtributions of social NEtworks to Community Thriving (CONNECT) study will use Participatory Action Research (PAR) to investigate social capital as a resource that benefits (or hinders) racially minoritised communities and their mental health. The CONNECT study was designed within a partnership with community organisations and responds to local policy in two South-East London Boroughs, thereby providing potential channels for the action component of PAR. Taking an anti-racism lens, we acknowledge the underpinning role of racism in creating health inequities. We apply an intersectional framework to be considerate of overlapping forms of oppression such as age, gender, socioeconomic status, and sexual orientation as an essential part of developing effective strategies to tackle health inequities. Key components of this mixed methods PAR study include (1) involving racialised minority community members as peer researchers in the team (2) collecting and analysing primary qualitative data via interviews, photovoice, and community mapping workshops, (3) developing relevant research questions guided by peer researchers and collaborating organisations and analysing secondary quantitative data accordingly, (4) integrating qualitative and quantitative phases, and (5) working closely with community and policy partners to act on our findings and use our research for social change.The PAR approach will allow us to engage community (voluntary sector and government) and academic partners in decision making and help address imbalances in power and resource allocation. Knowledge generated through this collaborative approach will contribute to existing community initiatives, policies, and council strategies. This will ensure the views and experiences of racially minoritised communities drive the changes we are collaboratively committed to achieving.

Purpose Community-based participatory research (CBPR) that improves social capital can be a powerful tool for promoting mental health and well-being. This work explores what gaining, maintaining, and losing access to this type of CBPR looks like from a reflexive research perspective. Method I describe and reflect on my experiences conducting a mixed-methods study of an existing CBPR to increase social capital in Switzerland. I draw on ethnographic observations, field notes, and reflexive memos collected during fieldwork between 2016 and 2020. Results I negotiated access to the CBPR across three levels: (1) formal organizational with intervention leaders, (2) implementational with facilitators, and (3) the community/group level with participants. Intervention leaders let me conduct research if they benefitted from my work in a timely and reinforcing way, facilitators granted access if I made myself helpful and supported their work, and community members accepted me if I participated in their community meaningfully. I lost access when my findings posed a potential risk to the intervention funding. Conclusion I highlight how access is a fluid and complex process that can change throughout CBPR. I show the importance of reflexive analysis to understand how access is negotiated in diverse settings, what sources of social capital are needed to engage in these negotiations, and how positionality and power play a role in this process.

Structural inequalities and inequities are embedded in mental health care systems. This influences how mental health care is provided and experienced by different individuals and groups. This chapter explores how processes of discrimination may generate, perpetuate and reinforce inequities in mental health care services. First, it introduces the relationships between race, discrimination, mental health, drawing on intersectionality and life course perspectives. It then introduces the relevant context for discrimination and mental health care in the United Kingdom (UK), and examines how racial discrimination is experienced by service users receiving care, healthcare practitioners providing care, and the inter-relationships between these processes. It concludes with future directions and key recommendations to support efforts at reducing discrimination in mental health care practice in the UK and elsewhere, such as the United States and Canada.

Social capital interventions for the mental health of older adults have been inconclusive to date, and have rarely investigated the psychological resources that are important to having social capital. This study focused on the “ Neigh-borhoods in Solidarity ” (NS), which are a series of Swiss community-based interventions that aim to empower older adults to participate in their communities. Our goal was to understand whether the NS were associated with collaborative competence, social capital, and subsequently, symptoms of depression. Cross-sectional data were collected from 947 individuals aged 55 and over ( M age = 68.66, SD = 9.04) in 10 Swiss neighbourhoods (five with the NS [ n = 479] and five control neighbourhoods [ n = 468]). Structural equation modelling was used to model the relationship between the NS intervention, collaborative competence, cognitive and structural dimensions of social capital, and symptoms of depression (measured by the CESD-R-10). Individual participation in the NS had total and indirect effects on symptoms of depression via collaborative competence and both social capitals. These findings suggest that existing community-based interventions can be indirectly associated with better mental health outcomes in the ageing population.

This study collaborated with the “Neighbourhoods in Solidarity” (NS) action research intervention to understand place, social capital, and mental health for older adults in one Swiss town. It used a longitudinal mixed-methods design, combing a pre/post survey with ethnographic observations. It found that place was a recurring theme throughout the NS intervention and how the NS were able to build social capital. Older adults who participated in the NS experienced an increase in structural social capital, but many participants already had high levels of structural social capital before the intervention. Participants did not experience a significant change in cognitive social capital, but this may have been due to a general decline in cognitive social capital in the area. Neither changes in cognitive nor structural social capital predicted depressive symptoms after one year.

Older adults are at a high risk for loneliness, and community-based interventions can help reduce loneliness for all older adults in a community, regardless of their migration status. However, little research has investigated how older adults, including locals and migrants (in this case, internal newcomers and international expats) participate in these interventions. The “Neighbourhoods in Solidarity” (NS) are a series of community-based interventions that aim to increase social connectedness and reduce loneliness in older adults (55+) in the canton of Vaud, Switzerland. This longitudinal embedded mixed-methods study aimed to understand whether older adults (distinguishing between locals, newcomers, and expats) were aware of and participated in the NS, to assess whether participation was associated with changes in loneliness, and to identify relevant processes that could explain a reduction in loneliness. We combined a longitudinal pre/post survey (235 respondents) with ethnographic observations and informal interviews. Quantitative findings showed that individuals who participated in the NS did not have significant changes in loneliness. Qualitative findings showed that perceived migration played an important role in who participated, and that the community distinguished between two types of migrants: newcomers who spoke French fluently, and expats who did not. Individuals were only ‘local’ if they had ancestors from the town. Some newcomers and some locals used the NS as a platform to build a new sense of community within the NS, whereas expats rarely participated. This was due to linguistic and cultural determinants, institutional constraints, interpersonal relationships, and personal preferences.

BACKGROUND:Children and adolescents with neurodevelopmental disabilities may be less well integrated into their community than their peers. Online groups can be particularly accessible for individuals with neurodevelopmental disabilities, as individuals may be able to connect with a larger network than they would in their local community. This systematic review aimed at estimating the effectiveness of online peer mentorship programmes on children and adolescent's participation in life situations.METHODS:A systematic review was conducted to search Medline, PsycINFO, Embase, CINAHL, and Education Research Complete (ERIC) electronic databases. Thematic analysis was done for studies that used qualitative methodology.RESULTS:Eleven articles were included, and they examined the influences of five different structured online peer mentorship intervention programmes and six different online support groups. The disabilities included cerebral palsy (n = 3), autism spectrum disorder (n = 3), spina bifida (n = 2), attention deficit hyperactivity disorder (n = 2), and other neurodevelopmental disorders. The mentors included in the studies were caregivers of children with disabilities, youth and adults with disabilities, and a virtual peer actor. The mentees included in the studies were youth with disabilities (age 10-19 years) and their families. Intervention characteristics varied across the studies but consistently showed a unique potential to facilitate social networking and support. Intervention programmes with specific content and structure showed better participation outcomes than unstructured interventions. Presence of a moderator and participant characteristics (age and sociocultural background) was suggested to influence the outcomes of interventions.CONCLUSIONS:Online peer mentorship programmes appear to have positive influence on social engagement and participation in life situation for children and adolescents with disabilities. This paper discusses several areas that should be considered in future research studies to improve potential effectiveness and use of study designs that help to establish not only if interventions work but also for whom they work best and why.

Abstract Social capital interventions to promote healthy aging seem promising, but recent evidence has questioned how social capital is constructed. In order to understand how social capital is built among older adults, this study draws from the diagnostic phase of one ‘Neighbourhoods in Solidarity’ (NS) intervention, which uses action research to promote wellbeing for older adults (55+) in Swiss communities. These findings arose from ethnographic fieldwork with 77 hours of observation during group gatherings and informal interviews with participants who identified and debated issues in their community. It became evident that the geographic space and the sense of identity that citizens attached to it (herein referred to as ‘place’) played a role in how the NS intervention developed. The community was divided into two groups with distinct identities: one in the north and one in the south. The sense of place for both groups was simultaneously disrupted when outsiders moved to both areas, exacerbating tensions. The NS brought the two groups together and helped develop social capital between them. This was highlighted by the changing willingness of citizens to navigate unfamiliar spaces, to create social ties, and to trust others. The NS helped create a new sense of place for citizens, which ultimately facilitated the creation of social capital in the community. The findings suggest that identities are dynamic and play a role in constructing social capital, as well as who benefits from social capital and who may be excluded. Lessons from this research may inform future social capital interventions.

Objective Consistent with a national and global trend, prevalence estimates of autism have risen steadily in Quebec, causing concerns regarding quality and availability of diagnostic and intervention services as well as policies guiding service delivery and their efficacy. We conducted an analysis of Quebec’s autism policies to determine recent advances, challenges and gaps in the planning and delivery of provincial autism services. Methods We identify autism policy priorities in Quebec through a comprehensive review and a thematic analysis of past and present policies, consider their compliance with national and international human rights and health frameworks and identify policy gaps. Results Autism policies articulated at a provincial level in Quebec are comprehensive, well grounded in international and national frameworks and considerate of existing barriers in the systems. Quebec policies reflect long-standing recognition of many barriers affecting service utilization and quality. Root cause of challenges currently confronting the policy environment in Quebec includes limitations in: specific measures to enhance a person-centred approach across the lifespan, evaluation of economic costs associated with autism, utilization of research evidence, and enactment of policies. Conclusion Early intervention services, building capacity in existing resources through training programs, and integrating research through research translation initiatives can help the Québec government improve the quality and efficacy of services while reducing long-term costs to the systems and promoting quality of life for individuals with autism and their families.

There are many systematic reviews on social capital (SC) and various health outcomes, but each of these reviews shows one piece of the larger SC and health puzzle. The aim of this research was to systematically review systematic reviews on SC and health, in order to provide an overview of existing evidence and to identify strategies for future research. Nine databases were searched for key words that could fall under the broad umbrella of SC and health outcomes. We screened 4941 titles and abstracts and read 187 reviews before retaining 20 of them. A critical appraisal of each review was conducted. The reviews show there is good evidence to suggest that SC predicts better mental and physical health, and indicators of SC are protective against mortality. At the same time, many reviews also found numerous non-significant and negative relationships that are important to consider. It was unclear whether SC interventions for health were really improving SC, or other aspects of the social environment. Overall, this research shows that evidence on how various aspects of SC affect different health outcomes for different actors remains unclear. Intergroup and lifecourse perspectives could help clarify this link. Future research could benefit from conceptualizing the link between SC and health in a what, who, where, when, why and how framework.

There is a need to develop innovative techniques to effectively use water in agriculture to meet the growing demands for food. Super absorbent polymers (SAPs), or hydrogels, can absorb and retain large amounts of water against gravitational forces and release it on demand to meet plant water requirements. Being an artificially synthesized compound, it is imperative that SAPs should not introduce toxicity to the growing medium or produce. The objectives of this study were to determine whether SAPs can improve water use efficiency (WUE) and the physiological growth of cherry tomatoes (Solanum lycopersicum var. cerasiforme) without causing soil toxicity. A pot-trial experiment was carried out in 2014 at the Research Greenhouse of McGill University's Macdonald Campus (Ste-Anne-de-Bellevue, Quebec, Canada) in a completely randomized design, with three concentrations of SAP (0%, 0.1%, and 0.5%) and three irrigation intervals (daily, each alternate day, and every third day). The mean yield of the experimental cherry tomatoes was statistically significantly higher where 0.5% SAP was applied, compared to where SAP was not applied (p = 0.0056). The mean WUE was also higher where 0.5% SAP was applied when compared to where SAP was not applied (p <= 0.05). To ascertain food safety, the presence of free acrylamide monomer in tomatoes was checked. The acrylamide concentrations were below the detection limit of 5 mu g kg(-1) in all tomato samples. To assess environmental toxicity, a Microtox toxicology analysis was also conducted on the growing medium, which revealed that the SAP used in the study was not toxic. Therefore, it can be concluded that the application of SAP could increase yield and WUE of greenhouse-grown cherry tomatoes. It also appears that SAP did not introduce toxic side-effects in the soil nor in the tomatoes, as determined by Microtox acute toxicity test and acrylamide residue analysis with LC-MS.

The “Neighbourhoods in Solidarity” (NS) are a group of over 20 community-based action-research interventions in Switzerland that aim to empower elderly individuals to group together and to participate more in their neighbourhoods. This study evaluates differences in group memberships, social cohesion, empowerment, and depression scores of individuals aged 55+ residing in 5 neighbourhoods with and 5 without the NS, using cross-sectional data (N=1,028). Multiple regression models were built using the above constructs as outcome variables. This study found that participation in the NS is associated with more group memberships and higher empowerment scores only for individuals who participated actively in the project. The presence of an NS was not directly associated with social cohesion or depression scores, although empowerment predicted social cohesion, which was an important predictor for depression scores. This was the first quantitative evaluation of the NS and highlights the importance on on-going monitoring and evaluation.