Purpose -The purpose of this study is to evaluate the effectiveness of user and carer involvement in a new one-year postgraduate certificate course for Mental Health Officers (MHOs) in Scotland, covering the first year of its delivery (2009)(2010).Design/methodology/approach -This was explored in two ways: first, by assessing the level of user and carer involvement against a modified framework; and second, by measuring students' confidence in working with people with mental health issues over the duration of the course, and through interviews with students and service users and documentary analysis. Findings -The findings indicate user and carer ''influence'' and ''partnership'' over the design and delivery of the learning, teaching and assessment strategy, but no degree of ''control'' over any aspect of the course. Teaching provided by users and carers was associated with marked improvement in students' confidence in engaging with and upholding the rights of users and carers in the context of the MHO role. Students reported increased awareness of the lived reality of compulsory treatment. Users reported benefits from feeling they had helped facilitate future good practice.Research limitations/implications -The research design does not allow for causal links to be made between increases in student confidence and user and carer involvement.Practical implications -The study identified substantial barriers to effective user and carer involvement but confirmed its potential as a positive change agent for post-qualifying social work education.Originality/value -This study contributes to the evidence base by demonstrating the value of service user and carer involvement in post qualifying social work education.

Mental distress is prevalent across all social work contexts, yet social work's relationship with mental health is insufficiently articulated and the contributions practitioners make to this area of practice are under-recognised. This action research study sought to explore and address these concerns from academic, educational and practice perspectives. It was conducted in two parts: beginning with social work students at a Scottish university, followed by social workers in three practice settings. This paper reports on part one, which examined students' preparedness for working with mental distress in their final year placements. Using semi-structured questionnaires, a focus group and follow-up interviews, the study set out to enhance understanding of the social work role, identify gaps in educational provision and develop 'Learning Insights' to address them. Whilst the results here suggest that many students felt unprepared for the complexity of roles and tasks in working with mental distress, some reported successful engagement in powerful and transformative interventions by the use of relationship-based methods. The findings attest to a largely unsung but distinct professional contribution social work makes to the amelioration of mental distress; one that is relational, that transcends technical-rational concerns and is encapsulated in the concept of connection.

Increasing the number of infants exclusively breastfeeding on discharge from the hospital after birth is a key goal of breastfeeding policy in New South Wales (NSW), Australia. Despite consistent efforts, exclusive breastfeeding on discharge rates have declined over the past decade. Using pooled data from the New South Wales Perinatal Data Collection from 2011 to 2020, we examined the association between antenatal care (ANC) and exclusive breastfeeding at discharge from birth admission outcomes for mother–baby dyads in Southern New South Wales Local Health District (SNSWLHD). Our study confirmed that exclusive breastfeeding rates in SNSWLHD have declined over the past decade, providing local evidence to support action. Late entry to ANC and a failure to attend the recommended number of ANC visits were important predictors of a lower rate of exclusive breastfeeding on discharge. Improving accessibility to ANC visits for rural and regional mothers has potential to positively impact breastfeeding rates in SNSWLHD. We suggest that wider implementation of caseload midwifery models may have a positive impact on breastfeeding outcomes in the region for all mother–baby dyads, but particularly for Aboriginal mothers and infants, younger mothers and mothers experiencing disadvantage.

Low birth weight (LBW) and preterm birth are adverse perinatal outcomes that pose a significant risk to a child’s healthy beginning. While antenatal care (ANC) is an established intervention for pregnancy care, little is understood about how the number and timing of ANC visits can impact these adverse health outcomes. This study aimed to examine the impact of the number and timing of ANC visits on LBW and preterm birth in a regional setting. A decade-long perinatal dataset related to singleton live births that took place in the Southern New South Wales Local Health District (SNSWLHD) was utilized. The outcomes of interest were LBW and preterm birth, and the exposure variables were based on the Australian pregnancy guidelines on the number and timing of ANC visits. A multivariable logistic regression was performed to measure the association between outcome and exposure while adjusting for potential confounders. A greater level of protection against LBW and preterm birth was observed among mothers who had an adequate number of visits, with early entry (first trimester) into ANC. The protective effect of an adequate number of ANC visits against LBW and preterm birth among mothers with late entry into ANC (third trimester) was found to be statistically non-significant.

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