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Two second-year occupational therapy students undertook a role-emerging placement (REP)-their third of four professional practice placements-at a therapeutic community with no on-site occupational therapy service. A qualitative study exploring the nature of the learning on this REP shows how deep learning took place and how this enabled the students to gain a strong sense of their own developing professional knowledge and skills. This report also highlights that the students' specific occupational therapy input made a unique contribution to the community's work, a view validated by the therapeutic community's own staff.

A central feature of community mental health practice is the social inclusion of its service users. This involves opening up life opportunities in the mainstream community, requiring collaboration with community partners. A group of mental health service managers, practitioners, service users and representatives from the Further Education community worked together for 18 months to promote social inclusion for local service users and used appreciative inquiry and co-operative inquiry methods to explore and enhance this work. This article discusses the methodological nuances of this fusion of approaches. It underlines the benefits of an appreciative approach for addressing historically rooted patterns of practice within statutory mental health services, and highlights how harnessing an extended epistemology can bring together impetus from 'top down' and 'bottom up' to create actionable plans. The article describes what was learned about optimal inter-agency working and about trying to be a change agent in a large organization. It concludes with reflections on the suitability of participatory action research methods for developing community-orientated mental health services.

Disclaimer UWE has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material. UWE makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited. UWE makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights. UWE accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT. 419British Journal of Occupational Therapy September 2012 75(9) Research IntroductionMental health service users are one of the most excluded and disenfranchised groups in society (Leff and Warner 2006). Social exclusion has been defined as non-participation in key activities of the society in which a person lives (Burchardt et al 2002). This suggests that supporting community participation can be a way of addressing this intractable problem (Office of the Deputy Prime Minister 2004). Developing an inquiryPractitioners in a Bristol assertive outreach (AO) team (which includes the author) observed that many service users had been supported to engage successfully with mainstream community occupations, propelling their own recovery journeys. A preparatory audit of AO case notes by the lead researcher confirmed this for about 45% of the AO caseload.This phenomenon was explored to determine whether actionable learning about how these outcomes had been achieved could be applied more widely across local community mental health teams and day services, which aimed to develop socially inclusive practice by becoming more embedded in the community (National Social Inclusion Programme /Care Services Improvement Partnership 2006). In particular, the learning was relevant to the work of a local interagency community consortium, convened to coordinate the joint efforts of local day services and community partners to develop new communitybased occupational opportunities for mental health service users.Community participation and recovery for mental health service users: an action research inquiry Jon Fieldhouse Key words:Community mental health, social inclusion, recovery. Introduction:The social inclusion of individuals with mental health problems is an issue for mental health services, for the individuals who experience stigma, discrimination and exclusion, and for society at large. To develop community-orientated services that are capable of promoting inclusion it will, therefore, be advantageous to all parties to understand what service users find most helpful.Method: A 2-year action research project explored the recovery journeys of a group of assertive outreach service users who had progressed from being socially excluded and occupationally deprived to being participants in their local comm...

For several years, the social and therapeutic horticulture (STH) movement has been considering its own gradual professionalisation, as a way of raising its profile and ensuring standards of training and practice. A survey of 119 STH practitioners showed that the vast majority of respondents wanted a national body and the registration of projects and/or practitioners; over half wanted a protected job title; and there was a wish for more research-based evidence. The implications of this survey for the STH movement are discussed and issues of potential interest for occupational therapists are highlighted.