No abstract

Consistent failure of the three key items from the CHAT at 18 months of age carries an 83.3% risk of autism; and this pattern of risk indicator is specific to autism when compared to other forms of developmental delay.

Objective: Mental health recovery narratives are often shared in peer support work and antistigma campaigns. Internet technology provides access to an almost unlimited number of narratives, and yet little is known about how they affect recipients. The aim of this study was to develop a conceptual framework characterizing the impact of recovery narratives on recipients. Method: A systematic review of evidence about the impact of mental health recovery narratives was conducted. Searches used electronic databases (n ¼ 9), reference tracking, hand-searching of selected journals (n ¼ 2), grey literature searching, and expert consultation (n ¼ 7). A conceptual framework was generated through a thematic analysis of included articles, augmented by consultation with a Lived Experience Advisory Panel. Results: In total, 8137 articles were screened. Five articles were included. Forms of impact were connectedness, understanding of recovery, reduction in stigma, validation of personal experience, affective responses, and behavioural responses. Impact was moderated by characteristics of the recipient, context, and narrative. Increases in eating disorder behaviours were identified as a harmful response specific to recipients with eating disorders. Conclusions: Mental health recovery narratives can promote recovery. Recovery narratives might be useful for clients with limited access to peers and in online interventions targeted at reducing social isolation in rural or remote locations, but support is needed for the processing of the strong emotions that can arise. Caution is needed for use with specific clinical populations. Protocol registration: Prospero-CRD42018090923. Abré gé Objectif : Les récits de rétablissement de la santé mentale sont souvent partagés dans les groupes de soutien et les campagnes d'anti-stigmatisation. La technologie d'Internet offre un accès à un nombre presque illimité de récits, et pourtant, nous en

Newcastle, NSW As Accredited Practising Dietitians (APDs) we face a lot of competition from others who claim expertise in food and human nutrition. It is frustrating when the views of non-experts are given air-time over our evidence based advice, or worse still is when it is used to overrule our expertise. At the same time consumers are confused and think we constantly change our minds about what foods should or should not be eaten. It is not surprising that many are sceptical and unsure who to trust for advice on food and nutrition. As dietitians we need to stand united in the face of threats to our credibility. This is where technology can be harnessed to demonstrate our expertise and contrast it with that of our competitors. We need to support DAA in committing funds to market our profession and to embrace technologies to develop support systems for members that deliver cutting edge services, for the benefit of both APDs and their clients, in ways that are dynamic, valuable and irresistible to use. At the same time DAA needs to lead in terms of providing access to the best evidence-based nutrition advice, efficiently and cost-effectively. From a savvy website that connects consumers with advice on common nutrition problems, to DAA endorsed smart online programs that help APDs deliver and monitor medical nutrition therapy, to mobile applications that allow self-monitoring and real-time feedback , to systems for APDs that evaluate and benchmark practice and provide the evidence for client outcomes. We can use smart technologies to exploit and promote our unique selling points and extend our reach to those most vulnerable, who are isolated, disadvantaged by SES, literacy, language or location in ways that makes the best available nutrition evidence easy to digest. We are obliged to embrace technology and make it easier for all people to choose healthy food, no matter the barriers. To do this we need to work in multi-professional teams and across disciplines including IT, computing, design and business. Using technology to deliver cutting edge, evidence based programs that facilitate behaviour change, increase client engagement and enhance outcomes is now and is the future. This will free up time for client support, research and evaluation. We need to work smart, take managed risks, and fully exploit the capabilities technology offers. We can turn the volume up on our professional voices and be heard in the crowded nutrition space. Embrace the opportunities, the future is now. The 21 st century is already presenting some significant challenges for public health nutrition, but there are also opportunities. Some of the obvious challenges include climate change and its impact on agriculture and food production, Australia's long term food security, international free trade agreements such as the Trans Pacific Partnership (TPP) agreement currently being finalized, and the growing epidemic of obesity and related chronic diseases such as diabetes. These issues are not uncon-nected. In relation to the food supply, free t...