Objectives Intellectual disability (ID) and epilepsy are independent risk factors for osteoporosis. Diverse predisposing factors influence this, for example in ID, genetics and poor nutrition and in epilepsy, anti‐seizure medication (ASM). Around 25% people with ID have epilepsy, majority treatment resistant. ASMs polypharmacy is common. However, little is known about the bone‐related characteristics of this vulnerable group. A prospective observational cohort study of bone profile across a community ID Epilepsy service was undertaken to understand this. Materials & Methods Participants were on minimum 2 years of ASMs. Baseline demographics, epilepsy data, bone metabolism biomarkers, bone mineral density (BMD) and vitamin D levels were collected. Doses needed to correct vitamin D insufficiency/deficiency were calculated. Results At baseline, of 104 participants, 92 (90.2%) were vitamin D insufficient/deficient. Seventy‐six (73.1%) had a DEXA scan, 50 of whom—in the osteopaenic/osteoporotic range. DEXA scores between ambulant and non‐ambulant patients were significantly different (p = .05) but not for ID severity. A high alkaline phosphatase (ALP) predicted lower vitamin D levels. Borderline significance (p = .06) in calcium levels between normal and high ALP was identified. There were no significant associations between parathyroid hormone, inorganic phosphate and magnesium levels, with vitamin D status or DEXA hip T‐scores. Normalizing vitamin D levels (mean 101.4 nmol/L) required an average of 1951IU cholecalciferol daily. Conclusions Vitamin D deficiency is highly prevalent in people with ID and epilepsy treated with ASMs impacting likely on their bone health. Screening with vitamin D levels, ALP and DEXA in this group should be pro‐actively and routinely considered.

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Art of Recovery explores the potential of a participatory arts engagement with place to contribute toward the recovery and reconnection of refugees who experience trauma. The study responded to the international challenge of refugees’ mental health as a global priority as they experience higher prevalence rates of severe mental health disorders in comparison with the general population. The role of participatory arts in contributing toward recovery and reconnection is growing, but policymakers and health professionals are constrained by the lack of research exploring its benefits. We worked with 14 participants in four participatory arts workshops exploring the benefits of artwork focusing on remembered or imagined healing places. A qualitative thematic analysis of the artwork drew on Herman’s theory of recovery identifying “remembrance”, “mourning”, and “reconnection” to assess the elements of potential recovery, including aspects of the participants’ experience of transition between their homeland and the United Kingdom (UK), and new social connections. In conclusion, the study suggests that participating in a group making artworks of places associated with safety may contribute to processes of transition and social connectedness, prompting in turn feelings of wellbeing. The study offers insights into arts and health issues of interest to refugee-supporting communities, health professionals and policymakers.

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