This study aimed to evaluate the role of co-production in the development of a novel community mental health service for black and minority ethnic service users. Qualitative research methods, including semi-structured interviews and focus groups, were used to collect data to examine the use of co-production methods in designing and delivering an improved mental health service. Findings Twenty-five patients enrolled into the study; of these, 10 were signposted for more intensive psychological support. A 75% retention rate was recorded (higher than is generally the case for black and minority ethnic service users). Early indications are that the project has helped overcome barriers to accessing mental health services. Although small scale, this study highlights an alternative model that, if explored and developed further, could lead to delivery of patient-centred services to improve access and patient experience within mental health services, particularly for black and minority ethnic communities.

The purpose of this study was to describe the experiences of general education teachers who have had a student with severe disabilities in their class. Interviews of 19 general education teachers, kindergarten through Grade 9, as well as questionnaires completed by 18 teachers, were analyzed using categorical coding procedures to identify themes related to the teachers' experiences. Results showed that despite teachers' initial negative reactions to the placement of a child with severe disabilities in their classrooms, 17 teachers described transforming experiences of a more positive nature and related many benefits to the students with disabilities, their classmates, and the teachers themselves. Respondents also characterized what support services they found helpful and not helpful.

Quality of life has become a dominant theme in planning and evaluating services for people with disabilities. This article reviews definitions of quality of life, explores the concept from the perspective of the optimal theory of personal well-being, and surveys the research on the concept and its implications for planning and evaluating services. This article explores the subjective nature of life quality, particularly for people with disabilities, and relates the concept to both cultural norms and universal human values and needs. Each person experiences life, and disability, in unique ways. Practitioners need to consider quality-of-life issues as a context in planning and evaluating quality services.

conditioned room, participants wore long pants, long-sleeved shirts, and sweaters in order to stay warm. Outside, the 95degree mid-day temperature was coupled with high humidity. At noon, the people at the meeting left the comfort of the air-conditioned room and headed down the street to a nearby restaurant for lunch. As they strolled a few blocks down the street, most of the people they passed were wearing shorts and lightweight, short-sleeved shirts. As the people from the air-conditioned room continued on their way, they 288

This study examines culturally sensitive practices in family interviewing and developing individualized education programs. Participants were 14 professionals in the field of special education, who provided their perceptions and reflections on their experiences as members of cultural minority groups in the United States. The article reviews literature relevant to cultural sensitivity and family interviewing, describes the method and findings of the study, and discusses culturally sensitive practices in family interviewing, while avoiding stereotypes and generalizations. Recommendations for professionals include increasing their own knowledge base about other cultures; examining their own cultural biases; providing a family focus; allowing sufficient time for comfortable interviews; and considering time, place, and language needs.