A qualitative study of the barriers to commissioning social and therapeutic horticulture in mental health care.

BACKGROUND: Social and Therapeutic Horticulture (STH) is a process where trained practitioners work with plants and people to improve an individual's physical and psychological health, communication and thinking skills. Evidence suggests that STH can support individuals with mental ill-health, however, current commissioning of STH within mental health care is limited. This study aimed to understand the barriers to commissioning STH in mental health care and to identify potential solutions to barriers, to support more widespread availability of services.  METHODS: Individuals with a role in mental health care commissioning from across the UK were invited to take part in semi-structured interviews via zoom. Interviews explored factors influencing the mental health services they commission or refer to, their perception of the role of STH in mental health care and the barriers to commissioning STH, together with potential solutions to any barriers identified. RESULTS: Commissioners identified a lack of knowledge of STH and evidence of its effectiveness, and a culture which prioritises traditional medical models, as barriers to commissioning. Challenges for STH providers in responding to large-scale commissioning requirements were also highlighted as a barrier. CONCLUSIONS: To upscale commissioning of STH in mental health care, STH interventions need to be embedded within NHS priorities and information on STH services and their effectiveness needs to be easily accessible to practitioners. The sector should also be supported in working collaboratively to enable commissioning of services at scale.

Effect of neonatal immunoglobulin status on the outcomes of spring-born suckler calves.

BACKGROUND: Successfully rearing beef calves to weaning and beyond determines the economic performance of a beef farm. As such, it is important to understand the factors influencing performance outcomes. METHODS: This study recorded the health events, mortality and growth rates of 674 calves born on 50 commercial beef farms in Great Britain using a postsampling questionnaire. All calves had a known postcolostral serum IgG status. RESULTS: Preweaning mortality in the study population was 1.5% (10/674 calves), while the treatment rate was 6.4% (43/674 calves). Serum IgG, calf sex and dystocia were significant predictors of whether a calf died and/or required treatment. Average daily liveweight gain was calculated for calves where weaning weights were provided (n = 513). Serum IgG and calf sex were consistent predictors of calf growth rates, while birthweight and whether the calf was born to a cow or heifer were predictive in a model where average daily liveweight gain was converted to a binary response variable using the mean average daily liveweight gain on the calf's farm of origin. LIMITATIONS: Morbidity and mortality were lower than comparable studies, potentially due to limitations in the study design. CONCLUSION: Serum IgG and calf sex were significant explanatory variables that affected beef calf average daily liveweight gain. For every 5 g/L increase in serum IgG, the odds ratio of dying and/or requiring treatment decreased by 0.86.

Risk factor analysis for beef calves requiring assisted vaginal delivery in Great Britain.

BACKGROUND: Dystocia has serious consequences for both mother and offspring. This study therefore aimed to identify risk factors for dystocia in vaginally delivered spring born beef calves in Great Britain (GB). METHODS: Information on calving assistance, calf sex, birthweight, breed, twinning, dam parity and body condition score (BCS) was collected from 1131 calves across 84 GB farms. Variables were modelled against calving assistance as a binary response variable. RESULTS: Twins (Odds Ratio [OR] = 5.45), Charolais calves (OR = 3.24), calves from primiparous dams (OR = 5.75) and male calves (OR = 1.75) were at significantly increased risk of requiring calving assistance across all models. Calves born to cows classed as thin (BCS < 2.5/5) were identified in the univariate analysis and in one of the multivariate models (OR = 1.92) as having an increased likelihood of dystocia. CONCLUSIONS: Most beef herds have limited scope to manage cows on the basis of fetal gender and number. However, calf breed, dam body condition and management of primiparous dams can be manipulated to reduce the risk of dystocia and improve supervision. Poor body condition is a novel risk factor for dystocia in beef cows and worthy of further investigation.

Prevalence and risk factors associated with failure of transfer of passive immunity in spring born beef suckler calves in Great Britain.

Calves are born agammaglobulinemic and are dependent on the intake and uptake of immunoglobulins from colostrum for protection against infectious diseases in early life. Failure to absorb sufficient immunoglobulins in the correct timeframe after birth is termed failure of transfer of passive immunity (FPT). FPT has been defined as a serum IgG concentration ([sIgG]) of under 10 g/L in dairy calves, as [sIgG] over 10 g/L has been associated with a decreased risk of mortality and morbidity. In beef calves, a [sIgG] of under 24 g/L has also been shown to be predictive of increased morbidity and mortality. Currently there is limited data relating to the prevalence and risk factors of FPT in the beef sector. This cross-sectional study quantified [sIgG] in 1131 blood samples taken from beef suckler calves born on 84 farms in Great Britain in spring 2018 (mean 13.5 calves sampled per farm, range 3-22). Age of calves at sampling ranged from 1 to 13 days. The estimated prevalence of calves with [sIgG] <10 g/L in this study population was 15 % (n = 145 calves), whilst 37 % (n = 396 calves) calves had a [sIgG] <24 g/L. 22 out of the 84 farms had no calves sampled with [sIgG] <10 g/L. Risk factors predictive of [sIgG] were calculated using generalised linear mixed models, with farm included as a random effect. Calving assistance was significant and increased the likelihood of [sIgG] concentrations <10 g/L and [sIgG] <24 g/L, Odds Ratio (OR) 1.66 (1.05-2.62 95 % CI) and 1.91 (1.33-2.74 95 % CI) respectively. All three levels of assistance with colostrum feeding used in this study were significant for calves having a [sIgG] <24 g/L (Lead to dam OR = 1.85 (1.11-3.06 95 % CI), Bottle/tube fed dam's colostrum OR = 2.35 (1.29-4.30 95 % CI), Bottle/tube fed artificial colostrum OR = 3.78 (1.86-7.70 95 % CI), whilst bottle/tube feeding either dam's or artificial colostrum were also significant for [sIgG] <10 g/L, OR 2.66 (1.32-5.36 95 % CI) and 2.34 (1.09-5.02 95 % CI) respectively. Male calves had a higher likelihood for [sIgG] <10 g/L, OR 1.68 (1.12-2.54 95 % CI) whereas being a twin or being born to a heifer were predictive of having a [sIgG] <24 g/L (OR 3.31 (1.64-6.71 95 % CI), OR 1.57 (1.05-2.35 95 % CI) respectively). This study raises important questions with respect to management practices around calving and highlights the need for reviewing protocols with respect to colostrum assistance and calving assistance on beef farms.

Affective Outcomes of Group versus Lone Green Exercise Participation.

'Green exercise' (being physically active within a natural environment) research has examined the influence of environmental setting on health and wellbeing-related exercise outcomes. However, it is not known whether social exercise settings influence green exercise-associated changes in mood, self-esteem, and connection to nature. This study directly compared outcomes of participating in green exercise alone compared to in a group. Using repeated measures, counterbalanced and randomized-crossover design, participants (n = 40) completed two 3 km runs around sports fields. These fields had a relatively flat grass terrain, predominant view of trees, and open grassland. On one occasion participants ran alone and on the other they ran in a group of 4-5 participants. Questionnaire measures of mood, self-esteem, and connection to nature were completed immediately pre- and post-run. Across all of the measures, two-way mixed ANOVAs found that there were statistically significant effects for time but not for time-by-condition interactions. The simplest interpretation of this finding is that social setting does not influence individuals' attainment of the psychological outcomes of green exercise participation. However, we discuss the possibility that more complex processes might underpin this finding.

The impact of care farms on quality of life, depression and anxiety among different population groups: A systematic review.

Care farming (also called social farming) is the therapeutic use of agricultural and farming practices. Service users and communities supported through care farming include people with learning disabilities, mental and physical health problems, substance misuse, adult offenders, disaffected youth, socially isolated older people and the long term unemployed. Care farming is growing in popularity, especially around Europe. This review aimed to understand the impact of care farming on quality of life, depression and anxiety, on a range of service user groups. It also aimed to explore and explain the way in which care farming might work for different groups. By reviewing interview studies we found that people valued, among other things, being in contact with each other, and feeling a sense of achievement, fulfilment and belonging. Some groups seemed to appreciate different things indicating that different groups may benefit in different ways but, it is unclear if this is due to a difference in the types of activities or the way in which people take different things from the same activity. We found no evidence that care farms improved people's quality of life and some evidence that they might improve depression and anxiety. Larger studies involving single service user groups and fully validated outcome measures are needed to prove more conclusive evidence about the benefits of care farming.

Assessing the impact of care farms on quality of life and offending: a pilot study among probation service users in England.

OBJECTIVES: To assess the feasibility of conducting a cost-effectiveness study of using care farms (CFs) to improve quality of life and reduce reoffending among offenders undertaking community orders (COs). To pilot questionnaires to assess quality of life, connection to nature, lifestyle behaviours, health and social-care use. To assess recruitment and retention at 6 months and feasibility of data linkage to Police National Computer (PNC) reconvictions data and data held by probation services. DESIGN: Pilot study using questionnaires to assess quality of life, individually linked to police and probation data. SETTING: The pilot study was conducted in three probation service regions in England. Each site included a CF and at least one comparator CO project. CFs are working farms used with a range of clients, including offenders, for therapeutic purposes. The three CFs included one aquaponics and horticulture social enterprise, a religious charity focusing on horticulture and a family-run cattle farm. Comparator projects included sorting secondhand clothes and activities to address alcohol misuse and anger management. PARTICIPANTS: We recruited 134 adults (over 18) serving COs in England, 29% female. RESULTS: 52% of participants completed follow-up questionnaires. Privatisation of UK probation trusts in 2014 negatively impacted on recruitment and retention. Linkage to PNC data was a more successful means of follow-up, with 90% consenting to access their probation and PNC data. Collection of health and social-care costs and quality-adjusted life year derivation were feasible. Propensity score adjustment provided a viable comparison method despite differences between comparators. We found worse health and higher reoffending risk among CF participants due to allocation of challenging offenders to CFs, making risk of reoffending a confounder. CONCLUSIONS: Recruitment would be feasible in a more stable probation environment. Follow-up was challenging; however, assessing reconvictions from PNC data is feasible and a potential primary outcome for future studies.

Greenhouse gas emissions as a result of spectators travelling to football in England.

Transport remains a critical avenue in the attempt to reduce greenhouse gas (GHG) emissions and any significant effort to reduce travel GHG emissions will need to encourage a movement towards more fuel-efficient, less polluting behaviours. The aim of this paper is to calculate GHG emissions arising from the travel of spectators to and from football games within eight football tiers (3 to 10) in England, and to extrapolate this to a national level. The study comprised of 1649 participants with an average age of 42 years (M = 42.63, SD = 17.10). Participants travelled to and from games by walking, cycling, car, bus, train or taxi. The average distance travelled to and from games was 41.5 km. A Kruskal-Wallis test was conducted to evaluate differences in travel related GHG emissions between the eight football tiers during the 2012/13 season. The results indicate significant differences between football tiers' GHG emissions, H(7) = 46.474, p < 0.001. The annual GHG emission of spectators from the 8 tiers for the 2012/13 season was estimated at 56,237 tonnes of CO2e, accounting for less than 0.05% of transport emissions in England. Football authorities should have robust travel plans and educate spectators to employ more sustainable travel plans to games.

Improving health and well-being independently of GDP: dividends of greener and prosocial economies.

Increases in gross domestic product (GDP) beyond a threshold of basic needs do not lead to further increases in well-being. An explanation is that material consumption (MC) also results in negative health externalities. We assess how these externalities influence six factors critical for well-being: (i) healthy food; (ii) active body; (iii) healthy mind; (iv) community links; (v) contact with nature; and (vi) attachment to possessions. If environmentally sustainable consumption (ESC) were increasingly substituted for MC, thus improving well-being and stocks of natural and social capital, and sustainable behaviours involving non-material consumption (SBs-NMC) became more prevalent, then well-being would increase regardless of levels of GDP. In the UK, the individualised annual health costs of negative consumption externalities (NCEs) currently amount to £62 billion for the National Health Service, and £184 billion for the economy (for mental ill-health, dementia, obesity, physical inactivity, diabetes, loneliness and cardiovascular disease). A dividend is available if substitution by ESC and SBs-NMC could limit the prevalence of these conditions.