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This paper aims to present findings from a research project that investigated the suitability of Lean in a seasonal horticultural setting, specifically the New Zealand (NZ) apple and pear (pipfruit) industry. The paper focusses on improvements made while deploying Lean elements in several apple pack-houses.

The literature review discusses how common theoretical Lean themes are not industry or contextually bound and may be transferable to other industries. An industry-wide survey assesses the current state of knowledge and Lean deployment within the industry using a unique “single-question-per-day” approach. Two case studies and one action research study are used to obtain rich data from organisations that have implemented Lean in recent times. Reliability and validity is achieved by selecting representative samples, using a case study protocol, a single researcher for consistency, participant verification, multiple sources of evidence within cases and replication logic.

The industry survey shows a low level of knowledge and applied Lean within the industry. Data demonstrate that significant progress is made, using different implementation approaches that lead to a measurable increase of Lean, supported by some positive financial indicators.

This research is restricted to NZ apple pack-houses, but indicates that Lean can contribute significantly to general horticultural pack house performance.

Literature research shows that little research has been done to study Lean in the horticultural field generally and in the NZ pipfruit industry specifically. This paper contributes to filling that knowledge gap.

This paper highlights the social context of common mental disorders in primary care and the paucity of evidence relating to effective social interventions. It introduces the ABC‐E Model of Emotion, which combines social interventions with psychological therapy, and discusses how the implementation of the new role of graduate primary care mental health worker (GPCMHW) provides an opportunity for holistic practice in helping individuals experiencing mild to moderate mental health difficulties in primary care. It provides a case example of the implementation of the ABC‐E model and makes recommendations for further research including the evaluation of the model and GPCMHW training programmes.

This study aims to builds upon the hypothesis that “gang” offenders have greater mental health vulnerabilities than both the offender and the general population. This study aims to determine whether there is a difference between the mental health difficulties experienced by young people who may be committing offenses or who may be non-offenders while exploring the interplay of conduct disorder (CD).

Secondary data analysis was conducted of a cross-sectional survey of 449 young people in two secondary schools and the data was compared to the scores on the strengths and difficulties questionnaire (SDQ). A diagnosis of CD was given to the respondents scoring “abnormal” for conduct on the SDQ and the findings were compared to the total difficulties score of those without a diagnosis of CD.

Those committing offenses both alone and within a group setting had significantly higher scores across all domains of the SDQ, indicating the prevalence of inattention and hyperactivity, emotional problems, lower prosocial behaviors and peer problems over other offending groups. The total difficulties scores on the SDQ were significantly higher for the offending groups that had a diagnosis of CD.

The results suggest that offending patterns are included within the screening for CD subtypes and support the need for further research into tailored interventions that involve multi-agency collaboration. This research offers a new approach to the identification of severe CD with callous and unemotional traits by examining offensive behavior.

Foetal programming is one of the key mechanisms by which physical and social adversity is biologically embedded during pregnancy. While early interest in such programming focused on the long-term impact of the mother's nutritional state on the child's later physical health, more recent research has identified an increased risk of psychopathology in children of women who have experienced stress, anxiety and depression during pregnancy. The purpose of this paper is to examine the literature addressing the impact of stress in pregnancy and the implications for practice.

An overview of the literature has been provided.

Both anxiety and depression in pregnancy are common, with a prevalence in the region of 20 per cent. Exposure in pregnancy to anxiety, depression and stress from a range of sources (e.g. bereavement, relationship problems, external disasters and war), is associated with a range of physical (e.g. congenital malformations, reduced birthweight and gestational age), neurodevelopmental, cognitive, and emotional and behavioural (e.g. ADHD, conduct disorder) problems. The magnitude is significant, with the attributable risk of childhood behaviour problems due to prenatal stress being between 10 and 15 per cent, and the variance in cognitive development due to prenatal stress being around 17 per cent. A range of methods of intervening are effective in improving both maternal anxiety and depression, and in the longer term should improve outcomes for the infant and child.

This research highlights the importance of intervening to support the psychological wellbeing of pregnant women to improve outcomes for infants and children, and points to the need for further research into innovative ways of working, particularly with high-risk groups of pregnant women.

The paper provides an update of earlier overviews.