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Peter Relton is employed as a service user development worker in the Bradford Home Treatment Team. His job is to challenge and develop the team ‐ to bring his insights and perspectives to bear on the way they do their work. While some ‘user workers’ operate from a position somewhat apart from the local team, Peter describes an approach that has the potential to knit a service user perspective right into the fabric of mental health services.

Discriminatory attitudes to (ex) service users may threaten modernisation as they limit and shrink the workforce and prevent committed workers from succeeding. The report of the 1st National Conference of Survivor Workers gives senior managers the knowledge needed to increase the size and capability of the workforce.

The New Ways of Working (NWW) initiative was launched in 2004 to build a more flexible and skilled mental health workforce. This paper explores the journey through inpatient care under a new acute care team (ACT) model, piloted in Mersey Care NHS Trust as part of the redesign of services under the NWW. Fourteen service users were interviewed face‐to‐face, using an interview schedule of open‐ended questions administered by service user and carer interviewers. Service user perspectives on the admission process and inpatient care were reported as predominantly negative. Service user perspectives on the discharge process and aftercare were reported as predominantly positive. The need for clear and unambiguous care pathways, adequate information, good communication, and to have continuity of care and positive relationships with staff emerged as key themes.

Advertisements often use fear appeals to encourage prevention focused behaviors. This approach has been somewhat successful in changing attitudes and behaviors, often encouraging consumers to secede from behaviors such as smoking or to adopt preventative behaviors such as engaging in health screenings. However, health-care marketers have been less successful in efforts to reduce obesity. The obesity crisis has led to an abundance of marketing communications designed to influence weight loss. Many of these focus on fear of physical health risks associated with being overweight which have a certain degree of uncertainty surrounding them. This study aims to examine financial threats that have lower perceptions of uncertainty, and the differential impact this type of threat has on elements of the Extended Parallel Process Model (EPPM).

A 2 × 2 experimental design is used to examine the differential impact of messages communicating threat of financial and physical risk on evoked fear, perceived uncertainty, perceived susceptibility, efficacy and intention to lose weight.

Overall results indicate that response to weight loss advertising varies given the type of threat presented. Results indicate that there is a greater level of uncertainty associated with physical health threats than that with financial threats. Moreover, even though individuals were more fearful of and felt more susceptible to physical threats, when they believed that the recommended behavior was feasible, financial threat was more influential.

To encourage weight loss and intentions to lose weight advertising in practice and advertising research primarily focus on the physical health risks associated with being overweight as a motivating factor. Current research explores the impact of financial threats on attitudes and behavioral intention and finds that financial threats are perceived as more certain than physical threats, and the communication of financial threats is more salient in its effect on weight loss intentions. An opportunity for future research is to further explore the impact of uncertainty in relation to components of EPPM and how threats varying in degrees of uncertainty may impact weight loss intentions.

We recall Sidney Greenstreet's profile of Humphrey Bogart in The Maltese Falcon: ‘Upon my soul sir, you are a character, you really are.’ The same might be said of Gorby, the leader of the second most powerful country in the world, whose stated philosophy over seventy years has been: profit is a moral evil.

In 2018, we have surpassed the population landmark of 7.5 billion, and yesterday’s global crisis of under-nutrition in poorer nations is now accompanied by a journey into overweight and obesity. The purpose of our research is to focus on the health and resistance of those who avoid overweight and obesity rather than continuing to focus on the pathology and disease of this phenomenon.

Taking a consumer-centric perspective and using the lens of the social-economic framework, the authors report qualitative research conducted with 31 young people (ages 17-26) who have been resistant to weight gain in an increasingly obesogenic environment, followed by a survey of the general population, n = 921. The authors look at this type of consumer resistance to better understand how to develop government and community leadership and build more obesogenically resilient societies.

The findings support the contention that obesity is a social problem that requires a social solution.

The main contribution to the conversation addressing increasing levels of overweight and obesity is that this research demonstrates that these are complex social problems and require complex intervention at the societal level, not the individual level.