Intervention Practices Research Articles

Interventional pain management practices in Pakistan: The role of Physical Medicine and Rehabilitation (PMR).

Chronic pain represents a complex, multifaceted challenge that surpasses the prevalence of commonly encountered disorders such as diabetes mellitus and hypertension. This condition exerts a substantial burden on healthcare systems due to its pervasive impact. While pain interventions and procedures constitute a crucial facet, they alone do not constitute a comprehensive solution. Nevertheless, the strategic and precise application of these procedures by well-trained and proficient physicians offers patients a swift route to resuming their normal activities, sparing them from protracted reliance on medications. Within the realm of Physical Medicine and Rehabilitation (PM&R), Interventional Pain Management (IPM) adopts a multidisciplinary rehabilitative approach, addressing all dimensions of pain syndromes. This approach culminates in enhanced functional outcomes and an improved quality of life. This concise review underscores the significance of this integrated approach, shedding light on various pain procedures routinely employed for diagnostic and therapeutic purposes. Within this context, we briefly explore the application of ultrasound and C-arm guided procedures. In conclusion, this review underscores the imperative nature of embracing a multidimensional approach to pain management, essential for seamlessly incorporating interventional pain management techniques into the broader domain of rehabilitation medicine.

Advancements in Interventional Pulmonology: Harnessing Ultrasound Techniques for Precision Diagnosis and Treatment.

Medical ultrasound has emerged as an indispensable tool within interventional pulmonology, revolutionizing diagnostic and procedural practices through its non-invasive nature and real-time visualization capabilities. By harnessing the principles of sound waves and employing a variety of transducer types, ultrasound facilitates enhanced accuracy and safety in procedures such as transthoracic needle aspiration and pleural effusion drainage, consequently leading to improved patient outcomes. Understanding the fundamentals of ultrasound physics is paramount for clinicians, as it forms the basis for interpreting imaging results and optimizing interventions. Thoracic ultrasound plays a pivotal role in diagnosing conditions like pleural effusions and pneumothorax, while also optimizing procedures such as thoracentesis and biopsy by providing precise guidance. Advanced ultrasound techniques, including endobronchial ultrasound, has transformed the evaluation and biopsy of lymph nodes, bolstered by innovative features like elastography, which contribute to increased procedural efficacy and patient safety. Peripheral ultrasound techniques, notably radial endobronchial ultrasound (rEBUS), have become essential for assessing pulmonary nodules and evaluating airway structures, offering clinicians valuable insights into disease localization and severity. Neck ultrasound serves as a crucial tool in guiding supraclavicular lymph node biopsy and percutaneous dilatational tracheostomy procedures, ensuring safe placement and minimizing associated complications. Ultrasound technology is suited for further advancement through the integration of artificial intelligence, miniaturization, and the development of portable devices. These advancements hold the promise of not only improving diagnostic accuracy but also enhancing the accessibility of ultrasound imaging in diverse healthcare settings, ultimately expanding its utility and impact on patient care. Additionally, the integration of enhanced techniques such as contrast-enhanced ultrasound and 3D imaging is anticipated to revolutionize personalized medicine by providing clinicians with a more comprehensive understanding of anatomical structures and pathological processes. The transformative potential of medical ultrasound in interventional pulmonology extends beyond mere technological advancements; it represents a paradigm shift in healthcare delivery, empowering clinicians with unprecedented capabilities to diagnose and treat pulmonary conditions with precision and efficacy. By leveraging the latest innovations in ultrasound technology, clinicians can navigate complex anatomical structures with confidence, leading to more informed decision-making and ultimately improving patient outcomes. Moreover, the portability and versatility of modern ultrasound devices enable their deployment in various clinical settings, from traditional hospital environments to remote or resource-limited areas, thereby bridging gaps in healthcare access and equity.

Inequalities in Complementary Feeding Programs in Randomized Intervention and Nonintervention Areas after Program Implementation in Bangladesh, Ethiopia, and Vietnam

BackgroundChildren in the 6–23-mo age group need to consume adequate energy and nutrients for healthy growth, brain development, cognition, and future productivity. Yet, large deficits remain. Complementary feeding practices can be improved on a large scale, but whether interventions reach and benefit disadvantaged mothers is not known. ObjectivesTo assess inequalities in complementary feeding practices and coverage following large-scale program implementation in 3 low- and middle-income countries. MethodsWe re-analyzed evaluation data from randomized controlled studies conducted in Bangladesh, Ethiopia, and Vietnam and calculated socioeconomic inequality using Erreygers index for intervention and nonintervention areas. Intervention coverage indicators were developed in each country for interpersonal communication, community mobilization, agricultural extension, and media. We compared the direction and magnitude of inequalities in intervention and nonintervention areas. ResultsAt the endline, coverage, and practices related to complementary feeding were better in intervention areas, but coverage and practices favored the better-off and more educated mothers. In Bangladesh, only 5, and in Vietnam, only 1 out of 16 coverage variables measured favored disadvantaged mothers or were neutral; in Ethiopia, out of 18 coverage variables measured, 11 favored disadvantaged mothers or were neutral, and in all 3 countries, only 5–6 variables out of 16 that were measured favored disadvantaged mothers or were neutral. ConclusionsInequalities exist both in how children in the 6–23-mo age group are fed and in programs aimed at improving complementary feeding practices. Programs favor the better-off and more educated mothers. We need to better understand context-specific program barriers and tailor targeted interventions to reach disadvantaged mothers.

Looking Back to Advance Equity in Psychiatric Nursing: Strategies for the Classroom and for Practice.

With deep historical roots in psychiatry, structural racism persists in psychiatric nursing today. Psychiatric nurses may hold implicit biases and stereotypical beliefs that influence how they perceive, assess, and interact with people from different racial backgrounds, leading to discrimination, poor treatment, and misdiagnosis. To eliminate discrimination in clinical care and diversify the workforce, there is an urgent need to integrate teaching and learning strategies that address influences of racism and racial identity in psychiatric nursing education. This article explores the historical context and proposes antiracist psychiatric nursing teaching and practice interventions to reduce the harms of racism.

Could Mindful Meditation be a Routine Therapeutic Intervention in Practice?

Although mindfulness meditation has become more and more well-liked as a therapeutic technique in recent years, it might not be appropriate for every person or situation. Although mindfulness meditation has been shown to be beneficial for reducing stress, anxiety, and depression, its effects may not be felt by all people. Furthermore, some people could find it challenging to practice mindful meditation because of a variety of obstacles, like attentional or cognitive impairments. It is pivotal to consider the unique demands of every client in a professional context and design interventions accordingly. It’s also critical to understand that, where appropriate, mindful meditation should be utilized in addition to other evidence-based therapies rather than being viewed as a one-size-fits-all remedy. Because of this, mindful meditation should not be used as the only therapeutic intervention in practice, even if it can be a useful tool in increasing mental well-being.

Nursing Palliative Care for Elderly Surgical Patients: A Scoping Review

Introduction: The discussion on palliative care in high-tech environments and interventional practice represents one of the various aspects to be considered in the challenge of providing a continuum of wellness in living and dying for the elderly. Objective: To map and identify the existing works in the literature on nursing actions that focus on palliative care for elderly patients in surgical hospitalization settings. Materials and methods: This scoping review was conducted on eight databases, following the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Review-Scoping Review guidelines. The following descriptors were used: nursing care; palliative care; elderly; surgery. The inclusion criteria were the following: primary research, systematic reviews, meta-analyses, and clinical trials. The search was performed in three stages: database listing / pilot test; broad search/application of the “PCC” strategy (population, concept, context); and full reading of the content. A total of 509 productions were retrieved and then managed using the Rayyan® software, of which 13 studies were selected. The protocol was registered in the Open Science Framework. Results: The total population consisted of 10,417 people aged from 60 to 109. The most frequent interventions included the physical dimension, for symptomatic control; the cultural dimension, in which the dilemmas present in an environment with a high expectation for recovery and rigid interventionist protocols were highlighted, as well as the communication dimension, which is a basic tool of palliative care. Conclusions: Elderly people with serious conditions can benefit from palliative care in the perioperative setting. However, there is a need for training nurses in pain management, empowerment to participate in ethical decisions, and training for better communication. It should be noted that evidence on interventions to improve palliative care is still limited by methodological flaws, so rigorous evaluations are needed to measure significant results for patients and care.

Examining the roles of self-compassion and self-control in managing work-family conflicts and preventing burnout during the pandemic: A three-wave longitudinal study in China.

According to the Work/Family Border Theory, the pandemic-induced disruptions, such as widespread teleworking adoption, have blurred work and family boundaries. Meanwhile, the Work-Home Resources Model posited that the impact of such disruptions on work-family conflicts and mental health depends on individual resources. Building on previous research, this study hypothesised that self-compassion and self-control mitigate pandemic burnout by reducing work-family conflicts during pandemic. In particular, we proposed that the proactive nature of self-compassion motivates individuals to seek resources for managing work-family conflicts, while self-control translates this motivation into action through behavioural regulation and adaptive coping. Using a three-wave longitudinal design with 568 participants in China during heightened pandemic severity, the study revealed that both self-compassion and self-control were associated with lower pandemic burnout, mediated through reduced work-family conflict. The indirect effect of self-compassion on pandemic burnout via work-family conflicts was significant only for individuals with high or average self-control, emphasising the complementary role of both factors. Our findings underscore the protective value of self-compassion and self-control in navigating work-family conflicts during collective adversities, advocating for their incorporation in theoretical frameworks and practical intervention.

Assessing the impact of information literacy on farmers’ decision-making processes: A mixed-methods approach

This article investigates the link between information literacy and farmers’ decision-making processes, highlighting the potential for improving information literacy to promote sustainable agricultural practices. This study employed a mixed-methods approach – that is, qualitative and quantitative data collection techniques. It was found that gender did not significantly influence the reported skills and behaviours. However, the use of digital technologies showed a significant positive correlation with seeking information on new agricultural practices ( r = .254, p < .01). This shows that proficient users of digital tools are more likely to seek new agricultural information actively. This research emphasizes the importance of collaboration and knowledge-sharing among farmers and stakeholders to effectively use agricultural information in decision-making, with implications for academic research and practical agricultural interventions.

Characterizing Occupational Therapy Intervention for Children on the Autism Spectrum.

Occupational therapy is one of the most used interventions for children on the autism spectrum. There is a critical need to develop an operationalized list of key treatment components of usual-care occupational therapy practice for children on the autism spectrum. To identify and develop consensus on definitions and examples of key treatment components of usual-care occupational therapy for children on the autism spectrum, ages 6 to 13 yr. We conducted a Delphi study to obtain feedback from a panel of experts. Electronic survey. 17 occupational therapy panelists with expertise in autism intervention. Panelists rated the definition and example of each treatment component and provided feedback through multiple rounds of survey. On the basis of the panelists' feedback on Delphi Round 1, the criteria rating form was revised to include four questions for the definition and example of each treatment component. Through four Delphi rounds of consensus building, we developed an operationalized list of 20 treatment components with definitions and examples that incorporated elements of usual-care occupational therapy intervention for children on the autism spectrum. This operationalized list of treatment components serves as a foundational framework to improve education, practice, and research of occupational therapy intervention for children on the autism spectrum. Plain-Language Summary: This study identified and developed consensus on definitions and examples of key treatment components used in usual-care outpatient occupational therapy for children on the autism spectrum. Through four rounds of consensus building with 17 occupational therapy experts in autism, we identified 20 key treatment components central to occupational therapy practice. Our results have the potential to serve as a framework to improve education, practice, and clinical research in autism.

Inequalities in large-scale breastfeeding programmes in Bangladesh, Burkina Faso and Vietnam.

Inequalities in breastfeeding programmes and practices have slowed global progress in providing the life-saving protection of breastfeeding for millions of infants despite well-known life-long impacts. As breastfeeding interventions are scaled up, inequalities in coverage and breastfeeding practices should be tracked, particularly in disadvantaged groups, who are likely to suffer the most serious health and developmental impacts of poor childhood nutrition. The literature provides evidence of inequalities in breastfeeding practices, but research is limited on socioeconomic disparities in the coverage of breastfeeding interventions. This paper (1) compares inequalities in breastfeeding practices in intervention and nonintervention areas and (2) documents inequalities in programme coverage by type of intervention. We disaggregated endline evaluation surveys in Bangladesh, Burkina Faso and Vietnam, where rigorous evaluations had documented significant overall improvements, and analysed whether inequalities in breastfeeding practices and programme coverage differed by treatment areas. We used Erreygers index to quantify inequalities and found that breastfeeding practices were largely pro-poor; intervention coverage was not consistently pro-poor. While counselling coverage often favoured women from the poorest quintile, public education/media coverage consistently favoured better-off women. Inequalities favoured more educated mothers in the coverage of combined interventions. None of the programmes had explicit equality objectives. The results indicate the need for introducing specific actions to reduce inequalities in breastfeeding policies and programmes. This is a priority unfinished agenda for nutrition programming.

Key factors for sustainable working conditions in emergency departments: an EUSEM-initiated, Europe-wide consensus survey.

Modern emergency medicine (EM) is a complex, demanding, and occasionally stressful field of work. Working conditions, provider well-being, and associated health and performance outcomes are key factors influencing the establishment of a sustainable emergency department (ED) working environment. This multinational European Delphi survey aimed to identify unequivocal major factors for good and poor ED working conditions and their possible effects on health care provider well-being. A total of 18 experts from six European countries (Belgium, Finland, Germany, Italy, Romania, and the UK) covering three different hospital sizes (small, medium, and large) in their respective countries participated in the two-round Delphi survey. All panelists held leadership roles in EM. The first step involved conducting an extensive literature search on ED working conditions. The second step involved the first Delphi round, which consisted of structured interviews with the panelists. The survey was designed to obtain information concerning important working conditions, comments regarding work-life factors identified from the literature, and ratings of their importance. Interviews were transcribed and analyzed following a standardized protocol. In the second Delphi round, experts rated the relevance of items consolidated from the first Delphi round (classified into ED work system factors, provider health outcomes, and ED work-life intervention approaches). A nearly unequivocal consensus was obtained in four ED work condition categories, including positive (e.g. job challenges, personal motivation, and case complexities) and negative (e.g. overcrowding, workflow interruptions/multitasking, medical errors) ED work conditions. The highly relevant adverse personal health events identified included physical fatigue, exhaustion, and burnout. Concerning intervention practices, the panelists offered a wide spectrum of opportunities with less consensus. Work system conditions exert positive and negative effects on the work life of ED providers across Europe. Although most European countries have varying health care systems, the expert-based survey results presented herein strongly suggest that improvement strategies should focus on system-related external stressors common in various countries. Our findings lay the scientific groundwork for future intervention studies at the local and systemic levels to improve ED provider work life.

Exploring Plant-Based Compounds as Alternatives for Targeting Enterococcus faecalis in Endodontic Therapy: A Molecular Docking Approach.

Endodontic infections pose significant challenges in dental practice due to their persistence and potential complications. Among the causative agents, Enterococcus faecalis stands out for its ability to form biofilms and develop resistance to conventional antibiotics, leading to treatment failures and recurrent infections. The urgent need for alternative treatments arises from the growing concern over antibiotic resistance and the limitations of current therapeutic options in combating E. faecalis-associated endodontic infections. Plant-based natural compounds offer a promising avenue for exploration, given their diverse bioactive properties and potential as sources of novel antimicrobial agents. In this study, molecular docking and dynamics simulations are employed to explore the interactions between SrtA, a key enzyme in E. faecalis, and plant-based natural compounds. Analysis of phytocompounds through molecular docking unveiled several candidates with binding energies surpassing that of the control drug, ampicillin, with pinocembrin emerging as the lead compound due to its strong interactions with key residues of SrtA. Comparative analysis with ampicillin underscored varying degrees of structural similarity among the study compounds. Molecular dynamics simulations provided deeper insights into the dynamic behavior and stability of protein-ligand complexes, with pinocembrin demonstrating minimal conformational changes and effective stabilization of the N-terminal region. Free energy landscape analysis supported pinocembrin's stabilizing effects, further corroborated by hydrogen bond analysis. Additionally, physicochemical properties analysis highlighted the drug-likeness of pinocembrin and glabridin. Overall, this study elucidates the potential anti-bacterial properties of selected phytocompounds against E. faecalis infections, with pinocembrin emerging as a promising lead compound for further drug development efforts, offering new avenues for combating bacterial infections and advancing therapeutic interventions in endodontic practice.

Empowering Future Pharmacists in Chemistry Analysis of Nutraceuticals

The community service aims to empower future pharmacists in East Java, Indonesia, by enhancing their understanding of nutraceuticals through chemistry analysis. Students gain essential skills for their academic pursuits through practical training in chromatography analysis and antioxidant activity measurements. The service equips students with practical skills in analyzing nutraceuticals, preparing them for further pharmacy studies. A training program was carried out for 88 SMA and SMK Farmasi students using Participatory Action Research (PAR). The main subjects covered were analysis using thin-layer chromatography, evaluation of functional groups in polyphenols, and assessment of antioxidant effectiveness. Pharmacy lecturers facilitated the program, guiding participants in practical competencies. The outcomes were successful, with a better understanding of nutraceuticals and valuable analytical skills gained. The significance of practical training and educational interventions in preparing students for advanced pharmacy studies is emphasized by this service.

Caregiver involvement in support services for a child with hearing loss?

Family-centered practices are considered one of the crucial components of services offered to children with hearing loss in early intervention. These practices aim to empower caregivers to support the language development in children with hearing loss through family-centered early intervention. In Turkey, early intervention practices are commonly provided under the supporting services provided by Private Special Education and Rehabilitation Centers (PSERCs). However, there is limited information regarding the ways of involving caregivers in the support service process and about the content shared to empower them. This research was designed as a holistic single case study based on a qualitative approach to examine how caregiver involvement is achieved in support services in PSERC for pre-school children with hearing loss in Turkey. Data obtained through observations, semi-structured interviews, documents (Audiogram, activity items, etc.), and researcher diaries were analyzed inductively. Results demonstrate that a range of practices, such as informational notes, quarterly meetings, and debriefings are implemented at the focal PSERC. However, it found that the only practice that was consistently followed was debriefings. Although the content shared in the debriefings was seemingly supportive for the language skills of children with hearing loss, the information caregivers needed was diverse. The results clearly demonstrate that current attempts to involve caregivers at PSERCs lack family-centered practices. A more comprehensive approach is required to improve services at PSERCs and make them truly family-centered. Further research is crucial to this end.

Social determinants of perinatal mental health

Social inequities and mental health are public health and medical conditions that are inextricably linked. Perinatal mental health is influenced by social, physical, and biological factors, with additional stressors related to pregnancy. The social determinants of health (SDOH) encompasses all conditions in which people live and grow, inclusive of cultural norms that reflect the diverse populations we serve. To best understand the mechanisms by which the SDOH affects perinatal mental health, we introduce the Urban Stress Model and describe the link between urban realities to stress response and potential mechanisms that link urban living to increased risk of adverse perinatal mental health. Given the increased diversity of patient populations, cultural considerations are paramount in understanding the utility and best practices in screening and interventions among ethnically diverse communities. Building on our Urban Stress Model and a structural determinants of health framework, we present examples of interventions to address the social inequities of perinatal mental health from the policy to community levels.

Admiration and motivation: key factors in managing PTSD among firefighters

Post-traumatic stress disorder (PTSD) presents a significant challenge for firefighters. While research suggests that admiration may have a positive impact on individual psychological well-being, its specific influence on PTSD among firefighters remains unexplored. This study aims to investigate the association between admiration, motivation (both internal and external), and PTSD in a sample of 2156 firefighters in order to identify effective coping strategies for managing PTSD in this population. The findings indicate a statistically significant inverse relationship between admiration and PTSD, with motivation acting as a mediator. Furthermore, it is noteworthy that internal motivation is negatively correlated with PTSD in the model, while external motivation shows a positive correlation. The results suggest that feelings of admiration are associated with firefighter PTSD via motivation. Specifically, internal motivation stemming from admiration appears to have a mitigating effect on PTSD symptoms, while external motivation is linked to exacerbation of these symptoms. These results have implications for the development of theoretical frameworks and practical interventions aimed at preventing PTSD among firefighters.

Evidence-Based Practices in an Early Intervention service in Spain: the voice of families

This study was carried out at the Centro de Atención Temprana y Escuela Infantil L'Alqueria, Universidad Catolica de Valencia, as part of the Observatorio Internacional de Atención Temprana y Desarrollo Infantil (International Observatory of Early Childhood Intervention and Development), and its aim was to identify the families' perceptions and role in the intervention process, the child's development, the quality of family life and their own empowerment. It involved the participation of a final sample of five families accompanied by four professionals for 11 months. The source of data used was audio recordings of the families, transcribed by the researcher, and the application of instruments before and after six months of intervention, which were analysed qualitatively. The analysis focused on the families' perceptions of the intervention process, child development, family quality of life and empowerment. The results indicate that families perceive the intervention as support, feel empowered to act in the contexts, learn strategies for child development and identify learning opportunities in their routines. Communication is valued, showing that families have a voice in the intervention process. The responses to the instruments indicate that families have a positive view of their children's development and perceive an improvement in the quality of family life. These findings point to the importance of evidence-based practices in Early Intervention.

A simulation-based network analysis of intervention targets for adolescent depressive and anxiety symptoms

Although previous research has well explored central and bridge symptoms of mental health problems, little examined whether these symptoms can serve as effective targets for intervention practices. Based on the Ising model, this study constructed a network structure of depressive and anxiety symptoms. The NodeIdentifyR algorithm (NIRA) was used to simulate interventions within this network, examining the effects of alleviating or aggravating specific symptoms on the network’s sum scores. In this study, a total of 15,569 participants were recruited from China (50.87 % females, Mage = 13.44; SD = 0.97). The Ising model demonstrated that “sad mood” had the highest expected influence, and “irritability” had the highest bridge expected influence. Alleviating interventions suggested that decreasing the symptom value of “nervousness” resulted in the greatest projected reduction in network symptom activation, which may be a potential target symptom for treatment. Aggravating interventions indicated that elevating the symptom value of “sad mood” had the most projected increase in network activation, which may be a potential target for prevention. Additionally, network structure indices (e.g., central or bridge symptoms) need to be interpreted with more caution as intervention targets, since they may not be exactly the same. These findings enriched the comprehension of the depressive and anxiety network in Chinese adolescents, offering valuable insights for designing effective interventions.

Practical theology case study of transforming lives of the poor in the Amalinda Forest Community, East London

How can the problem of poverty be addressed by those concerned about the transformational development of the poor in South Africa? The church, as a community of faith and the bearer of the Christian witness cannot be left behind when responding to this question. This article reflects on a practical theological intervention where a church moved beyond its walls to help those in need. The active role played by the church in addressing this problem and the response of the community will be brought to light. However, this is a challenge that does not affect a local church only: research findings undergird the transformative engagement of the entire church community and calls for local social and political institutions to form a multipurpose partnership to deal with poverty in affected communities.

Improving education for incarcerated children and young people: policy recommendations from three transnational projects in Europe

Purpose The purpose of this policy piece is to present headline evidence from the equivalent of a decade of research across three projects focused on improving the educational experiences of incarcerated or justice-involved children and young people across 14 countries. The projects demonstrated a positive impact when using the specially designed innovative methods even with disengaged justice-involved children and young people. Each project had a different focus based on the needs of the children and young people, including (re)engaging them with education and learning opportunities re-engaging young offenders with education and learning (RENYO), developing identified social and emotional competencies through sport active games 4 change (AG4C) and developing skills for when transitioning into communities (S4L). Design/methodology/approach Each of the three projects designed bespoke interventions and materials based on the focus of the project. Combined, these were piloted across a total of 14 countries with 548 children and young people, 225 educators and 21 youth justice settings (custodial and non-custodial). Qualitative and quantitative data were gathered from educators, children and young people to better understand the effectiveness and limitations of the pedagogical approaches, the materials and experiences of the users. Findings The findings from across the three projects demonstrated that when custodial settings or youth justice settings have greater access to specifically designed tools and resources, with appropriate training to use them, it is possible to re-engage even the most disengaged children and young people with education and learning (RENYO). It was also possible to show a statistically significant increase in social and emotional competencies (social awareness, responsible decision-making, self-awareness, self-management, relationship skills) in participating country settings (AG4C) and to engage children and young people with a Skills4Life Curriculum in preparation for moving back into the community. Research limitations/implications Custodial and other youth justice settings vary widely in different jurisdictions with varying levels of resource. Whilst all programmes had success in implementation, this was to different degrees and extents in each of the country contexts. Much of this success will depend on the skills of educators and the willingness of the leadership. Practical implications The programmes and interventions in this policy piece can be used in a range of contexts and settings as shown by the wide range of sites they were piloted in. From a practical perspective, these programmes and interventions have been designed to fit into existing structures and timetables with custodial and youth justice settings, making them easily integrated into business as usual. Originality/value Planned and strategically delivered interventions by expert educators in a holistic way means there is real opportunity to better support justice involved children and young people to successful transitioning back into communities, thereby potentially reducing reoffending. This is done by (re)engaging them with education and learning on entry, using the authentic inquiry methodology, developing social and emotional competencies through the active games and sport programme, followed by a tailored Skils4Life Curriculum preparing them for transition back into communities.