Total Freedom Research Articles

Federated Learning Using Multi-Modal Sensors with Heterogeneous Privacy Sensitivity Levels

Data from multi-modal sensors, such as Red-Green-Blue (RGB) cameras, thermal cameras, microphones, and mmWave radars, have gradually been adopted in various classification problems for better accuracy. Some sensors, like RGB cameras and microphones, however, capture privacy-invasive data, which are less likely to be used in centralized learning. Although the Federated Learning (FL) paradigm frees clients from sharing their sensor data, doing so results in reduced classification accuracy and increased training time. In this article, we introduce a novel Heterogeneous Privacy Federated Learning (HPFL) paradigm to better capitalize on the less privacy-invasive sensor data, such as thermal images and mmWave point clouds, by uploading them to the server for closing the performance gap between FL and centralized learning. HPFL not only allows clients to keep the more privacy-invasive sensor data private, such as RGB images and human voices, but also gives each client total freedom to define the levels of their privacy concern on individual sensor modalities. For example, more sensitive users may prefer to keep their thermal images private, while others do not mind sharing these images. We carry out extensive experiments to evaluate the HPFL paradigm using two representative classification problems: semantic segmentation and emotion recognition. Several key findings demonstrate the merits of HPFL: (i) compared to FedAvg, it improves foreground accuracy by 18.20% in semantic segmentation and boosts the F1-score by 4.20% in emotion recognition, (ii) with heterogeneous privacy concern levels, it achieves an even larger F1-score improvement of 6.17–16.05% in emotion recognition, and (iii) it also outperforms the state-of-the-art FL approaches by 12.04–17.70% in foreground accuracy and 2.54–4.10% in F1-score.

Diachronic and Physical Characteristics of Doctrinal Production in Moroccan Administrative Law

Modern Moroccan administrative law and its techniques are the direct result of the intervention of the French protector. However, the fact of French inspiration does not always mean that the case law is transposed as it was pronounced in its country of origin; adaptations are often necessary in order to allow its application in the Moroccan context. This study is guided by the concern to highlight the diachronic and physical characteristics distinguishing Moroccan doctrinal production based on genealogical and archaeological methods. The research revealed that the production of doctrinal ideas accompanied the events experienced by the process of judicial organization in Morocco. Which explains the sensitivity of the authors to the socio-political context. The doctrine in fact turns out to be indissolubly constituted by both rationepersonae and ratione materiae. Its freedom implies almost total freedom of writing, unless possible obstacles linked to the need to find a publisher are considered.

To Watch the Watch-dog of Public Finance


 The Comptroller and Auditor General of India (CAG) is one of the most important constitutional authorities. The CAG is to audit all receipts and expenditures of the governments and to report their findings to the Parliament/Assembly for their accountability. The Constitution and CAG’s Act, 1971 provides total functional freedom to CAG to better serve the objective of public audit; what, when, how, and how much to audit are their prerogatives. All the stakeholders, from the Parliament and Assembly to the common people, can know only what is disclosed in these audit reports. Entrusting the entire audit process to one person without any monitoring mechanism may lead to below average performance or deliberate omission to do their mandated duties. The decreasing number of audit reports in recent years, more focus on administrative audit and evaluation of performance under the pretext of value addition/ aiding for better governance, opaqueness in non-publishing of some audit reports, less coverage of audit, and availability of less resources for audit indicate that the performance of the institution of CAG is not at the expected level. Evolving a system for annual reporting of the audit activities of CAG to the Parliament, without curtailing CAG’s independent functioning, is an immediate need for the accrual of the benefit of public audit; ensuring clean governance without leakage and misuse of public money.

Ancient Roman bacterium against current issues: strain Aquil_B6, Paenisporosarcina quisquiliarum, or Psychrobacillus psychrodurans?

Since 1988, through the United States government's founding, the National Center for Biotechnology Information (NCBI) has provided an invaluable service to scientific advancement. The universality and total freedom of use if on the one hand allow the use of this database on a global level by all researchers for their valuable work, on the other hand, it has the disadvantage of making it difficult to check the correctness of all the materials present. It is, therefore, of fundamental importance for the correctness and ethics of research to improve the databases at our disposal, identifying and amending the critical issues. This work aims to provide the scientific community with a new sequence for the type strain Paenisporosarcina quisquiliarum SK 55 and broaden the knowledge of the Psychrobacillus psychrodurans species, in particular, considering the ancient strain Aquil_B6 found in an ancient Roman amphora.

Total freedom in physical activity via body schema: being for itself and being in the world

Although it is well-established that the highest forms of health and well-being are experienced by those who embody the greatest levels of autonomy, the Covid-19 pandemic disrupted autonomy and freedom in decision making, such as leading healthy lifestyles like physical activity, either because of disease-related issues (e.g., battling sickness and/or long covid or fear of catching covid 19) and/or governmentally imposed covid-19 mandates, such as lockdowns, social isolation, excessive screen use, face masks, and vaccines that proved to cause extensive harm and devastation in the health of the public. The paper draws on the philosophical underpinnings of embodied physical consciousness and body schema based on Merleau-Ponty’s (1945/2014) existential freedom about decision making for living the good life. Specifically, based on Merleau-Ponty’s seminal work, Phenomenology of Perception (1945/2014), the purpose of this concept-based paper is to attempt to emphasize the importance of a strong, embodied body schema (motor habit) to freedom in decision making regarding the value of and participation in physical activity. The manuscript is divided into six sections, showcasing that such (total) freedom can be achieved by finding a balance between the body as being for itself (with consciousness and autonomy) and the body as being in the world – influenced by external forces like disease (e.g., Covid 19), disability, socio-economic status, and socio-political systems (e.g., covid-19 mandates). Given the threats to total freedom (because of our being in the world), implications for the field of Kinesiology and movement education are discussed, emphasizing ways to build a healthy physical culture, by for example implementing well-studied, ethical, and humanistic policies/recommendations regarding life challenges (e.g., disease, disability, poverty). In this way, a strong body schema can be formed for health and well-being.

The Haitian Revolution: An Insignificant Revolution?

This work argues that the usurpation of the Haitian Revolution by the Affranchis, petit-bourgeois black (creole) landowners and mulatto elites, from the Africans on the island seeking total freedom from the mercantilism and liberalism of the capitalist world-system under European hegemony, rendered it (The Haitian Revolution) an insignificant black bourgeois revolution focused on racial vindicationism and equality of opportunity, recognition, and distribution with whites within the denouement of the aforementioned systemicity. The latter move placed the Revolution on par with the American one, which was a counterrevolution to the abolition of slavery and the slave trade under mercantilism and liberalism. The work concludes, had the Revolution remained under either the directorship of the African leadership seeking to implement their (communal) lakou system throughout the island, or the Kojèveian synthesis of Dessalines, it would become a significant revolution offering a counter systemicity to the Protestant/Catholic Ethic and the spirit of capitalism under European and American hegemony.

AN ATTEMPT AT A NEW ANALYSIS AND RECONSTRUCTION OF RICHARD WAGNER’S FLYING DUTCHMAN (1843)

To progress in the field of lyrical art, one must draw strength from origin. As water flows inevitably from source to sea. The legend of “The Flying Dutchman” (Der Fliegende Holländer) came to Wagner’s mind during the violent storm that broke as he left Riga for France. At the genesis of this opera, stands the sovereign power of nature, carrying within it the secret destiny of man. As an enigma. The main theme of the cursed captain would be today differently understood. Because romanticism, limitless love and supreme sacrifice, redemption, are gone over. But face from the sea in fury, man’s heart stays with fundamental interrogation about meaning of life and existence. One could read this raging ocean as the mirror of a tormented, wandering, unstable conscience. That’s why “The Flying Dutchman” is ever contemporary. We propose to extract (to save) from these upset waters the true Leitmotif, unperishable, that leads to the dawn of Future. Our method lies in total freedom of interpretation and complete reconstruction of this Wagner’s masterpiece.

Innovative dynamic molding to reduce development costs of personalized medicine

Innovative dynamic molding to reduce development costs of personalized medicine Dr Julien Barthès, Dr Edwin-Joffrey Courtial, and Dr Christophe Marquette of 3Deus Dynamics SAS have raised €2.5 million for the industrialization of its 3D process, to expand internationally and revolutionize personalized medicine with Dynamic Molding. This grant will allow the start-up to deploy its process by setting up a first production line dedicated to the manufacture of customized silicone medical devices. This funding will help the healthcare sector with its mass customization needs thanks to the manufacturing of patient-specific medical devices in silicone with total freedom of design without chemical reformulation or support structure, excellent mechanical fidelity and durability. These Dynamic Molds are exceptionally flexible, allowing them to mimic the mechanics and morphology of native tissue, they arealso waterproof, suturable and perfusable and compatible with the use of medical imaging. They are a responsible alternative to the use of cadavers or animals and allow a return of touch to a specific pathology.

Internet, the Paradise Lost of comics? Observations on the constraints behind publishing webcomics, based on interviews with francophone authors

Digital comics, especially when published online, such as on blogs or social media, are often associated with notions of freedom and unlimited possibilities and limits. This idea is widely shared in the media, and it is common to encounter headlines such as ‘Instagram, comics paradise?’ (Beaux-Arts Magazine), ‘comics have found a new Eldorado in Instagram’ (CNews), ‘comics are particularly well suited to Instagram’s visual format’ (Numéro) and ‘what if Instagram is the network best suited for comics?’ (Nouvel Obs). This idea is shared by the artists themselves, as it appears clearly in their speeches and self-representations. This contribution, based in part on more than thirty interviews with francophone digital cartoonists, aims to question this alleged ‘total freedom’. First, it investigates the reasons for this common representation of a wider freedom associated with digital comics more than books, mainly due to the absence of editorial filters. Then, it shows how, instead, a significant number of filters apply that challenge the purported freedom of digital media. These filters are varied in nature and relate to very different issues, such as the difficulty of getting paid when distributing only online, which leads to the self-restriction of signing a contract with publishers or the need to establish partnerships with institutions; the website and platforms’ general conditions of use; and simply the lack of time and material due to the absence of a sustainable economic structure, among other factors. Finally, the contribution focuses on the specific limitations imposed by social media, as many contemporary digital comics are posted on Instagram: the interface, terms of use and algorithm have massive effects on the content, style, drawings themselves and narrative construction.

Response to a critical reader of my essay on melancholy

With the title “Scientific perspective of emotional management in health professionals,” the reader presents a series of considerations based on “very respectful observations and reflections”, five in total, to which I wish to respond after thanking the Journal and the reader because with its publication it contributes to stimulating the healthy debate that must exist in the field of knowledge that defines human behavior as an object. But first I want to state that, with the publication of my essay, I move away from any mood aimed at managing emotions in health professionals, whatever this means. Like everyone who publishes, I am encouraged by the desire to be read and the critical reader testifies to this, but, following the line of argument of his criticism of my essay, I depart from considering that the readers of this magazine are waiting for healthy recommendations for their ways of life. With Foucault, I share the radical criticism he makes of this type of psychoanalysis - and other so-called behavioral sciences - that tend to become preaching. I suppose (and desire) an adult reader and able to discern with my writing, in favor or not of this content. As in any essay, I use a vital experience that continues to be nourished by conceptual references produced from various areas of knowledge to fulfill one of the essential objectives of any essay: to investigate a topic and involve the reader and, finally, does not require exhaustiveness and declares mandatory the subjectivity of the essayist with total freedom in the structure, the tone and style of the text.

Clinical evaluation of super-responders vs. non-responders to CGRP(-receptor) monoclonal antibodies: a real-world experience

BackgroundClinical trials and real-world studies revealed a spectrum of response to CGRP(-receptor) monoclonal antibodies (mAbs) in migraine prophylaxis, ranging from no effect at all to total migraine freedom. In this study, we aimed to compare clinical characteristics between super-responders (SR) and non-responders (NR) to CGRP(-receptor) mAbs.MethodsWe performed a retrospective cohort study at the Headache Center, Charité – Universitätsmedizin Berlin. The definition of super-response was a ≥ 75% reduction in monthly headache days (MHD) in the third month after treatment initiation compared to the month prior to treatment begin (baseline). Non-response was defined as ≤ 25% reduction in MHD after three months of treatment with a CGRP-receptor mAb and subsequent three months of treatment with CGRP mAb, or vice versa. We collected demographic data, migraine disease characteristics, migraine symptoms during the attacks in both study groups (SR/NR) as well as the general medical history. SR and NR were compared using Chi-square test for categorical variables, and t-test for continuous variables.ResultsBetween November 2018 and June 2022, n = 260 patients with migraine received preventive treatment with CGRP(-receptor) mAbs and provided complete headache documentation for the baseline phase and the third treatment month. Among those, we identified n = 29 SR (11%) and n = 26 NR (10%). SR reported more often especially vomiting (SR n = 12/25, 48% vs. NR n = 4/22, 18%; p = 0.031) and typical migraine characteristics such as unilateral localization, pulsating character, photophobia and nausea. A subjective good response to triptans was significantly higher in SR (n = 26/29, 90%) than in NR (n = 15/25, 60%, p = 0.010). NR suffered more frequently from chronic migraine (NR n = 24/26, 92% vs. SR n = 15/29, 52%; p = 0.001), medication overuse headache (NR n = 14/24, 58% versus SR n = 8/29, 28%; p = 0.024), and concomitant depression (NR n = 17/26, 65% vs. SR n = 8/29, 28%; p = 0.005).ConclusionSeveral clinical parameters differ between SR and NR to prophylactic CGRP(-R) mAbs. A thorough clinical evaluation prior to treatment initiation might help to achieve a more personalized management in patients with migraine.

Development of an Immersive VR Experience Using Integrated Survey Technologies and Hybrid Scenarios

The paper was aimed to promoting and improving the knowledge of the Naples city’s monuments through an immersive visit experience, according to the paradigms of new digital languages. Thanks to the use of integrated technologies, some monuments of the city are presented in virtual way, with unusual viewpoints, that reveal previously unseen details, many of them not directly visible to tourists. A journey created by the use of integrated technologies, to discover historical facades and museums to be explored in total freedom, without physical constraints, without cognitive barriers. The technological basis supporting the visit consists of integrated solutions including digital photogrammetry, 3D modelling, virtual restoration and persuasive storytelling, all organised to provide a product for the general public, to be enjoyed with VR headsets. The available contents are organised on different reading levels, in according to three paths that include: a visit to the MANN (National Archaeological Museum of Naples), a visit within the virtual room dedicated to the most important museums of the city and a virtual walk through the decumani, the heart of historical centre. The virtual enjoyment of contexts no longer visible in original state or not accessible by tourists is resolved by the virtual reconstruction and re-location of artefacts in a virtual space, here called Virtual Room.

Population Development Conceptions and Determinants: Planning for Developing Countries within Southern Africa

The study examines the conceptions, determinants, and approaches of population development in planning for developing countries with Southern Africa as a case study. The study aims to investigate the determinants of population development planning and to analyse the competing conceptions of population development. The study adopted the desktop methodology and relied heavily on secondary data. Population development refers to the attainment of three core values that are shared by most in society: improved living standards, high self-esteem, and total freedom of choice, which are shared by most in society. The study seeks to establish the determinants of population development in planning for developing countries and propose potential strategic measures that would shape the processes of population development planning for developing countries. The main finding of the study is that population development and demographic aspects are moderately correlated with one another. The study concludes with the Determinants of Population Development in Planning for Developing Countries.

New machine learning approaches for real-life human activity recognition using smartphone sensor-based data

In recent years, mainly due to the application of smartphones in this area, research in human activity recognition (HAR) has shown a continuous and steady growth. Thanks to its wide range of sensors, its size, its ease of use, its low price and its applicability in many other fields, it is a highly attractive option for researchers. However, the vast majority of studies carried out so far focus on laboratory settings, outside of a real-life environment. In this work, unlike in other papers, progress was sought on the latter point. To do so, a dataset already published for this purpose was used. This dataset was collected using the sensors of the smartphones of different individuals in their daily life, with almost total freedom. To exploit these data, numerous experiments were carried out with various machine learning techniques and each of them with different hyperparameters. These experiments proved that, in this case, tree-based models, such as Random Forest, outperform the rest. The final result shows an enormous improvement in the accuracy of the best model found to date for this purpose, from 74.39% to 92.97%.

An Assessment Women Teachers' Work-Life Balance in Higher Education Institutions

Over time, technology will transform how we work. It also impacts workplace interpersonal interactions. Technology has also affected the structure and process of government, although intellectual power has increasingly substituted bodily dominance. Initially, white-collar employees replaced blue-collar workers, followed by knowledgeable personnel. Traditional roles of women in the home and in society have also shifted. Due to their education, they were able to enter almost every sector of life, including business, government, politics, etc. However, these traditional family responsibilities have not lessened. Ancient India has a system that granted women total freedom. These revivals have brought with them a variety of opportunities and challenges, such as the ability for women to rise to the top in one region while being held back by family obligations in another. Therefore, family duties must be fulfilled. Women take a more prominent and important role exclusive the family. They need time for themselves as well. Consequently, achieving a healthy work-life balance is a pressing concern in today's culture. The major emphasis of this thesis is on the lives of working women, specifically on analysing the issue of work-life balance and creating a model for optimal work-life balance.

Rapid Onset and Sustained Efficacy of Lasmiditan Among Japanese Patients with Migraine: Prespecified Analyses of a Randomized Controlled Trial.

Rapid onset and sustained efficacy are important for acute migraine treatment. Global phase3 trials have demonstrated the early onset and sustained efficacy of the 5-HT1F receptor agonist lasmiditan. In this prespecified analysis of the MONONOFU study, we assessed the onset and sustained efficacy of lasmiditan in Japanese patients with migraine. MONONOFU was a multicenter, randomized, placebo-controlled, phase2 study conducted in Japan (May 2019-June 2020). Eligible adults with migraine (N = 846; modified intent-to-treat population, N = 682) were randomized 7:3:7:6 to placebo, lasmiditan 50mg, 100mg, or 200mg, taken orally within 4h of moderate-to-severe migraine onset. Patients recorded headache severity and symptoms predose and 0.5-48h postdose. Sustained and modified sustained pain freedom were defined as patients who were headache pain-free 2h postdose and had no pain (sustained pain freedom) or had mild or no pain (modified sustained pain freedom) at 24 or 48h without rescue/recurrence medications. Efficacy outcomes were analyzed by logistic regression. Patients also recorded the actual time of pain-free and of meaningful pain relief (Kaplan-Meier analysis). Compared with placebo, significantly more lasmiditan-treated (100 or 200mg) patients were headache pain-free, had pain relief, were free of their most bothersome symptom, or had total migraine freedom (no headache or migraine-associated symptoms) within 30-60min. Median time to pain-free was 9.26, 6.88, 2.75, and 2.30h in placebo, 50-mg, 100-mg, and 200-mg lasmiditan groups, respectively. Significantly greater proportions of patients treated with 100 (19.7-29.5%) or 200mg (21.1-35.7%) lasmiditan had sustained or modified sustained pain freedom at 24 or 48h compared with placebo (10.4-15.8%). This prespecified analysis of data from MONONOFU has confirmed that the efficacy of lasmiditan is rapid in onset and sustained in patients with moderate-to-severe migraine in Japan. ClinicalTrials.gov (NCT03962738).

The Importance of Limited Self-Determination When M-Channel Migration Strategy Is Implemented

Theoretical background: Multichannel retailers can implement various migration strategies to induce consumers to use particular marketing channel. Some researchers indicated voluntary and forced customer E-channel migration strategies. Due to the negative consequences of a coercive strategy, a voluntary migration strategy is much more popular. Voluntary migration strategy provides multichannel shoppers a total freedom of their choice whereas the incentive-based migration strategy uses some stimulus in order to convince buyers to use specific marketing channel. Encouraging the buyer to behave in a particular way may cause him/her a negative self-determination perception. Limited self-determination means consumer conviction that a certain action was taken as a result of marketing initiatives, prompted by the seller, and is not the result of their free and independent decision. A self-determined customer is convinced of entering into a relationship with the provider on their own initiative. In the context of channel-based price differentiation, it is about the consumer's belief that a specific purchase channel has been selected as a result of a solicitation by the seller. According to researchers, limited self-determination can have potentially negative impact on the intention to buy. Purpose of the article: The presented research model refers to the customer intention to buy online (intention to stay there) in the multichannel context. Therefore, the aim of this paper is to contribute to existing literature on multichannel pricing and advance our understanding of factors influencing the customer intention to make a purchase in offline channel (to stay in a brick-and-mortar store) under the price pressure in mobile app. This study aims to investigate factors affecting the intention to purchase offline when m-channel migration strategy based on price incentives is implemented by the retailer. Special attention is devoted to the issue of limited self-determination in a channel-based price differentiation context. Research methods: The data comes from a questionnaire survey carried out in 2021. This study is a quantitative study employing a scenario-based approach. The total sample size is 500, cosmetics was the product category which the questionnaire was prepared for. For the purpose of the research, a SEM (Structural Equation Modelling) analysis using AMOS 26 was conducted. Main findings: This research extends the understanding of consumer limited self-determination and subjective knowledge and mobile app familiarity and its influence on the intention to buy offline when price incentives are provided in a mobile purchase app. Article adds to the existing literature on customer migration in a multichannel environment.

Toward “Total Freedom”: Black Ecologies of Land, Labor, and Livelihoods in the Mississippi Delta

We ground this article in the uneven geographies of the Mississippi Delta, a region constructed at the intersection of agro-environmental racism and plantation violence, nutrient-rich soil, and dynamic Black geographies. The processes of containment, dispossession, and commodification of life and land were essential to the construction of the region following a particular agricultural and racial development trajectory dominated by what Clyde Woods calls the Plantation Bloc. And yet, strategies and struggles to make life against and outside of these dynamics also took hold of the region. We reconceptualize the Mississippi Black Freedom Movement and the overlapping struggles for land, housing, healthcare, and new forms of work as movements against agro-environmental racism and the making of a place-based environmental justice rooted in Black ecologies. Drawing on Black and abolition ecologies we trace connections across rural Black organizing in cooperative, farm, and catfish processing communities in the Mississippi Delta. By organizing along modes of collective flourishing and against threats to daily life, these movements provide an alternative trajectory to agro-environmental racism and sought to create a place of stewardship and co-operation.

How to Incorporate Preference Information in a Weight-Restricted DEA Model: A Straightforward Solution Applied in the Field of Economics, Based on Simos’ Revised Method

Data envelopment analysis (DEA) is one the most successful techniques in the field of Operations Research. DEA is a non-parametric and objective approach for evaluating the relative efficiency of a set of decision-making units. The original DEA proposal contemplated the total freedom of variation of weights. This free variation may lead to situations with non-realistic weights and to the impossibility of incorporating the judgments of decision-makers. This work studies the links between multicriteria decision analysis (MCDA) and DEA by introducing weight restrictions in a DEA model using a methodology developed to obtain criteria weights in a MCDA context: the so-called Revised Simos’ Procedure. The presented approach is suitable to be applied in the field of economics and management, being an intuitive and simple enough method for decision-makers who are not familiar with working with DEA models or multicriteria decision analysis. A classic example is presented, where the results found with this approach are compared with the results of other approaches which also use multicriteria decision analysis as a tool to obtain weight restrictions for a DEA model.

“Life, Interrupted”: A Patient Experience Encompassing the Journey From Hospital to the Community, With Support From the Mental Health Intensive Support Team (MhIST)

AimsWe present outcomes of a newly developed Community Rehabilitation team (MhIST) using the context of Jen's personal story. Jen is a 31-year-old student and freelance journalist. This story encompasses her journey from inpatient rehabilitation services to the community, completed with support from MhIST.Methods“For nearly four years, I was sectioned under the Mental Health Act as an inpatient in hospital. As I had been denied my fundamental liberties for so long, the prospect of leaving hospital for good and enjoying total freedom was both exhilarating and terrifying. How would I fare in the community, living on my own? Would I be lonely? Would I relapse? Would I survive?”Upon leaving hospital, I immediately received intensive support from MhIST. They were the bridge between the gulf that was hospital and the community. Since leaving hospital, I have been relishing my freedom. I enjoy meeting up with my friends after so long apart. I have volunteered at The Storyhouse, a local arts venue. The Spider Project – a non-clinical community mental health service in Chester - has also provided me with fulfilling activities from yoga to creative writing. The MHIST team have not only kept me well but, most importantly, helped me thrive. Leaving hospital has been an adventure. It has been a joy to regain my independence and freedom. To live rather than to exist. Life is amazing. Long may it continue.”ResultsMhIST provides an intensive rehabilitation and recovery service, delivering bespoke packages of care to individuals. This is achieved using key working and a shared team approach, outcome focused goal-based interventions, weekly reflective/formulation meetings, and a focus on social rehabilitation. Patients referred to MhIST will have a high level of complexity plus severe, treatment refractory symptoms, with impaired social, interpersonal and occupational function and high support needs. They may have co-occurring mental health conditions including substance misuse or neurodevelopmental disorders.MhIST is a new service and has been active for around 6 months. The first 10 patients referred have been from acute wards (3), community mental health teams (1), and inpatient rehabilitation wards (6). 60% of patients are currently housed in independent accommodation.ConclusionJen's story narrates the experience she encountered during transition from inpatient rehabilitation services to the community. This was completed with support from MhIST, a new community rehabilitation service which provides an intensive rehabilitation and recovery service.