Recovery Colleges Characterisation and Testing in England (RECOLLECT): rationale and protocol.

BACKGROUND: Recovery Colleges are a relatively recent initiative within mental health services. The first opened in 2009 in London and since then numbers have grown. They are based on principles of personal recovery in mental health, co-production between people with lived experience of mental health problems and professionals, and adult learning. Student eligibility criteria vary, but all serve people who use mental health services, with empirical evidence of benefit. Previously we developed a Recovery College fidelity measure and a preliminary change model identifying the mechanisms of action and outcomes for this group, which we refer to as service user students. The Recovery Colleges Characterisation and Testing (RECOLLECT) study is a five-year (2020-2025) programme of research in England. The aim of RECOLLECT is to determine Recovery Colleges' effectiveness and cost-effectiveness, and identify organisational influences on fidelity and improvements in mental health outcomes.  METHODS: RECOLLECT comprises i) a national survey of Recovery Colleges, ii) a prospective cohort study to establish the relationship between fidelity, mechanisms of action and psychosocial outcomes, iii) a prospective cohort study to investigate effectiveness and cost-effectiveness, iv) a retrospective cohort study to determine the relationship between Recovery College use and outcomes and mental health service use, and v) organisational case studies to establish the contextual and organisational factors influencing fidelity and outcomes. The programme has been developed with input from individuals who have lived experience of mental health problems. A Lived Experience Advisory Panel will provide input into all stages of the research. DISCUSSION: RECOLLECT will provide the first rigorous evidence on the effectiveness and cost effectiveness of Recovery Colleges in England, to inform their prioritising, commissioning, and running. The validated RECOLLECT multilevel change model will confirm the active components of Recovery Colleges. The fidelity measure and evidence about the fidelity-outcome relationship will provide an empirically-based approach to develop Recovery Colleges, to maximise benefits for students. Findings will be disseminated through the study website (researchintorecovery.com/recollect) and via national and international Recovery College networks to maximise impact, and will shape policy on how Recovery Colleges can help those with mental health problems lead empowered, meaningful and fulfilling lives.

Commentary - The Climate Change and Health Adaptation Program: Indigenous Climate Leaders' Championing Adaptation Effort. / Commentaire - Le Programme sur le changement climatique et l'adaptation du secteur de la santé : mesures d'adaptation mises en avant par les chefs de file autochtones en matière de climat.

The Climate Change and Health Adaptation Program (CCHAP) is a program within the First Nations Inuit Health Branch of Indigenous Services Canada (which was previously under the responsibility of Health Canada). The CCHAP supports Inuit and First Nation communities in mitigating and adapting to the health impacts of climate change. The impacts of climate change on Indigenous health can be observed in multiple areas including, but not limited to, food security, cultural medicines, mental health and landbased practices. This program seeks to address the needs of climate change and health in First Nation and Inuit communities to support resiliency and adaptation to a changing climate both now and in the future through its emphasis on youth and capacity building. The commentary is based on the Program's eleven years of experience working with and for Indigenous communities and provides an overview of the CCHAP model and the work it has and continues to support. This paper demonstrates three examples of community-based projects to mitigate and adapt to the health impacts of climate change to demonstrate climate change resiliency within Indigenous communities.

The Climate Change and Health Adaptation Program (CCHAP) for First Nations South of 60N directly supports First Nations communities to develop and undertake adaptation and mitigation projects to build upon their needs within a changing climate. This commentary outlines the CCHAP's work and history, and highlights three cases, in Selkirk First Nation, Arviat and The Mi'kmaw Climate Action, which demonstrate the work these communities have undertaken with support from the Program.

Le Programme sur le changement climatique et l'adaptation du secteur de la santé (PCCASS) pour les Premières Nations au nord du 60e parallèle apporte un soutien direct aux communautés des Premières Nations dans l'élaboration et la mise en oeuvre de projets d'adaptation et d'atténuation pour subvenir à leurs besoins dans le cadre d'un climat en mutation. Ce commentaire fournit un aperçu du travail et de l'historique du PCCASS et présente trois projets, sur le territoire de la Première Nation de Selkirk, à Arviat et sur le territoire Mi'kmaq, qui illustrent le travail entrepris par ces communautés avec le soutien du Programme.