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Consumers with co-occuring mental health, substance use and physical impairments present with a wide array of needs that cannot be addressed by one sole agency. The Complex Needs Assessment Panel and Integrated Support (CNAPIS) was developed to coordinate care and service delivery for young adults with co-occuring disorders. Utilising a multi-method evaluation approach, consumer interviews and file reviews were completed appraising the service's effectiveness. Results from the initial evaluation are encouraging regarding meeting the programme's objectives, including improving the quality and availability of support, coordinating care, service integration, flexibility in service delivery and responding to consumer's needs. Further evaluation is required to determine the longer term benefits of such programmes. [ABSTRACT FROM AUTHOR]

Cantaloupes have emerged as significant vehicles of widespread foodborne illness outbreaks caused by bacterial pathogens, including Salmonella. The purpose of this study was to investigate the efficiency of Salmonella colonization and internalization in cantaloupes by relevant routes of contamination. Cantaloupe plants (Cucumis melo 'reticulatus') from two cultivars 'Athena' (Eastern) and 'Primo' (Western) were grown from commercial seed. Plants were maintained in the NCSU BSL-3P phytotron greenhouse. Salmonella enterica (a cocktail of cantaloupe-associated outbreak serovars Javiana, Newport, Panama, Poona and Typhimurium) contamination was introduced via blossoms or soil at ca. 4.4 log 10 CFU/blossom or 8.4 log 10 CFU/root zone, respectively. Cantaloupes were analyzed for Salmonella by enrichment in accordance with modified FDA-BAM methods. Five randomly chosen colonies from each Salmonella -positive sample were typed using the Agilent 2100 bioanalyzer following multiplex PCR. Data were analyzed for prevalence of contamination and serovar predominance in fruit, stems and soil. Of the total cantaloupe fruit harvested from Salmonella -inoculated blossoms (n = 63), 89% (56/63) were externally contaminated and 73% (46/63) had Salmonella internalized into the fruit. Serovar Panama was the most commonly isolated from the surface of fruit while S. Panama and S. Poona were the most prevalent inside the fruit. When soil was inoculated with Salmonella at one day post-transplant, 13% (8/60) of the plants were shown to translocate the organism to the lower stem (ca. 4 cm) by 7 days post-inoculation (dpi). We observed Salmonella persistence in the soil up to 60 dpi with S. Newport being the predominant serovar at 10 and 20 dpi. These data demonstrate that contaminated soil and blossoms can lead to Salmonella internalization into the plant or fruit at a relatively high frequency. • Salmonella- contaminated soil and blossoms lead to plant or fruit internalization. • Blossom inoculations resulted in a high percentage of Salmonella internalization to fruit. • Serovar Panama was the most commonly isolated serovar from the surface of fruit. • S. Panama and S. Poona were the most prevalent serovars internalized to fruit. • Salmonella persisted in soils up to 60 days post inoculation. [ABSTRACT FROM AUTHOR]