BackgroundHealth services in high-income countries increasingly recognise the challenge of effectively serving and engaging with marginalised people. Effective engagement with marginalised people is essential to reduce health disparities these populations face. One solution is by tapping into the phenomenon of boundary-spanning people in the community—those who facilitate the flow of ideas, information, activities and relationships across organisation and socio-cultural boundaries.MethodsA scoping review methodology was applied to peer-reviewed articles to answer the question: “How do health services identify, recruit and use boundary spanners and what are the outcomes?” The review was conducted in seven databases with search terms based on community-based boundary spanning, marginalised people and health services.FindingsWe identified 422 articles with the screening process resulting in a final set of 30 articles. We identified five types of community-based boundary spanning: navigators, community health workers, lay workers, peer supporters and community entities. These range from strong alignment to the organisation through to those embedded in the community. We found success in four domains for the organisation, the boundary spanner, the marginalised individuals and the broader community. Quantifiable outcomes related to cost-savings, improved disease management and high levels of clinical care. Outcomes for marginalised individuals related to improved health knowledge and behaviours, improved health, social benefits, reduced barriers to accessing services and increased participation in services. We identified potential organisational barriers to using boundary spanners based on organisational culture and staff beliefs.ConclusionsCommunity boundary spanners are a valuable adjunct to the health workforce. They enable access to hard to reach populations with beneficial health outcomes.Maintaining the balance of organisational and community alignment is key to ongoing success and diffusion of this approach.

Digital platforms offer an important means for improving the reach, scale and accessibility of community-based support for those dealing with mental health issues. They enable new forms of health participation. A research gap remains in understanding the role of peer mentors in building effective digital environments for mental health support. This article presents part of a larger study centred on the digital interventions of prominent mental health organisation beyondblue. It combines qualitative content analysis and interviews with prominent peer mentors. The analysis presents insights into how some peer mentors are able to act as mental health influencers and examines their impact and role in activating supportive mental health publics. Effective mental health influencers build demonstrable non-professional expertise and authority and, through affective practices, play an active role in framing and re-framing mental health and recovery, stimulating cohesion-generating cycles of impact feedback among forum participants.

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The response of local government (LG) to issues of rising rates of noncommunicable diseases (NCDs) is an important one given their roles as place managers. This article explores the experiences of LG built environment and community health practitioners to identify barriers and enablers to the implementation of healthy planning and associated active living promotion efforts. The role of Australian LG in community health is presented, followed by findings from practitioner surveys and policy analysis undertaken, with subsequent discussion of the barriers and enablers. Six key enablers and barriers to successful project implementation were identified: (1) internal LG functioning, (2) the promotion of co-benefits, (3) partnerships, (4) the value of recognition and good news, (5) placing a mandate for action on LG and (6) funding and resourcing.

Heavily used hashtags on Instagram and other platforms can indicate extensive public engagement with issues, events or collective experiences. This article extends existing research methods to paint a fuller picture of how people engage collectively with public issues online. Focussing on Instagram content often deemed ‘problematic’, we develop and test what we call a ‘hashtag practice’ approach. This approach targets the hashtag #depressed, and also moves beyond it to (a) incorporate the posts immediately preceding and following a root post, (b) more inclusively sample content associated with the hashtag to combat filtering bias, (c) consider collocated hashtags and (d) draw on contextual cues in the interplay between posts’ visual content, captions and profile management. The method shows the prevalence and significance of aesthetic and memetic practices, and caution in embodiment in mental health posts, revealing more diverse forms of engagement with mental health on Instagram than previous research suggests.

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In a postdemographic world, characterized by the continuous production and calculation of social data in the form of likes, comments, shares, keywords, locations or hashtags, social media platforms are designed with techniques of market segmentation in mind. “Datafication” challenges the agency of participatory social media practices and traditional accounts of the presentation of self in the use of social media. In the process, a tension or paradox arises between the personal, curative or performative character of social media practices and the calculative design and commercial usefulness of platforms and apps. In this paper I interrogate this paradox, and explore the potential role of metrics and analytics for emergent data literacies. By drawing together common self-oriented metrics across dominant platforms, the paper emphasizes analytics targets around a) profile, b) activity, c) interactivity and d) visibility, as a step toward developing new data literacies.