The number of people engaging with secondary mental health services in England is high and increasing, with a 10% rise from 3 256 695 (2021-2022) to 3 582 864 (2022)(2023). 1 The prevalence of mental health issues is particularly high among younger demographics, with one in five children and young people aged 8-25 in England experiencing a probable mental health disorder. 2 The incidence is even higher in certain demographics; for example, experiencing racism is linked to an increased likelihood of developing mental health disorders in minoritised ethnic groups. 3 Additionally, transplant organ recipients are at higher risk of developing postoperative psychiatric conditions, with 23% having a psychiatric disorder. 4 Sport, exercise and physical activity are effective therapeutic interventions that promote fitness and well-being, and significantly aid in managing long-term conditions like chronic pain and mental health disorders. However, young people with mental health disorders, and transplant organ recipients are two examples of groups frequently underserviced within healthcare and Sport and Exercise Medicine (SEM).In response to the need for equitable access to community-specific, therapeutic sport and exercise, graduate sports therapists (GSTs) identified solutions for two vulnerable groups-young persons with mental health conditions being treated as inpatients in the East London Foundation Trust (ELFT), and