The results from the library database searches (13 158 hits), the Internet search and key informant surveys were reduced to a review of 982 reports of which 500 were selected for critical appraisal. In total 158 articles, representing 147 pro- grammes, were included for further analysis. The majority of reports were included based on high appraisal scores in programme development and evalua- tion with limited numbers eligible based on scores in other categories of appraisal. While no single programme emerged as a model of best practice, synthesis of included programmes provided rich information on elements that represent inno- vative rather than best practice under particular circumstances that are.