The Effects of Referral Source Supervision

2010 ◽  
Vol 37 (8) ◽  
pp. 847-859 ◽  
Author(s):  
Sara J. Barber ◽  
Emily M. Wright
Keyword(s):  
Domestic Violence ◽  
South Carolina ◽  
Treatment Program ◽  
Case Managers ◽  
Referral Source ◽  
Completion Rates ◽  
Batterer Treatment ◽  
Complete Treatment ◽  
Court Mandated

Domestic violence offenders who are court mandated to attend a batterer treatment program are more likely to complete treatment than offenders who voluntarily attend. However, few studies have examined the amount or severity of referral source supervision and its effect on treatment completion. This study uses data from three referral sources in South Carolina (i.e., pretrial intervention, criminal domestic violence court, and summary court) to determine whether higher levels of monitoring during a 26-week hybrid cognitive-behavioral batterer treatment program increase the likelihood of completion among batterers. Results indicate that increased supervision exercised over the clients by the referral source during treatment increases the likelihood that offenders will successfully complete the program. It is recommended that courts and other referring agencies keep attendance records, mandate monthly check-ins with case managers, require defendants to appear in court for follow-up hearings, and dedicate staff to monitor domestic violence cases to increase completion rates among batterers in treatment.

A Comparison of Domestic Violence Recidivism Rates of Defendant-Initiated Diversion and Court-Mandated Treatment

Partner Abuse ◽  
2013 ◽  
Vol 4 (4) ◽  
pp. 444-462
Author(s):  
Thomas E. McClure
Keyword(s):  
Domestic Violence ◽  
Negative Relationship ◽  
Court System ◽  
Diversion Program ◽  
Recidivism Rates ◽  
Court Records ◽  
Complete Treatment ◽  
Study Population ◽  
Court Mandated ◽  
Case Closure

This study examines court records of 244 defendants assigned to court-connected treatment to determine whether “defendant-initiated diversion” offenders recidivated less than defendants who were mandated by the court to undergo treatment. The study population consisted of 140 defendants who voluntarily opted to participate in a domestic violence (DV) court diversion program and 104 convicted offenders who were ordered by the court to complete treatment as part of their sentence of probation. Defendants who had prior felony or DV convictions were not accepted into the diversion program. A logit model analysis revealed a statistically significant negative relationship between diversion completion and DV recidivism during the 24 months after treatment completion or case closure. These results illustrate the importance of including defendant-initiated diversion for low risk offenders as part of a court system strategy to address DV.

Guideline for radioimmunotherapy of rituximab relapsed or refractory CD20+ follicular B-cell nonHodgkin´s lymphoma

2004 ◽  
Vol 43 (05) ◽  
pp. 171-176 ◽  
Author(s):  
T. Behr ◽  
F. Grünwald ◽  
W. H. Knapp ◽  
L. Trümper ◽  
C. von Schilling ◽  
...  
Keyword(s):  
Quality Control ◽  
Quality Management ◽  
Medical Physics ◽  
Essential Elements ◽  
Background Information ◽  
After Care ◽  
Complete Treatment ◽  
Close Cooperation ◽  
Work Up

Summary:This guideline is a prerequisite for the quality management in the treatment of non-Hodgkin-lymphomas using radioimmunotherapy. It is based on an interdisciplinary consensus and contains background information and definitions as well as specified indications and detailed contraindications of treatment. Essential topics are the requirements for institutions performing the therapy. For instance, presence of an expert for medical physics, intense cooperation with all colleagues committed to treatment of lymphomas, and a certificate of instruction in radiochemical labelling and quality control are required. Furthermore, it is specified which patient data have to be available prior to performance of therapy and how the treatment has to be carried out technically. Here, quality control and documentation of labelling are of greatest importance. After treatment, clinical quality control is mandatory (work-up of therapy data and follow-up of patients). Essential elements of follow-up are specified in detail. The complete treatment inclusive after-care has to be realised in close cooperation with those colleagues (haematology-oncology) who propose, in general, radioimmunotherapy under consideration of the development of the disease.

scholarly journals Detection of Domestic Violence and Abuse by Community Mental Health Teams Using the BRAVE Intervention: A Multicenter, Cluster Randomized Controlled Trial

2021 ◽  
pp. 088626052110041
Author(s):  
Roos Ruijne ◽  
Cornelis Mulder ◽  
Milan Zarchev ◽  
Kylee Trevillion ◽  
Roel van Est ◽  
...  
Keyword(s):  
Mental Health ◽  
Domestic Violence ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Referral Rates ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
And Control ◽  
Domestic Violence And Abuse

Despite increased prevalence of domestic violence and abuse (DVA), victimization through DVA often remains undetected in mental health care. To estimate the effectiveness of a system provider level training intervention by comparing the detection and referral rates of DVA of intervention community mental health (CMH) teams with rates in control CMH teams. We also aimed to determine whether improvements in knowledge, skills and attitudes to DVA were greater in clinicians working in intervention CMH teams than those working in control teams. We conducted a cluster randomized controlled trial in two urban areas of the Netherlands. Detection and referral rates were assessed at baseline and at 6 and 12 months after the start of the intervention. DVA knowledge, skills and attitudes were assessed using a survey at baseline and at 6 and 12 months after start of the intervention. Electronic patient files were used to identify detected and referred cases of DVA. Outcomes were compared between the intervention and control teams using a generalized linear mixed model. During the 12-month follow-up, detection and referral rates did not differ between the intervention and control teams. However, improvements in knowledge, skills and attitude during that follow-up period were greater in intervention teams than in control teams: β 3.21 (95% CI 1.18-4.60). Our trial showed that a training program on DVA knowledge and skills in CMH teams can increase knowledge and attitude towards DVA. However, our intervention does not appear to increase the detection or referral rates of DVA in patients with a severe mental illness. A low detection rate of DVA remains a major problem. Interventions with more obligatory elements and a focus on improving communication between CMH teams and DVA services are recommended.

scholarly journals A Narrative Review of Early Oral Stepdown Therapy for the Treatment of Uncomplicated Staphylococcus aureus Bacteremia: Yay or Nay?

2020 ◽  
Vol 7 (6) ◽  
Author(s):  
Michael Dagher ◽  
Vance G Fowler ◽  
Patty W Wright ◽  
Milner B Staub
Keyword(s):  
Staphylococcus Aureus ◽  
Hospital Readmission ◽  
Potential Role ◽  
Review Article ◽  
Narrative Review ◽  
Oral Antibiotics ◽  
Staphylococcus Aureus Bacteremia ◽  
Complete Treatment

Abstract Historically, intravenous (IV) antibiotics have been the cornerstone of treatment for uncomplicated Staphylococcus aureus bacteremia (SAB). However, IV antibiotics are expensive, increase the rates of hospital readmission, and can be associated with catheter-related complications. As a result, the potential role of oral antibiotics in the treatment of uncomplicated SAB has become a subject of interest. This narrative review article aims to summarize key arguments for and against the use of oral antibiotics to complete treatment of uncomplicated SAB and evaluates the available evidence for specific oral regimens. We conclude that evidence suggests that oral step-down therapy can be an alternative for select patients who meet the criteria for uncomplicated SAB and will comply with medical treatment and outpatient follow-up. Of the currently studied regimens discussed in this article, linezolid has the most support, followed by fluoroquinolone plus rifampin.

The Efficacy of a Police-Advocacy Intervention for Victims of Domestic Violence: 12 Month Follow-Up Data

2010 ◽  
Vol 16 (4) ◽  
pp. 410-425 ◽  
Author(s):  
Carla Smith Stover ◽  
Miriam Berkman ◽  
Rani Desai ◽  
Steven Marans
Keyword(s):  
Domestic Violence

Court Dispositions and Rearrest for Intimate Assault

2005 ◽  
Vol 51 (1) ◽  
pp. 75-102 ◽  
Author(s):  
John Wooldredge ◽  
Amy Thistlethwaite
Keyword(s):  
Substance Abuse ◽  
Domestic Violence ◽  
Residential Stability ◽  
Mandated Treatment ◽  
Entire Sample ◽  
Offender Characteristics ◽  
Court Mandated ◽  
Court Dispositions ◽  
Incidence Prevalence ◽  
Hamilton County

Researchers examining court dispositions and domestic violence recidivism have argued that disposition effectiveness varies by offender characteristics. We extended this research with analyses of 3,662persons arrested for misdemeanor assaults on intimates in Hamilton County, Ohio. The incidence, prevalence, and time to rearrest are examined for arrestees with no filed charges, subsequently dropped charges, court-mandated treatment, probation, jail, and split sentences. No filed charges and probation correspond with significant differences in all outcomes across the entire sample. Moreover, every disposition coincides with differences in rearrest for particular subgroups of arrestees (distinguished by violent histories, substance abuse, cohabitation, race, education, residential stability, and characteristics of neighborhood populations).

scholarly journals Evaluating the Evaluators: Implementation of a Multi-Source Evaluation Program for Graduate Medical Education Program Directors

2016 ◽  
Vol 8 (4) ◽  
pp. 592-596 ◽  
Author(s):  
Mary Ellen J. Goldhamer ◽  
Keith Baker ◽  
Amy P. Cohen ◽  
Debra F. Weinstein
Keyword(s):  
Medical Education ◽  
Graduate Medical Education ◽  
Program Directors ◽  
Assessment Tools ◽  
Completion Rates ◽  
Source Evaluation ◽  
Graduate Medical ◽  
Medical Education Program ◽  
Academic Year

ABSTRACT Background Multi-source evaluation has demonstrated value for trainees, but is not generally provided to residency or fellowship program directors (PDs). Objective To develop, implement, and evaluate a PD multi-source evaluation process. Methods Tools were developed for PD evaluation by trainees, department chairs, and graduate medical education (GME) leadership. Evaluation questions were based on PD responsibilities, including Accreditation Council for Graduate Medical Education (ACGME) requirements. A follow-up survey assessed the process. Results Evaluation completion rates were as follows: trainees in academic year 2012–2013, 53% (958 of 1824), and in academic year 2013–2014, 42% (800 of 1898); GME directors in 2013–2014, 100% (95 of 95); and chairs/chiefs in 2013–2014, 92% (109 of 118). Results of a follow-up survey of PDs (66%, 59 of 90) and chairs (74%, 48 of 65) supports the evaluations' value, with 45% of responding PDs (25 of 56) and 50% of responding chairs (21 of 42) characterizing them as “extremely” or “quite” useful. Most indicated this was the first written evaluation they had received (PDs 78%, 46 of 59) or provided (chairs 69%, 33 of 48) regarding the PD role. More than 60% of PD (30 of 49) and chair respondents (24 of 40) indicated trainee feedback was “extremely” or “quite” useful, and nearly 50% of PDs (29 of 59) and 21% of chairs (10 of 48) planned changes based on the results. Trainee response rates improved in 2014–2015 (52%, 971 of 1872) and 2015–2016 (69%, 1276 of 1837). Conclusions In our institution, multi-source evaluation of PDs was sustained over 4 years with acceptable and improving evaluation completion rates. The process and assessment tools are potentially transferrable to other institutions.

scholarly journals EVALUASI PELAKSANAAN HOME VISIT DI SMP

2019 ◽  
Vol 1 (2) ◽  
pp. 111-120
Author(s):  
Bernardinus Agus Arswimba
Keyword(s):  
South Carolina ◽  
Model Evaluation ◽  
Home Visit ◽  
Comprehensive Evaluation ◽  
Evaluation Model ◽  
Evaluation Criteria ◽  
Performance Standards ◽  
Professional Counselor ◽  
The Difference

ABSTRACT Home visit is a responsive service that is urgent, so it needs to be implemented immediately to help students solve problems faced. If home visit is not done well, the problem will have a more complex impact on students. The purpose of the study was to determine the performance of counselors according to or not with the standards and professional counselor evaluation criteria for Comprehensive (Evaluation Model South Carolina) counseling guidance to make decisions or follow-up the programs that have been implemented. The research method used is descriptive evaluation using the Model Evaluation Discrepancy. This model measures the difference between performance standards and real conditions that have been implemented. The instrument of this research is using questionnaires and interviews. The results showed that home visits conducted by counselors at Santa Maria Malang Middle School in the category "close from standard". Keywords: home visit, model evaluation discrepancy

scholarly journals The Outcome of Children With Acute Lymphoblastic Leukemia Without Receiving Sufficient Dose of L-Asparaginase

2020 ◽  
Author(s):  
Gholamreza Bahoush ◽  
Gholamreza Bahoush ◽  
Marzieh Nojomi
Keyword(s):  
Acute Lymphoblastic Leukemia ◽  
Hypersensitivity Reaction ◽  
Lymphoblastic Leukemia ◽  
Accurate Determination ◽  
Drug Regimen ◽  
Disease Recurrence ◽  
Free Survival ◽  
Complete Treatment

In acute lymphoblastic leukemia (ALL) patients treated with L-asparaginase, discontinuation of the drug occasionally occur due to severe drug complications or resistance, however, due to the high efficacy of this drug in the recovery of patients and the prevention of disease recurrence, resuming the drug regimen is preferred in most patients. What we did in this study was to evaluate and compare the effects of clinical outcomes in the two modes of continuing and discontinuing drug use. In this retrospective cohort study, all children with ALL who had been treated with L-asparaginase during the years 2005 to 2015 were included in the study and categorized into two groups receiving complete treatment regimen (n=160) and those who had to discontinue the drug due to appearing complications (n=9). The rate of relapse and mortality rate was determined and compared across the two groups with a median follow-up time of more than 5 years. 5-yrs Overall survival of all enrolled patients in the groups continued and discontinued was 91.4±2.5% and 71.4±17.1%, respectively (P=0.792). Also, 5-yrs event-free survival of the two groups was 75.8±3.5% and 71.4±17.1%, respectively (P=0.557. Relapse was revealed in 17.5% and 33.3% respectively and mortality in 16.9% and 0.0% (P=0.261). However, the overall prevalence of hypersensitivity reaction to the drug was significantly higher in those patients who discontinued their drug regimen (100% versus 24.4%, P<0.001). Hypersensitivity reaction to drugs may be an important factor in discontinuing L-asparaginase in patients with ALL. The discontinuation of L-asparaginase supplementation due to various complications such as hypersensitivity reactions may be effective in the survival of these patients. However, accurate determination of the effect of discontinuation of this drug on the outcome of children with ALL requires a more comprehensive study with more complicated cases.

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