The Implementation of State-Mandated Standards for Batterer Intervention Programs: The Colorado Experience

2017 ◽  
Vol 32 (2) ◽  
pp. 279-298 ◽  
Author(s):  
Tara N. Richards ◽  
Angela R. Gover ◽  
Elizabeth A. Tomsich ◽  
Jesse Hansen ◽  
Cheryl R. Davis
Keyword(s):  
Decision Making ◽  
Domestic Violence ◽  
Multidisciplinary Treatment ◽  
Future Research ◽  
Offender Treatment ◽  
Treatment Team ◽  
Treatment Plans ◽  
Domestic Violence Treatment ◽  
Using Data

The current research examines Colorado’s experience implementing evidence-based mandated treatment Standards, which use a uniform risk assessment, differentiated treatment levels, offender competencies, and a multidisciplinary treatment team (MTT) composed of a victim advocate, probation officer, and treatment provider to manage offender treatment. Using data from MTT member surveys (n = 107) and follow-up interviews (n = 14), the study investigates perceptions of implementation and treatment fidelity, MTT decision making and communication, and the process of successful treatment completion. Results demonstrate that full implementation of Colorado’s standards for domestic violence treatment has not yet been achieved and that many MTT members report challenges to communication and decision making regarding offender treatment plans and successful achievement of competencies. Recommendations for further improvements in Colorado’s domestic violence treatment model are made and directions for future research are discussed.

Understanding Decision-Making in Specialized Domestic Violence Courts

2016 ◽  
Vol 23 (6) ◽  
pp. 749-771 ◽  
Author(s):  
Gillian M. Pinchevsky
Keyword(s):  
Decision Making ◽  
Domestic Violence ◽  
Causal Attribution ◽  
Future Research ◽  
Theoretical Frameworks ◽  
Judicial Decision Making ◽  
Focal Concerns ◽  
Using Data ◽  
Court Processing ◽  
Domestic Violence Courts

This study fills a gap in the literature by exploring the utility of contemporary courtroom theoretical frameworks—uncertainty avoidance, causal attribution, and focal concerns—for explaining decision-making in specialized domestic violence courts. Using data from two specialized domestic violence courts, this study explores the predictors of prosecutorial and judicial decision-making and the extent to which these factors are congruent with theoretical frameworks often used in studies of court processing. Findings suggest that these theoretical frameworks only partially help explain decision-making in the courts under study. A discussion of the findings and implications for future research is provided.

Domestic Violence Offender Treatment and Multidisciplinary Treatment Teams: The Role of “Treatment” Victim Advocates

2016 ◽  
Vol 62 (4) ◽  
pp. 851-867 ◽  
Author(s):  
Tara N. Richards ◽  
Angela R. Gover
Keyword(s):  
Decision Making ◽  
Domestic Violence ◽  
Survey Data ◽  
Multidisciplinary Treatment ◽  
Offender Treatment ◽  
Decision Making Process ◽  
Safety Concerns ◽  
Victim Advocates ◽  
Challenges And Opportunities

In Colorado, “treatment victim advocates” (TVAs) serve alongside providers and probation/parole officers on “multidisciplinary treatment teams” (MTTs) to oversee domestic violence offender’s treatment. Although this model provides an opportunity for victim safety concerns to be heard, the utility of using victim advocates as advisors regarding interventions for domestic violence offenders has yet to be studied. Using survey data and narrative responses from TVAs ( N = 37), the current study examines the challenges and opportunities TVAs face while serving on MTTs. Results suggest that, overall, TVAs are successful in communicating with other members of the MTT, are confident that their perspectives are valued in the offender decision-making process, and are able to provide a wide variety of services and referrals to the victims with whom they are engaged. Implications and recommendations for the Colorado model as well as correctional professionals managing domestic violence offenders internationally are presented and discussed.

Real-world outcomes in patients (pts) with metastatic urothelial carcinoma (mUC) who received first- or second-line immunotherapies (IO) in the United States (US).

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 457-457
Author(s):  
Marley Boyd ◽  
Srinivas Annavarapu ◽  
Gurjyot K. Doshi ◽  
Kentaro Imai ◽  
Eric Sbar ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Real World ◽  
Performance Status ◽  
The United States ◽  
Future Research ◽  
Second Line ◽  
Ecog Performance Status ◽  
Using Data ◽  
Line Of Therapy

457 Background: Benefit of IO (PD1 and PD-L1 inhibitors) for mUC was observed in clinical trials but real-world evidence for benefit and clinical outcomes is limited. Methods: This was a retrospective study of adult pts with mUC who initiated IO regardless of PD-L1 expression in the first- (1L cohort) or second-line (2L cohort) setting between 5/1/2016-1/31/2019 in the US Oncology Network (USON), a network of community oncology practices. Descriptive and Kaplan-Meier analyses to evaluate baseline characteristics, treatment patterns and clinical outcomes were conducted using data from USON’s electronic heath record. Results: Among 393 pts in the 1L cohort, median (range) age at IO initiation was 77 (42, 90+), 74% were male, 69% were White, and 19.1% and 4.1% had ECOG performance status (PS) 2 and 3/4, respectively. Among the 366 pts in the 2L cohort, median (range) age at IO initiation was 70 (29, 90+), 74% were male, 71% were White, and 19.7% and 1.4% had ECOG PS 2 and 3, respectively. Median (range) follow-up durations from IO initiation were 4.2 (0, 34.1; 1L cohort) and 4.1 (0, 31.3; 2L cohort) months (mo), during which time 43.1% (1L cohort) and 44.4% (2L cohort) of pts died. Median overall survival (OS) from IO initiation (95% confidence interval [CI]) was 10.6 (9.7, 13.2) mo for the 1L cohort and 9.4 (7.1, 11.5) mo for the 2L cohort; 1-year survival probabilities (95% CI) were 46.6% (40.1%, 52.8%; 1L cohort) and 43.4% (36.8%, 49.8%; 2L cohort). By the end of the follow-up, 48.1% of 1L pts and 47.8% of 2L pts were alive and did not advance to next line of therapy, and 13.5% of 1L and 13.4% of 2L cohort pts advanced to the next line of therapy. Median (95% CI) treatment durations were 2.6 (2.1, 2.9) and 2.8 (2.2, 3.5) mo for the 1L and 2L cohorts, respectively; 6-mo ongoing treatment probabilities (95% CI) were 26.6% (22.2%, 31.2%; 1L cohort) and 31.4% (26.4%, 36.4%; 2L cohort). Conclusions: OS of pts in the real world receiving 1L and 2L IO appears consistent with clinical trial results, although survival follow-up is limited. A minority of pts received post-IO therapy. Future research should examine influence of pt characteristics and PD-L1 expression on treatment choice and outcomes.

Patient involvement in multidisciplinary treatment planning (MTP).

2013 ◽  
Vol 31 (31_suppl) ◽  
pp. 145-145
Author(s):  
Irene Prabhu Das ◽  
Heather Rozjabek ◽  
Mary L. Fennell ◽  
Katherine Mallin ◽  
E. Greer Gay ◽  
...  
Keyword(s):  
Decision Making ◽  
Online Survey ◽  
Patient Involvement ◽  
Treatment Plan ◽  
Multidisciplinary Treatment ◽  
Treatment Decision ◽  
Case Presentation ◽  
Patient Navigators ◽  
Treatment Decision Making

145 Background: Patient involvement in treatment decision-making has been well-studied. However, little is known about how patients are involved in the MTP process prior to their consideration of treatment options. Methods: An online survey was administered to 1,261 Commission on Cancer (CoC)-accredited programs to describe current MTP practice. Survey items addressed team structure and process, case presentation, and patient involvement. A total of 797 (63%) facilities responded. Multiple aspects of patient involvement focusing on the initial case presentation and post-meeting follow-up regarding information provision and communication are examined. Initial descriptive analyses are presented. Results: 97% of facilities reported patients are not invited to attend MTP meetings. Reasons for not inviting patients included: patients may find it overwhelming (62%), physicians not able to speak freely (58%), liability (43%) and privacy (42%) concerns. Of the facilities that do invite patients, 1/3 reported that patients often or always attend. Treatment recommendations from MTP meetings are shared with patients at 75% of facilities, 42% share treatment plans, and 28% give a meeting summary to patients. Nine percent of facilities do not give patients any information from the meeting. Prior to treatment, a written treatment plan is developed at 43% of facilities, and among these, 15% give the plan to patients. Regarding communication about MTP meetings, facilities reported pre-meeting discussions with attending physicians (95%) and patient navigators (21%). Post-meeting follow-up by 93% of facilities is usually done by physicians, 26% by patient navigators and 16% by PA/NPs, and 66% follow-up within 1 week. Conclusions: Initial findings suggest that even if facilities do not invite patients to MTP meetings, they engage patients in various ways at pre- and post-MTP meetings, providing information and having discussions. Physicians are integral in communicating with patients throughout the MTP process. Further study on the multiple facets of patient involvement in MTP is needed to better understand its influence on treatment decision-making.

scholarly journals Implications for Future Research

2021 ◽  
pp. 161-189
Author(s):  
Xiu-bao Yu
Keyword(s):  
Decision Making ◽  
Decision Makers ◽  
Strategic Decision ◽  
Strategic Decision Making ◽  
Future Research ◽  
Decision Factors ◽  
Research Questions ◽  
The Impact

AbstractOn the basis of the three elements of strategy, this chapter puts forward some follow-up research questions and prospects mainly from the following aspects. The first is the study of factors that have influences on the quality of strategic decision. Factors include individual aspects of decision-maker, strategic decision-making information factors, approaches of strategic decision-making, etc. The second is about normative studies. They are about how the world ought to be or how strategy decisions ought to be in given situations. Outcomes of the studies can provide guidance to industry decision makers when facing development issues. Future research includePerhaps the impact of strategic decision-makers on the quality of strategies is far beyond our imagination.

Educator Perspectives on Data-Based Decision Making in Germany and the United States

2021 ◽  
pp. 002221942098612
Author(s):  
Stefan Blumenthal ◽  
Yvonne Blumenthal ◽  
Erica S. Lembke ◽  
Sarah R. Powell ◽  
Patricia Schultze-Petzold ◽  
...  
Keyword(s):  
United States ◽  
Decision Making ◽  
Best Practices ◽  
Professional Learning ◽  
The United States ◽  
Learning Opportunities ◽  
Future Research ◽  
Explorative Study ◽  
Using Data ◽  
Data Based Decision Making

The purpose of this explorative study was to examine the use and understanding of key components of data-based decision making by educators in two countries—Germany and the United States. Educators responded to a survey that asked about data use and characteristics related to data-based decision making (DBDM). Results suggest educators in both countries are focused on using data to monitor progress, although less so in Germany. Educators in both countries noted similar understanding of important features (e.g., psychometric properties) of data. Educators in the United States reported they used data for decision making at the classroom level almost twice as often as their counterparts in Germany, while German educators focused on decision making at the student level. These findings will influence future research, including joint studies that could use the best practices of both countries, and professional learning opportunities for educators in Germany and the United States.

Correlates of Chinese Police Officer Decision-Making in Cases of Domestic Violence

2019 ◽  
Vol 66 (11) ◽  
pp. 1556-1578 ◽  
Author(s):  
Xinting Wang ◽  
Brittany E. Hayes ◽  
Hongwei Zhang
Keyword(s):  
Decision Making ◽  
Domestic Violence ◽  
Police Officers ◽  
Ordinary Least Squares ◽  
Policy Implications ◽  
Future Research ◽  
Attitudes And Beliefs ◽  
Extralegal Factors ◽  
The Relationship ◽  
Chinese Police

The purpose of the current study is to uncover whether extralegal factors play a significant role in Chinese police officers’ decision-making in response to a hypothetical incident of domestic violence (DV). Data were collected from a sample of Chinese police officers located in southwestern China. Ordinary least squares (OLS) regression analyses were conducted to examine the relationship between the attitudes and beliefs of police officers and their decision-making in DV (i.e., recommend putting suspect into custody, victim into custody, and mediation; N = 514). The results suggest extralegal factors associated with culture do exert a significant effect on police officers’ decision-making in cases of DV, but the extent may be minimal. Policy implications and directions for future research are discussed.

scholarly journals 0749 Case Simulations in Obstructive Sleep Apnea and Narcolepsy: Patients That Keep You Up at Night

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A285-A285
Author(s):  
R K Bogan ◽  
K Rorie ◽  
W E Faler ◽  
T Gross ◽  
J Perez ◽  
...  
Keyword(s):  
Decision Making ◽  
Treatment Options ◽  
Educational Activity ◽  
Post Intervention ◽  
Continued Education ◽  
Obstructive Sleep ◽  
Performance Effects ◽  
And Performance ◽  
Using Data

Abstract Introduction 3 CME interventions used online case simulations to facilitate the recognition of residual EDS in patients with narcolepsy and OSA and to improve decision-making when developing strategies for long-term management of residual EDS. Methods Outcomes data were obtained from 3, 30-minute case simulations on residual EDS. Surveys assessing knowledge, confidence, and behavior were administered pre- and post-activity. A separate evaluation provided demographics and other variables used in the model. Data from a 2-month follow-up survey were analyzed to determine performance effects on the learner population (n = 30) compared to matched controls (n = 30). Statistical comparisons of data from baseline to post-intervention were made using McNemar’s tests and paired t-tests. Additionally, predictive modeling was applied to evaluate variables predictive of evidence-based decisions. A longitudinal analysis of results was conducted to evaluate knowledge and performance changes in sleep-related initiatives between 2016 - 2019. Results Learners outperformed controls in utilizing the Epworth Sleepiness Scale (ESS) and are more likely to interpret ESS scores to confirm EDS diagnosis and select appropriate treatment options in managing patients with EDS. Further, learners are more likely than controls to engage in shared decision-making with patients. When given a real-world case, learners are more likely than controls to identify symptoms and order correct tests. Learners were also more likely to select best treatment options for the patient more often than non-learners. Continued education needs to focus on treatment options for patients with narcolepsy. Conclusion Follow-up assessments were conducted to understand lasting performance in learners attributable to this education. Using data from learners compared to matched controls, we found the education had an effect size of 23% (Cohen’s d = 0.33). This indicates that for every 100 clinicians exposed to this education, 23 will perform more according to evidence than if they were not exposed. Support The educational activity described in this abstract was supported by an educational grant from Jazz Pharmaceuticals, Inc.

A Sign of the Crimes: Examining Officers’ Identification of, and Arrest for, Stalking in Domestic Violence Complaints

2020 ◽  
Vol 23 (4) ◽  
pp. 500-526
Author(s):  
Patrick Q. Brady ◽  
Bradford W. Reyns ◽  
Rebecca Dreke
Keyword(s):  
Decision Making ◽  
Domestic Violence ◽  
Rhode Island ◽  
Intimate Partner ◽  
Future Research ◽  
Intimate Partner Homicide ◽  
Factors Associated ◽  
Focal Concerns ◽  
Focal Concerns Perspective ◽  
Practical Implications

Despite stalking as a risk factor for intimate partner homicide, few studies have explored officer decision making in domestic violence (DV) complaints that involve stalking. This study employs the focal concerns perspective to identify the legal and extra-legal factors associated with officers' identification of, and arrest for, stalking in DV complaints. Using a statewide sample of 230 DV complaints from Rhode Island, findings indicated that nearly one in four suspects were arrested for stalking in DV complaints (25.2%). Stalking acknowledgment was associated with the location of the offense, prior police involvement, and the total number of offenses committed. Officers were more likely to arrest suspects for stalking in DV complaints if the victim was willing to cooperate. Support for the focal concerns perspective varied according to the type of decision. Avenues for future research, as well as theoretical and practical implications, are discussed.

New Directions for Domestic Violence Offender Treatment Standards: Colorado’s Innovative Approach to Differentiated Treatment

Partner Abuse ◽  
2011 ◽  
Vol 2 (1) ◽  
pp. 95-120 ◽  
Author(s):  
Angela R. Gover
Keyword(s):  
Domestic Violence ◽  
Assessment Tool ◽  
State Standards ◽  
Future Research ◽  
Offender Treatment ◽  
Violence Risk ◽  
Treatment Standards ◽  
Criminogenic Needs ◽  
Complete Treatment ◽  
History Of

Colorado has recently adopted revised state standards for the treatment of domestic violence offenders who are court ordered to complete treatment. State standards across the county have been criticized in the past for not being empirically based. This article presents the empirically based principles of Colorado’s revised Standards.1 The Standards are unique in their focus on differentiated treatment for offenders, and their use of the Domestic Violence Risk and Needs Assessment (DVRNA), an assessment tool developed in Colorado to identify offender risk and criminogenic needs. Offenders’ overall scores on the DVRNA determine their dosage and intensity of treatment and containment. This article first discusses the history of Colorado’s Standards, followed by a presentation of the new Standards. Most importantly, the empirical evidence providing the foundation for these Standards is presented. This article concludes with a discussion of Colorado’s implementation plans for the revised Standards, limitations to the utility of Colorado’s Standards, and directions for future research.

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