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The requirements for dependable management of complex hazardous technologies include multiple barriers against serious failure, clear accountability for errors, and credibility for the decision-making process. Unfortunately, these requirements are in direct conflict. These conflicts can undermine the public's assurance that their health and safety concerns are being properly addressed. These conflicts can be reduced by the adoption of policies that enhance information exchange and evaluation, thereby, complementing the current policies based on physical safe guards and adversarial processes.  相似文献   
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Despite well-documented need, little is known about the HIV prevention services provided to adults with serious mental illness in the public mental health system. This study examined the types, frequency, and client-level correlates of HIV prevention services provided to a representative sample of clients in five public mental health care programs. Although results indicate that HIV prevention care is infrequent, clients identified as being at higher risk for HIV infection reported receiving prevention interventions more frequently. However, both the clients' gender and the service setting influenced the types and frequency of services that clients received.  相似文献   
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Risk-need assessment is widely accepted as best practice with juvenile offenders and is underpinned by a healthy research literature on risk assessment inventories. Previous studies have found both similarities and differences on risk measures when gender and racial/ethnic subgroups have been compared. Differential validity has been examined, but differential prediction has been overlooked. The current study undertook gender and ethnic comparisons for a large sample (n = 3568) of community-based juvenile offenders who were evaluated using the Australian Adaptation of the Youth Level of Service/Case Management Inventory (YLS/CMI-AA). Analyses showed various gender and ethnic differences at the item level, across domain scores and on the total inventory score, but not for validity indices. However, 1-year reoffending rates for youth in three classification categories (low, moderate, high) varied by gender and ethnicity. The findings were related to contemporary understandings of the risk factors for offending and the dynamics of crime for gender/ethnic subgroups. It is argued that in spite of these subgroup differences, a generic inventory such as the YLS/CMI-AA can be used fairly with various subgroups. Recommendations for how this could be accomplished are provided. (PsycINFO Database Record (c) 2012 APA, all rights reserved).  相似文献   
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The aim of the study was to investigate the process of desistance from sexual crime by comparing two groups of child molesters: One group was deemed to be desisting, while men in the other group were deemed as being still potentially active offenders. Men in the desisting group reported being optimistic for the future, reported an enhanced sense of personal agency and a more internalized locus of control, and identified treatment as being a turning point in their lives. In comparison, men in the active group were found to be more pessimistic and were more likely to blame external events, or situations, for their problems. One of the most striking findings of the research was that the desisting group had found a place within a social group or network, unlike the still potentially active offenders who all described a life of social isolation and alienation.  相似文献   
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