Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence

There is a great need to demonstrate sustained improvement in healthcare-based inquiry, intervention, and prevention provided to patients exposed to intimate partner violence (IPV). We evaluated implementation of the Healthcare Can Change from Within model (HCCW) in three primary care clinics and an emergency department within a large healthcare system, using two other primary care clinics for a usual-care comparison on selected variables. Outcome measures included individual-level variables (staff knowledge and attitudes) and system characteristics (clinic policies, procedures, patient education materials, and IPV documentation in patient records). Doctors and nurses reported increased self-efficacy, understanding of referral resources, and understanding of legal issues; IPV knowledge was unchanged. Intervention clinics implemented new policies and procedures, increased patient education, and increased documentation of IPV screening, an improvement which was sustained at 2-year follow-up. Results suggest HCCW is a promising practice for improving the healthcare response to IPV.     

Maintaining Separate Spheres in Policing: Women on SWAT Teams

The Special Weapons and Tactics (SWAT) team may represent the last vestige of male dominance in law enforcement as an assignment that remains grounded in traditional masculine notions of policing. Although SWAT units have become a prominent feature of modern American policing, there are few female team members. In an attempt to develop some insight into why women rarely serve on SWAT teams, the present research examines the viewpoints of a sample of 30 male and 31 female police officers on the gendered aspects of SWAT assignment. This exploratory study represents the first qualitative attempt to uncover police officers’ perspectives and thoughts on the “fit” of women on SWAT teams. The results show that the majority of officers, whether implicitly or explicitly, and regardless of gender, agree that the presence of women on SWAT teams presents a variety of challenges.     

家兔死后心血氧化还原电位值变化与死亡时间的关系

目的研究在不同温度条件下家兔死后心血氧化还原电位(oxidation reduction potential,ORP)值变化与死亡时间(postmortem interval,PMI)的关系。方法随机将48只家兔分为6组,以空气栓塞法处死后,取家兔右心室血液分别置于10、15、20、25、30和35℃温度下的水浴中,自取血即刻(0h)至死后132h内,每4 h用PB-21型电化学分析仪测定样本的ORP值。应用SPSS 17.0软件建立曲线回归方程,再应用MATLAB7.10.0软件建立曲面方程和三维曲面图。结果不同温度条件下家兔心血ORP值变化与PMI具有高度相关性,温度高时,ORP值上升明显,温度低时,ORP值上升缓慢,并获得拟合的曲面方程以及三维曲面图。结论拟合的ORP值与PMI的曲面方程及三维曲面图可进行温度变化条件下的PMI推断。     

Drama workshops for anger management and offending behaviour

Abstract

Drama workshops for anger management and offending behaviour. By James Thompson. London: Jessica Kingsley Publishers 1999. p. 143. Paper, $14.95. ISBN 1 85302 702 2.     

Problems of female patients in a secure psychiatric hospital

Abstract

The problems experienced by a sample of 30 female offender-patients in a secure psychiatric hospital were surveyed using the Behavioral Coding System (BCS). Common problems are emotional difficulties, antisocial behaviors, auditory hallucinations, and self-injury. Problem profiles derived from medical records, key workers' reports, and patients' self reports differed. The survey revealed the necessity of revising the BCS better to identify relevant concerns in this particular population.     

Measuring motivation to change in offenders

Abstract

Measuring motivation to change in offender populations is important both for selection into treatment programmes and for assessing progress in therapy. Two studies are reported in this paper, both looking at the psychometric properties of questionnaires designed to measure stage of change in therapy. The samples used were patients detained in special hospitals under the Mental Health Act (1983) classification of psychopathic disorder. The first study provides norms for this group on the stages of change in psychotherapy questionnaire, plus some additional information on its relationship with self-esteem and self-efficacy measures. The second study looked at a brief version of the stages of change questionnaire, concluding that its psychometric properties were such that further use was contra-indicated.     

“Executing the Powers With Which it is Intrusted”: Justifications,Definitions and Limitations of Government Speech

Federal, state and local governments have realized that an effective way to counter an undesirable private message is to swallow it up within the government's own speech. So far, the Supreme Court of the United States has acquiesced, including its February 2009 opinion in Pleasant Grove City v. Summum. This article explores the roots, definition and limits of government speech through a close examination of not only Summum but two other recent Supreme Court opinions granting the government a right to communicate even when others contend that the speech conflicts with their own messages. The article concludes that the government speech doctrine needs further explanation with regard to its justification and contours. The rational basis test and political process may not be sufficient to contain government speech within desirable bounds; instead, government speech should be subjected to judicial scrutiny to ensure it remains germane and proportional.     

Media coverage and public opinion of the O. J. Simpson trial: Implications for the criminal justice system

This article considers some of the beneficial and detrimental influences of media coverage of celebrity criminal trials based on a survey administered during the criminal trial of O.J. Simpson. Analysis indicates those who exhibited a stronger psychological involvement with Simpson developed through repeated media exposure were more likely to believe his innocence. African American respondents also were more likely to believe in Simpson's innocence than were others. Gender had no effect on beliefs of Simpson's guilt or innocence. Those with a strong belief in the fairness of the United States justice system more strongly supported unrestricted media coverage of the trial. Anglo Americans more than African Americans believed Simpson's lawyers used the media effectively for their advantage. Learning about the justice system by following the case resulted in increased interpersonal discussions about the legal system.     

Migrants’ intentions to return home and capital transfers: A study of Tongans and Samoans in Australia

This article examines the attributes of migrants from the Pacific island states of Tonga and Samoa living in Australia to assess the extent to which return migrants could contribute to the human and physical capital stock of the migrant‐sending countries. It also examines the impact of intention to return on remittances and asset accumulation. The study finds that very few migrants plan to return home and very little evidence that those who plan to return embody significant human capital (education, experience and skills). Intention to return may be important, nevertheless, since those who plan to return remit significantly more than those that do not and also accumulate far more physical capital at home than those that do not intend to return.