Developing a Tripartite Prevention Program for Impoverished Young Women Transitioning to Young Adulthood: Addressing Substance Use,HIV Risk,and Victimization by Intimate Partners

Little is known about the transition to adulthood for adolescent females and young women who are impoverished and homeless. Co-occurrence of drug use and abuse, HIV risk, and victimization is notable among homeless women, highlighting the need for comprehensive interventions. Unfortunately, evidence-based prevention approaches addressing these inter-related problems among impoverished women transitioning into adulthood are lacking. To address this gap, we designed an innovative prevention program by utilizing open- and closed-ended interview data from impoverished women (n = 20), focus groups with community experts and providers (2 groups; n = 9), and a theoretical framework to direct the research. Information provided by our focus groups and interviews with women supported our theoretical framework and highlighted the importance of addressing normative information, providing skills training, and utilizing a non-confrontational approach when discussing these sensitive issues.     

Do peer group norms moderate the expression of genetic risk for aggression?

Purpose

Using a genetically informed design based on 192 Monozygotic and Dizygotic twin pairs assessed in kindergarten, this study examined whether the expression of genetic risk for physical aggression or for relational aggression varies depending on the peer group’s injunctive behaviour norms.

Methods

Physical aggression and relational aggression, as well as injunctive peer group norms in regard to these behaviours, were measured via peer nominations in the twins’ kindergarten classes.

Results

Peer groups varied considerably in terms of the level of acceptability of both physical and relational aggression. Bivariate Cholesky modeling revealed a significant gene-environment interaction, indicating that a strong genetic disposition for physical aggression was much more likely to be expressed when peer group injunctive norms were favourable to such behaviour. In contrast, genetic factors essentially played no role in explaining inter-individual differences when peer group norms discouraged physical aggression. Relational aggression was generally less explained by genetic influences and more by environmental influences regardless of peer group norms, but environmental influences became even more important when peer group norms favoured such behaviour.

Conclusions

These findings speak to the importance of the peer group in shaping aggression already in young children by either condoning or penalizing such behaviour.     

Assessing programs designed to improve outcomes for children exposed to violence: Results from nine randomized controlled trials

Objectives

The study tests whether participation in interventions offered by a subset of sites from the National Safe Start Promising Approaches for Children Exposed to Violence initiative improved outcomes for children relative to controls.

Methods

The study pools data from the nine Safe Start sites that randomized families to intervention and control groups, using a within-site block randomization strategy based on child age at baseline. Caregiver-reported outcomes, assessed at baseline, 6 and 12 months, included caregiver personal problems, caregiver resource problems, parenting stress, child and caregiver victimization, child trauma symptoms, child behavior problems, and social-emotional competence.

Results

Results revealed no measurable intervention impact in intent-to-treat analyses at either 6- or 12-month post-baseline. In 6-month as-treated analyses, a medium to high intervention dose was associated with improvement on two measures of child social-emotional competence: cooperation and assertion. Overall, there is no reliable evidence of significant site-to-site effect variability, even in the two cases of significant intervention effect.

Conclusions

Since families in both the intervention and control groups received some degree of case management and both groups improved over time, it may be advantageous to explore the potential impacts of crisis and case management separately from mental health interventions. It may be that, on average, children in families whose basic needs are being attended to improve substantially on their own.     

Bridging the Gap Between Research and Practice: The Work of the Steering Team for the Child Welfare Research and Evaluation Translational Framework Workgroup

This article describes the framework developed by the Child Welfare Research and Evaluation Translational Framework Workgroup that was sponsored by the U.S. Children's Bureau for building evidence and bringing evidence-supported interventions to scale. The framework delineates five phases of implementation and evaluation: 1) identify and explore problem definitions and strength of evidence for promising interventions; 2) develop and test innovative interventions when evidence is suggestive; 3) compare and learn about alternative treatments where evidence is equivocal; 4) replicate and adapt better treatments when summary evidence is strong; and 5) apply and improve continuously the quality and integrity of evidence-based practice.     

Detecting buried metallic weapons in a controlled setting using a conductivity meter

Forensic personnel may face a daunting task when searching for buried weapons at crime scenes or potential disposal sites. In particular, it is common to search for a small firearm that was discarded or buried by a perpetrator. When performing forensic searches, it is recommended to first use non-invasive methods such as geophysical instruments to minimize damage to evidence and to the crime scene. Geophysical tools are used to pinpoint small areas of interest across a scene for invasive testing, rather than digging large areas throughout the site. Prior to this project, there was no published research that tested the utility of the conductivity meter to search for metallic weapons such as firearms and blunt and sharp edged weapons. A sample comprised of 32 metallic weapons including firearms, blunt and sharp edged weapons, and scrap metals was buried in a controlled setting to test the applicability of a conductivity meter for forensic searches. Weapons were tested at multiple depths and after data collection was performed for one depth, the weapons were reburied 5 cm deeper until they were no longer detected. Variables such as weapon size, burial depth, transect interval spacing (25 and 50 cm), and metallic composition were tested. All of the controlled variables influenced maximum depth of detection. For example, size was a factor as larger weapons were detected at deeper depths compared to smaller weapons. Metal composition affected maximum depth of detection as the conductivity meter detected items comprised of ferrous metals at deeper depths than non-ferrous metals. Searches for large buried items may incorporate a transect interval spacing of 50 cm but small weapons may be undetected between transects and therefore a transect interval spacing of 25 cm is recommended. Overall, the conductivity meter is a geophysical tool to consider when searching for larger-sized metallic weapons or to use in conjunction with an all-metal detector, particularly when searching for buried metallic evidence in obstructed areas.     

John and Jane Doe: the epidemiology of unidentified decedents

Abstract:  The number of people who cannot be identified at the time of death, sometimes referred to as John or Jane Does, is unknown, and little is known about them as a group. The study's objectives were to estimate the number of annual unidentified deaths, to identify demographic characteristics associated with dying unidentified, to determine whether the rates of such deaths vary geographically or over time, and to better characterize the causes of death. This was a population-based surveillance study of data collected from death certificates from 1979 to 2004 in the U.S. Subjects were selected by the absence of name, date of birth, and Social Security Number on their certificates. Main outcome measures were distributions by age, sex, and underlying cause of death and rates by sex, race, year, and state of death. An average of 413 unidentified persons died each year. The peak year was 1987 with 691 deaths, a rate of 28.5 per 10 million people. The rate declined to 9.7 per 10 million in 2004. Most unidentified decedents were male (80.6%). Unidentified death rates were highest among black people and in the Southwest. Among deaths for which the cause was known, 82.7% were due to injuries. Among injury deaths, 31.8% were homicides. Improvement in identification technology may have reduced rates of unidentified death since the 1980s. In addition, variations in rates of unidentified decedents may reflect changes in risk factors such as homelessness and substance abuse.     

Discrimination of falls and blows in blunt head trauma: systematic study of the hat brim line rule in relation to skull fractures

In the discrimination of falls from blows in blunt head trauma, the hat brim line rule is one of the most often used criteria. The present study assesses the validity of the hat brim line rule for skull fractures and looks at other possible criteria. All autopsy cases were retrospectively analyzed on a 5-year period. Cases selected consisted of downstairs falls (n = 13), falls from one's own height (n = 23), and homicidal blows (n = 44). Results show that fractures above the hat brim line are more in favor of blows, while fractures in the hat brim line zone are more difficult to distinguish. The majority of fractures were located on the left side for homicidal blows and on the right side for falls. A higher average number of lacerations was revealed for homicidal blows. In conclusion, this study establishes three criteria in favor of blows: (i) localization of a wound above the hat brim line; (ii) left side lateralization; and (iii) a high number of lacerations.