Suchergebnisse

Three models reflecting stages of substance use (alcohol use/alcohol and marijuana use/polydrug use) were tested using path analysis to examine subsamples of 626 to 850 subjects. Overall, high school bonds contributed little toward an explanation of substance use. Religiosity and religious conservatism accounted for some of the variance in substance use, primarily underage drinking. Results suggest that explanations of substance use can be enhanced through development of models employing stages of drug involvement.

In this investigation of some 350 wrongful convictions of African American men, Marvin Free and Mitch Ruesink critically examine how issues of race undercut the larger goals of our criminal justice system. Free and Ruesink expand the focus of wrongful conviction studies to include not only homicide, but also sexual assault, drug dealing, and nonviolent crime. Their careful analysis reveals that black men accused of crimes against white victims account for a disproportionate number of wrongful convictions. They also uncover other disturbing failings on the part of prosecutors, police, witnesses, and informants. Highlighting the systemic role of race, the authors challenge us to move past the "just a few bad apples" explanation and to instead examine what it is about our criminal justice system that allows the innocent to be judged guilty

Importance The COVID-19 pandemic is the greatest global test of health leadership of our generation. There is an urgent need to provide guidance for leaders at all levels during the unprecedented preresolution recovery stage. Objective To create an evidence- and expertise-informed framework of leadership imperatives to serve as a resource to guide health and public health leaders during the postemergency stage of the pandemic. Evidence Review A literature search in PubMed, MEDLINE, and Embase revealed 10 910 articles published between 2000 and 2021 that included the terms leadership and variations of emergency, crisis, disaster, pandemic, COVID-19, or public health. Using the Standards for Quality Improvement Reporting Excellence reporting guideline for consensus statement development, this assessment adopted a 6-round modified Delphi approach involving 32 expert coauthors from 17 countries who participated in creating and validating a framework outlining essential leadership imperatives. Findings The 10 imperatives in the framework are: (1) acknowledge staff and celebrate successes; (2) provide support for staff well-being; (3) develop a clear understanding of the current local and global context, along with informed projections; (4) prepare for future emergencies (personnel, resources, protocols, contingency plans, coalitions, and training); (5) reassess priorities explicitly and regularly and provide purpose, meaning, and direction; (6) maximize team, organizational, and system performance and discuss enhancements; (7) manage the backlog of paused services and consider improvements while avoiding burnout and moral distress; (8) sustain learning, innovations, and collaborations, and imagine future possibilities; (9) provide regular communication and engender trust; and (10) in consultation with public health and fellow leaders, provide safety information and recommendations to government, other organizations, staff, and the community to improve equitable and integrated care and emergency preparedness ...