Armed conflict effects in intimate partner violence: Revealing pathways using the socioecological framework.

We explored women's narratives about their experiences as victim-survivors of multiple forms of armed conflict violence and intimate partner violence (IPV) in Colombia and examined pathways that clarify the relationships between these two types of violence. Thematic analysis of 47 interviews identified connections that explain how armed conflict influences IPV at all levels of the socio-ecology. At the societal level, armed conflict events amplified patriarchal notions and intensified men's expressions of hypermasculinity through violence.

The rise of proximal colorectal cancer: a trend analysis of subsite specific primary colorectal cancer in the SEER database.

Background: Colorectal cancer (CRC) is the third most common cancer worldwide and the second leading cause of cancer-related deaths. Given the significant prevalence of CRC, regular preventative screening is required. CRCs in different locations of the colon have variable molecular pathogenesis, gross appearance, and general disease outcomes.

Changes in Hospital Utilization Among Seriously Mentally Ill Patients Following Enrollment in an Integrated Primary and Behavioral Health Care Program.

Objectives: Integrated primary and behavioral health care models are emerging to improve access to care; however, the effect they have on utilization and expenditure has yet to be studied.

Methods: A retrospective, longitudinal review of all patients (N = 343; 97% Medicaid) enrolled in our primary and behavioral health care program looked at hospital utilization up to a year before and after enrollment and estimated spending from Medicaid reimbursement data.

Results: There was a significant decrease in emergency department (ED) visits per person before enrollment vs after enrollment (2.

Making It Work Without a Family Drug Court: Connecticut's Approach to Parental Substance Abuse in the Child Welfare System.

Parental substance abuse presents, complex challenges for the child welfare system and courts. This article describes the State of Connecticut's experience implementing the Recovery Specialist Voluntary Program (RSVP), a recovery support program designed to confront the problem of parental substance abuse within the child welfare system without, a family drug court. The state-level collaboration efforts, system changes, factors affecting development and implementation of RSVP, program participants, and preliminary outcomes are described.

Bringing adolescents into substance abuse treatment through community outreach and engagement: the Hartford Youth Project.

While outreach and case management services have been shown to improve retention of at-risk youth in behavioral health treatment, these important support services are challenging to implement. The Hartford Youth Project (HYP), established by the Connecticut Department of Children and Families as a pilot for the state adolescent substance abuse treatment system, made outreach and engagement integral to its system of care. HYPbrought together a network of stakeholders: referral sources (juvenile justice, schools, community agencies, child welfare, and families); community-based outreach agencies; treatment providers; and an administrative service organization responsible for project coordination.

Treating juvenile offenders for marijuana problems.

Aims: This study investigated the characteristics and substance abuse treatment experience of two differentially defined groups of juvenile offenders, those who were referred or otherwise involved with the legal system and those who reported recent criminal behavior.

Design: Six hundred adolescents from the Cannabis Youth Treatment (CYT) Project were classified by criminal justice system involvement and recent criminal behavior. Multivariate and repeated-measures techniques explored substance use frequency, substance use problems, psychological and social risk factors and treatment outcomes as functions of criminal status.