This is the 1st study to examine the effects of individual- and program-level characteristics on treatment attrition within a prison-based setting. The sample of 1,446 men and women were from 19 programs. Differences were found in both individual- and program-level predictors of disciplinary discharges and dropouts. Dropouts were more likely to be women and enter treatment with lower levels of motivation. Individuals who were disciplinary discharges from treatment were more likely to be young, have a history of violence, and have a diagnosis of antisocial personality. Only 1 program factor--an emphasis on disciplinary discharge for violation of program rules--was associated with disciplinary discharge. The clinical implications of these findings are discussed.
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http://dx.doi.org/10.1037/0893-164x.17.2.134 | DOI Listing |
Neurosurgery
December 2024
Department of Neurosurgery, University of Illinois Chicago, Chicago, Illinois, USA.
Background And Objectives: The Accreditation Council for Graduate Medical Education Milestones assessment system provides a structured framework for evaluating the developmental progression of neurosurgery residents. Understanding the variability in learning trajectories and identifying critical intervention points are essential for refining educational strategies and enhancing training outcomes. In this article, we aim to identify learning trajectories of neurosurgery residents and pinpoint pivotal junctures for potential interventions to aid residents struggling to meet expected competency levels.
View Article and Find Full Text PDFAm J Lifestyle Med
December 2023
Department of Orthopaedic Surgery, Division of Physical Medicine and Rehabilitation, Washington University in St. Louis School of Medicine, St. Louis, MO, USA (ALC, MED, AM, CGL, DEF, KHB, DMH).
Background: Therapeutic lifestyle change can be challenging, and not every attempt is successful.
Purpose: To identify predictors of making progress toward lifestyle change among patients who participate in a lifestyle medicine program.
Methods: This was a single-center, retrospective cohort study of 205 adults who enrolled in a goal-directed, individualized, interprofessional lifestyle medicine program.
J Surg Educ
December 2024
Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:
J Pain Symptom Manage
January 2025
Icahn School of Medicine at Mount Sinai and James J Peters VA (R.S.M.), Bronx New York, USA.
Context: While specialist palliative care is associated with improved end-of-life quality metrics for patients with advanced cancer, its effectiveness may differ between hospitals.
Objectives: To examine variation in palliative care program performance on end-of-life care quality metrics.
Methods: Retrospective cohort study of palliative care programs that participated in the National Palliative Care Registry, 2018-2019.
J Subst Use Addict Treat
January 2025
Center for Opioid Epidemiology and Policy, NYU Grossman School of Medicine, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, United States of America.
Background: Most patients in specialty drug treatment programs that are not federally licensed Opioid Treatment Programs (OTPs) programs do not receive medications for opioid use disorder (MOUD).
Methods: We linked results from a survey of non-OTP treatment program directors in New Jersey (n = 81) to statewide administrative records of admissions for opioid use to those programs between July 2021-June 2022. Using multi-level regression, we examined the association of three types of factors with planned MOUD use: program survey responses, client-level factors, and program-level client characteristic mix.
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