Emergency department (ED)-based peer support programs aimed at linking persons with opioid use disorder (OUD) to medication for addiction treatment and other recovery services are a promising approach to addressing the opioid crisis. This brief report draws on experiences from three states' experience with such programs funded by the SAMHSA Opioid State Targeted Repose (STR) grants. Core functions of such programs include: Integration of peer supports in EDs; Alerting peers of eligible patients and making the patient aware of peer services; and connecting patients with recovery services. Qualitative data were analyzed using a general inductive approach conducted in 3 steps in order to identify forms utilized to fulfill these functions. Peer integration differed in terms of peer's physical location and who hired and supervised peers. Peers often depend on ED staff to alert them to potential patients while people other than the peers often first introduce potential patients to programming. Programs generally schedule initial appointments for recovery services for patients, but some programs provide a range of other services aimed at supporting participation in recovery services. Future effectiveness evaluations of ED-based peer support programs for OUD should consistently report on forms used to fulfill core functions.
Part 1: ConferenceInternational audienceThe relevance of enabling mobile access to business enterprise information systems for experts working in the field has grown significantly in the last years due to the increasing availability of smartphones; the shipment of smartphones exceeded that of personal computers in 2011. However, the screen sizes and display resolutions of different devices vary to a large degree, along with different aspect ratios and the complexity of mobile tasks. These obstacles are a major challenge for software developers, especially when they try to reach the largest possible audience and develop for multiple mobile platforms or device types. On the other side, the end users’ expectations regarding the usability of the applications are increasing. Consequently, for a successful mobile application the user interface needs to be well-designed, thus justifying research to overcome these obstacles. In this paper, we report on experiences during an industrial project on building user interfaces for database access to a business enterprise information system for professionals in the field. We discuss our systematic analysis of standards and conventions for design of user interfaces for various mobile platforms, as well as scaling methods operational on different physical screen sizes. The interoperability of different systems, including HTML5, Java and .NET is also within the focus of this work
Research on sense of community (SOC) has traditionally been approached from a resource perspective. Recently, however, research on the experience of SOC has evolved to include a related but distinct construct of sense of community responsibility (SOC-R), or feelings of accountability for the well-being of a community. This study applied item response theory to examine the psychometric properties of a SOC-R scale used in an evaluation of community-based substance abuse prevention coalitions. Data were collected in 2017 from coalition members (analytic sample = 309) in the northeastern United States. Findings indicate that the scale was reliable, unidimensional, and functioned well, particularly at low and moderate levels of the construct. The addition of two items intended to capture higher levels of the construct improved the scale's functioning at higher levels of SOC-R. The adapted SOC-R scale was also shown to have moderately strong relationships with conceptually relevant variables, including SOC, coalition participation, number of roles performed in the coalition, and engagement in community action activities. These findings provide empirical evidence to support the reliability and validity of the SOC-R scale, and have critical implications for our conceptualization of the SOC construct, its measurement, and for the evaluation of community-based prevention interventions.
Objective: Further nuance is required in our efforts to understand how we conceptualize bystander intervention. The purpose of this article is to use person-centered analysis to develop classes of students' intentions to intervene in high-risk and postassault situations, and to determine whether membership in classes is associated with the amount of sexual violence prevention education received. Method: Latent class analysis was performed with a sample of 7,146 undergraduate student survey responses to determine patterns and subgroups of bystander intentions to intervene. Latent class was then used as the dependent variable in a multinomial logistic regression model with gender, previous education, awareness of resources, level of exposure to messages about sexual violence, and social desirability as independent variables. Results: We found that a model with five classes best fit the data. The five classes were always interveners, never interveners, female-focused interveners, authority interveners, and friend-only interveners. Multinomial logistic regression analyses demonstrated that previous education, exposure to messages about sexual violence, awareness of resources, and gender are related to membership in the five latent classes. For example, respondents in the never intervener class reported less exposure to education and information about sexual violence on campus than all other groups, and they were more likely to be male. Conclusions: The findings suggest that intervening is not an "all-ornothing" prospect and that students likely view various intervention situations differently and are influenced by gender and previous education. Bystander prevention programs need to move toward addressing the variability of potential intervention situations.
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