Nashville, TN, United States
Nashville, TN, United States

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Leary A.D.,Office of Policy and Planning | Schwartz M.D.,Centers for Disease Control and Prevention | Kirk M.A.,Health-U | Ignacio J.S.,Health-U | And 2 more authors.
Disaster Medicine and Public Health Preparedness | Year: 2014

Decontaminating patients who have been exposed to hazardous chemicals can directly benefit the patients' health by saving lives and reducing the severity of toxicity. While the importance of decontaminating patients to prevent the spread of contamination has long been recognized, its role in improving patient health outcomes has not been as widely appreciated. Acute chemical toxicity may manifest rapidly - often minutes to hours after exposure. Patient decontamination and emergency medical treatment must be initiated as early as possible to terminate further exposure and treat the effects of the dose already absorbed. In a mass exposure chemical incident, responders and receivers are faced with the challenges of determining the type of care that each patient needs (including medical treatment, decontamination, and behavioral health support), providing that care within the effective window of time, and protecting themselves from harm. The US Department of Health and Human Services and Department of Homeland Security have led the development of national planning guidance for mass patient decontamination in a chemical incident to help local communities meet these multiple, time-sensitive health demands. This report summarizes the science on which the guidance is based and the principles that form the core of the updated approach. Copyright © Society for Disaster Medicine and Public Health, Inc. 2014.


Wolff N.,Rutgers University | Frueh C.,University of Hawaii at Hilo | Shi J.,Rutgers University | Gerardi D.,Office of Policy and Planning | And 2 more authors.
Psychiatric Services | Year: 2011

Objectives: This study examined the traumatic and stressful event exposure history and psychiatric health characteristics of soon-to-be released female inmates who self-referred to specialty post-traumatic stress disorder (PTSD) treatment. Methods: The final sample (N=209) included female prison inmates aged 18 or older who were assessed for trauma exposure and axis I disorders with standardized clinical instruments. Results: The rate of serious mental disorders was high. Presence of psychiatric disorders was significantly associated with a history of traumatic event exposure and full or subthreshold PTSD, and high rates of overall traumatic event exposure (88%) and childhood sexual or physical trauma (74%). Descriptive profiles of specific lifetime traumatic and stressful events were associated with psychiatric disorders. Conclusions: Findings suggest strong behavioral effects associated with lifetime traumatic and stressful event histories and indicate major psychiatric health care needs among female prison inmates that are likely unmet by existing services.


Wolff N.,Rutgers University | Vazquez R.,Rutgers University | Frueh B.C.,University of Hawaii at Hilo | Shi J.,Rutgers University | And 2 more authors.
Psychological Injury and Law | Year: 2010

At least half of the women inside prison have mental health problems, have experienced physical, sexual, or emotional abuse during their formative years and often in adulthood, and have addiction problems. Only a minority of these women receive treatment for their behavioral health problems associated with trauma while incarcerated, even though these problems are risk factors for returning to prison after release. This study focuses on the traumatic experiences and behavioral health problems of a group of female inmates who volunteered in August 2009, to be screened for admission into an integrated trauma-reentry program implemented at an adult female correctional facility. Of the 278 women who self-referred for screening, 196 preliminarily met the time eligibility criterion of residing at the prison for eight to 24 more months. Half of these women (n = 97) were actually time-eligible for screening and agreed to be screened. Of this sample of treatment-seeking soon-to-be-released female prisoners, the vast majority (93%) reported significant and complex histories of traumatic event exposure and high rates of either posttraumatic stress disorder (PTSD) or sub-threshold PTSD, past alcohol and other substance abuse or dependence, other axis I psychiatric disorders, and subjective distress. Identifying trauma exposure histories and associated behavioral health problems within this population and providing effective interventions holds potential promise for preparing incarcerated women to manage their post-release lives in ways that will keep them safe, healthy, and in the community. © 2010 Springer Science + Business Media, LLC.


Levenson J.,Lynn University | Letourneau E.,University of South Carolina | Armstrong K.,University of South Carolina | Zgoba K.M.,Office of Policy and Planning
Justice Quarterly | Year: 2010

The purpose of this study is to investigate the relationship between failure to register (FTR) as a sex offender and subsequent recidivism (N = 2,970). No significant differences were found between the sexual recidivism rates of those who failed to register and compliant registrants (11% vs. 9%, respectively). There was no significant difference in the proportion of sexual recidivists and nonrecidivists with registration violations (12% vs. 10%, respectively). FTR did not predict sexual recidivism, and survival analyses revealed no significant difference in time to recidivism when comparing those who failed to register (2.9 years) with compliant registrants (2.8 years). Results fail to support the supposition that sexual offenders who fail to register are more sexually dangerous than those who comply with registration requirements. The punitive emphasis on registration enforcement may not be justified and might divert limited resources away from strategies that would better facilitate public protection from sexual violence. © 2010 Academy of Criminal Justice Sciences.


Brooks K.A.,Office of Policy and Planning | Pettigrew T.,W.R.S. Tennessee Tower
Sustainability (Switzerland) | Year: 2015

The Tennessee Department of Environment and Conservation (TDEC) completed a pilot project within its Central Office spaces to test the utilization of computer power management (CPM) technologies to implement power saving settings on state-owned, network-connected computer equipment. Currently, the State of Tennessee has no clear protocol regarding energy-conserving power settings on state-owned machines. Activation of monitor sleep modes and system standby and hibernation modes on 615 Central Office computers over an 18-month period reduced energy consumption by an estimated 8093 kWh and $526 per month, amounting to approximately $6312 in cost savings for Tennessee annually. If implemented throughout State of Tennessee executive agencies across the state, energy cost savings could amount to an estimated $323,341 annually. The research endeavored to understand both positive and negative impacts that strategic power management approaches can have on energy consumption, worker productivity, network security, and state budgets. Nearly all impacts discussed were positive. Based on successful results within TDEC Central Office spaces in Tennessee Tower, and considering the potential cost savings that could be achieved, expansion of the implementation of computer power management policies to machines in offices across the state was recommended. © 2015 by the authors.


Ostermann M.,Office of Policy and Planning
Crime and Delinquency | Year: 2011

This study addresses the phenomenon of inmates voluntarily forgoing parole supervision and opting to remain in prison until the maximum expiration of their sentence. The research was conducted to inform public policy makers about the potential repercussions of this decision-making process and to help guide future policy and legislative proposals that would target this group of inmates. Bivariate and multivariate analyses are used to explore characteristics of this population with regard to postrelease recidivism and prerelease indicators of recidivism. A 2005 group of voluntary max outs are contrasted with those who are forced to max out due to continual parole denial as well as those who are released to parole supervision. All offenders were released in the state of New Jersey. Although several between-group differences were apparent between both max out groups and the parole group at a bivariate level, differences between the two max out groups were far less pronounced. Multivariate Cox regression models indicated that, after controlling for pertinent predictor variables, the likelihood of experiencing a new arrest and/or incarceration after release did not significantly differ according to group membership. Findings suggest that parole boards that make decisions in discretionary release systems should more closely analyze the release opportunities that already present themselves to their agencies but are not capitalized on. Because those who are forced to max through continual denial of parole demonstrated such similar prerelease characteristics to the voluntary max out group, it is unlikely that many who would have otherwise voluntarily maxed their sentence would be paroled if the ability to make this decision were taken away. © The Author(s) 2011.

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