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Each year, substance abuse treatment programs in the United States record approximately 150,000 admissions of youths under the age of 18. Nevertheless, little is known about the effectiveness of the types of community-based services typically available to youths and their families. Researchers interviewed youths treated in 10 adolescent programs that had been identified as having suggestive evidence of effectiveness, in order to learn whether they had better outcomes a year after treatment admission than they would have had at other facilities. The study failed to find strong and persuasive evidence of greater treatment effectiveness at the facilities studied. Relative effectiveness may be difficult to measure because facilities serve different populations, because the study examined relative rather than absolute treatment effects, or because large and significant treatment effects might exist for each evaluated treatment program but might be no longer detectable a year after admission. However, there were consistently small positive effects for direct measures of substance use.
Youth --- Substance abuse --- Substance use --- Treatment --- Prevention.
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Much of the focus of research on sexual assault in the military has been on the risk faced by women. However, in civilian populations, individuals who identify as lesbian, gay, and bisexual (LGB) are known to be at especially high risk for sexual assault. In this report, RAND researchers examine evidence from the 2016 and 2018 Workplace and Gender Relations Survey of Active Duty Members (WGRA) survey to estimate the proportion of military sexual assaults that are against LGB service members and others who do not describe themselves as identifying as heterosexual. They find that assaults on the minority of service members who do not describe themselves as heterosexual constitute almost half of the military's sexual assault numbers. The authors discuss sexual assault risks for these individuals and recommend modifying prevention programs to better address a large and previously unquantified proportion of all military sexual assaults.
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Sexual harassment in the military --- Rape in the military --- Military rape --- Soldier rape --- Armed Forces
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Sexual harassment in the military --- Rape in the military --- Military rape --- Soldier rape --- Armed Forces
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Sexual harassment in the military --- Rape in the military --- Military rape --- Soldier rape --- Armed Forces
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Research on gun policy topics has often been controversial, partly because different researchers studying the same questions—and typically using the same or similar data sets—have often reported contradictory findings, which leads to confusion about the merits of the policy being studied. One potential explanation is that different researchers may be using methods that are more or less appropriate to the gun policy topics they are investigating. In this report, part of the RAND Gun Policy in America initiative, the authors discuss four common methodological problems that they observed in the literature evaluating gun policies and offer suggestions for how future research on gun policies could be improved. In presenting these ideas, the authors hope to improve awareness of some of the weaknesses with commonly used methods for estimating gun policy effects, stimulate debate about how best to address some of these limitations, and encourage reviewers of research to advocate for stronger methods prior to accepting papers for publication.
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The effects of firearm policies, though frequently debated, have historically received less-rigorous scientific evaluation than have the effects of other policies affecting public safety, health, and recreation. Despite improvements in recent years, there is still limited evidence of how some gun policies that are frequently proposed or enacted in the United States are likely to affect important outcomes (such as firearm homicides, property crime, and the right to bear arms). In areas without strong scientific evidence, policymakers and the public rely heavily on what policy advocates or social scientists believe the effects are most likely to be. In this report, part of the RAND Gun Policy in America initiative, RAND researchers describe the combined results from two fieldings (2016 and 2020) of a survey of gun policy experts. Respondents were asked to estimate the likely effects of 19 gun policies on ten outcomes. The researchers use these and other responses to establish the diversity of beliefs among gun policy experts, assess where experts are in more or less agreement on the effects of gun laws, and evaluate whether differences in the policies favored by experts result from differences in experts' assumptions about the policies' effects or differences in experts' policy objectives. The analysis suggests that experts on different sides of the gun policy debate share some objectives but disagree on which policies will achieve those objectives. Therefore, collecting stronger evidence about the true effects of policies is, the researchers believe, a necessary step toward building greater consensus on which policies to pursue.
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Populations affected by psychological distress are at risk of adverse career outcomes. The authors use data from the 2014 RAND Military Workplace Study and administrative personnel records of 17,502 U.S. military service members from 2014 to 2016 to evaluate the relationship between self-reported symptoms of depression and posttraumatic stress disorder (PTSD) in the U.S. military and subsequent service member separation rates. The authors find that self-reported symptoms of depression and PTSD were significantly associated with the odds of service member separation from the U.S. military. The odds that service members with symptoms suggestive of depressive disorders would separate from the military within the next 28 months were 2.62 times greater than the odds of service members with no symptoms of depression (95-percent confidence interval [CI] = 2.12, 3.22). Also, the odds that service members who reported symptoms of PTSD would separate from the military were 2.14 times greater than the odds of service members with no such symptoms (CI = 1.82, 2.51). The study's findings suggest that depression and PTSD symptoms, including subclinical symptoms, are related to subsequent separation from the military. Addressing mental-health needs could reduce negative employment outcomes that are costly for both the military and individual service members.
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The effects of firearm policies have rarely been the subject of rigorous scientific evaluation in comparison with most other policies with similarly consequential effects on public safety, health, and the economy. Without strong scientific evidence of the effects of laws, policymakers and the public rely heavily on the expert judgments of advocates or social scientists. This makes gun policy experts' estimates of the true effects of policies an important influence on gun policy debates and decisions. In this report, RAND researchers describe the results of a survey in which gun policy experts estimated the likely effects of 15 gun-related policies on 12 societal outcomes. The researchers use these and other responses to establish the diversity of beliefs among gun policy experts about the true effects of gun laws, establish where experts are in more or less agreement on those effects, and evaluate whether differences in the policies favored by experts result from disagreements about the policies' true effects or disagreements in experts' policy objectives or values. The analysis suggests that experts on both sides of the gun policy debate share some objectives but disagree on which policies will achieve those objectives. Therefore, collecting more and stronger evidence about the true effects of policies is, the researchers believe, a necessary step toward building greater consensus.
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In 2014, RAND developed a new version of the survey used by the U.S. Department of Defense (DoD) to estimate the prevalence of sexual assault and sexual harassment. More than 115,000 active-component members completed that survey in the summer of 2014. Subsequently, the Sexual Assault Prevention and Response Office in the Office of the Secretary of Defense asked RAND whether a short version of the sexual harassment measure in the new survey could be developed for use in the Organizational Climate Surveys fielded by the Defense Equal Opportunity Management Institute. Whereas the sexual harassment instrument in the survey RAND developed required up to 52 questions to establish whether a service member experienced sexual harassment as defined in DoD regulations, in this short report the authors document a five-question measure that reliably predicts scores on the longer instrument. The five-item sexual harassment survey seems to be appropriate for use in military organizational climate surveys. The current report documents the suggested scoring of the short form instrument and demonstrates the close association between the short and full instruments when used to assess sexual harassment at either the individual or organizational level.
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