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Elder abuse or mistreatment (EM) — which includes psychological, physical, and sexual abuse; neglect; and financial exploitation of older adults — is a widespread problem that can have devastating consequences. People subjected to abuse or mistreatment are more likely to experience depression, cognitive decline, reduced quality of life, and premature mortality. Individuals experiencing EM often need a variety of interventions to restore health, recover from trauma, resolve or recoup financial losses, separate from their abusers, and relocate to new housing. This report presents an initial evaluation of the nation's first elder-specific shelter — the Harry and Jeanette Weinberg Center for Elder Justice, which is part of the Hebrew Home at Riverdale. Located in the Bronx, New York, the Hebrew Home is a nonprofit residential health care facility with 560 beds, part of a continuum of care community that provides a full spectrum of health care, home care, and housing on a nonsectarian basis. The authors seek to shed light on the Weinberg Center model, which aims to benefit the growing number of individuals experiencing EM and also may have wider societal benefits. Specifically, the authors describe the Weinberg Center's shelter model, examine some of the more important outcomes for Weinberg Center clients, and begin to quantify some of the costs and benefits, including potential cost savings, of the model for individuals experiencing EM, public payers, and society. However, it is important to note that this is an initial evaluation with a limited scope. A full evaluation would employ a rigorous experimental design.

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Traumatic brain injuries and psychological health problems such as posttraumatic stress disorder, depression, and substance use, often referred to as invisible wounds, are common among U.S. military veterans who served in the era after September 11, 2001. Although there are effective treatments for these conditions, it has been challenging to identify places that provide such care, as there has not been a shared definition of what makes care high quality. In a previous study, high-quality care for invisible wounds was defined as care that is veteran-centered, accessible, and evidence-based and that includes outcome monitoring. Identifying standards to operationalize this definition is essential for improving access to high-quality, effective care. In this report, the authors recommend ten standards for the delivery of high-quality care for invisible wounds and provide considerations for implementing and disseminating these standards. Adoption of these standards of care would allow veterans, veteran-serving organizations, and payers to identify high-quality care providers and distinguish between good and poor care. The standards also provide a road map for providers that fall short of the benchmark and might need to invest in training and other resources to improve quality and demonstrate their ability to provide the best possible care for veterans living with invisible wounds.

Veterans --- Brain --- Post-Traumatic Stress Disorder --- Depression, Mental --- Medical care --- Quality control --- Mental health services --- Wounds and injuries --- United States.

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The U.S. Department of Defense and the military services continues to prioritize the prevention of sexual assault. Innovative approaches to violence prevention can be part of the toolbox for commanders, leaders, and prevention professionals charged with ensuring a safe workplace for service members. The healthy relationship approach to sexual assault prevention is an innovative concept that aims to teach individuals the skills they need to create mutual and respectful relationships that leave no room for sexual assault. This guide aims to provide prevention teams and leaders with an overview of a healthy relationship approach to sexual assault prevention, why it could be an effective tool, and strategies for implementing a program as part of their prevention portfolio.

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In this report, part of the RAND Corporation's Gun Policy in America initiative, researchers seek objective information about what scientific literature reveals about the likely effects of various gun laws. In the third edition of this report, the authors incorporate more-recent research in their synthesis of the available scientific data regarding the effects of 18 state firearm policies on firearm deaths, violent crime, suicides, the gun industry, defensive gun use, and other outcomes. By highlighting where scientific evidence is accumulating, the authors hope to build consensus around a shared set of facts that have been established through a transparent, nonpartisan, and impartial review process. In so doing, they also illuminate areas in which more and better information could make important contributions to establishing fair and effective gun policies. Note: This report was updated in February 2023 to revise the federal definition of a misdemeanor crime of domestic violence and the description of domestic violence restraining orders. The report was updated in April 2023 to correct the strength of evidence table to indicate limited evidence that waiting periods decrease total suicides.

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Opioids play an outsized role in America's drug problems, but they also play a critically important role in medicine. Thus, they deserve special attention. Illegally manufactured opioids (such as fentanyl) are involved in a majority of U.S. drug overdoses, but the problems are broader and deeper than drug fatalities. Depending on the drugs involved, there can be myriad physical and mental health consequences associated with having a substance use disorder. And it is not just those using drugs who suffer. Substance use and related behaviors can significantly affect individuals' families, friends, employers, and wider communities. Efforts to address problems related to opioids are insufficient and sometimes contradictory. In this 600-page report, researchers provide a nuanced assessment of America's opioid ecosystem, highlighting how leveraging system interactions can reduce addiction, overdose, suffering, and other harms. At the core of the opioid ecosystem are the individuals who use opioids and their families. Researchers also include chapters on ten major components of the opioid ecosystem: substance use disorder treatment, harm reduction, medical care, the criminal legal system, illegal supply and supply control, first responders, the child welfare system, income support and homeless services, employment, and education. The primary audience for this book is policymakers, but it should also be useful for foundations looking for opportunities to create change that have often been overlooked. This report can help researchers better consider the full consequences of policy changes and help members of the media identify the dynamics of interactions that deserve more attention.

Opioid abuse --- Opioid abuse --- Drug abuse --- Medication abuse --- Opioid abuse --- Opioids --- Prevention. --- Social aspects --- Government policy --- United States