26 research outputs found

    Mindfulness-based interventions for young offenders: a scoping review

    Get PDF
    Youth offending is a problem worldwide. Young people in the criminal justice system have frequently experienced adverse childhood circumstances, mental health problems, difficulties regulating emotions and poor quality of life. Mindfulness-based interventions can help people manage problems resulting from these experiences, but their usefulness for youth offending populations is not clear. This review evaluated existing evidence for mindfulness-based interventions among such populations. To be included, each study used an intervention with at least one of the three core components of mindfulness-based stress reduction (breath awareness, body awareness, mindful movement) that was delivered to young people in prison or community rehabilitation programs. No restrictions were placed on methods used. Thirteen studies were included: three randomized controlled trials, one controlled trial, three pre-post study designs, three mixed-methods approaches and three qualitative studies. Pooled numbers (n = 842) comprised 99% males aged between 14 and 23. Interventions varied so it was not possible to identify an optimal approach in terms of content, dose or intensity. Studies found some improvement in various measures of mental health, self-regulation, problematic behaviour, substance use, quality of life and criminal propensity. In those studies measuring mindfulness, changes did not reach statistical significance. Qualitative studies reported participants feeling less stressed, better able to concentrate, manage emotions and behaviour, improved social skills and that the interventions were acceptable. Generally low study quality limits the generalizability of these findings. Greater clarity on intervention components and robust mixed-methods evaluation would improve clarity of reporting and better guide future youth offending prevention programs

    Anti-trypanosomatid drug discovery:an ongoing challenge and a continuing need

    Get PDF

    The role of stocking constraints on the cost-effectiveness of vaccination against foot and mouth disease: the case of Scotland

    No full text
    Purpose In developed country settings, a crucial debate has revolved around the merits of stamping out versus vaccination strategies to control foot-and-mouth disease (FMD), particularly given the tradeoffs associated with the loss of export markets under the latter. However, an overlooked issue concerns the logistics of a vaccination policy itself. For instance, in case of a large outbreak, it remains an open question as to whether sufficient vaccine stocks and delivery capacity for such stocks could be mobilized adequately to cost-effectively arrest the spread of disease. If delays in vaccine delivery are large, it is possible that the effects of these delays could not only undermine the success of a vaccination campaign but also impose significant costs on scarce veterinary resources. Methods In this paper, we analyze the potential impact of vaccination constraints on simulated outbreaks of FMD in Scotland. We use an epidemiological simulation model to consider different scenarios of capacity constraints and their effects on disease evolution and direct costs. Based on an initial seeding of five infected premises in a high risk area for disease spread, we examine the distribution of cases and costs associated with various capacity and restocking scenarios. Results When initial stocks are small (e.g. 100,000 doses), large restocking delays are of particular importance. While there was little difference in average costs whether restocking occurred 14 or 28 days after order, delays of 56 days and higher rapidly increased the direct costs of control. These delays in restocking nearly doubled the average days of disease duration, causing sharp losses associated with export bans in particular. Conclusion While maintaining high initial levels of stocks reduced the cost associated with an outbreak relative to no vaccination, one needs to consider the opportunity cost with maintaining large vaccine inventories. Relevance An important implication of the analysis concerns the tradeoffs between the optimal level of vaccine stocks pre-outbreak and the ability to obtain more during an outbreak, as well as the viability of a vaccination policy itself
    corecore