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| | | | | www.prisonpolicy.org | |
| | | | | During Black History Month, the twitter user @AltBJS presented 28 under-discussed facts about racial disparities in the justice system. I collected the sources. | |
| | | | | bjgpopen.org | |
| | | | | Background Adverse childhood experiences (ACEs) are linked to negative health outcomes in adulthood. Poor engagement with services may, in part, mediate the association between adverse outcomes and ACEs. While appointment recording is comprehensive, it is not yet known if or how ACEs are recorded in the GP clinical record (GPR). Aim To investigate recording of ACEs in the GPR and assess associations between available ACE-related Read codes and missed appointments. Design & setting Retrospective cohort study of 824?374 anonymised GPRs. Nationally representative sample of 136 Scottish general practices; data collected 2013-2016. Method Read codes were mapped onto ACE questionnaire and wider ACE-related domains. Natural language processing (NLP) was used to augment capture of non-Read-coded ACEs. Frequency counts and proportions of mapped codes, and associations of these with defined levels of missing GP appointments, are reported. Results In total, 0.4% of patients had a record of any code that mapped onto the ACE questionnaire, contrasting with survey-reported rates of 47% in population samples. This increased only modestly by including inferred ACEs that related to safeguarding children concerns, wider aspects of ACEs, and adult consequences of ACEs. Augmentation via NLP did not substantially increase capture. Despite poor recording, there was an association between ever having an ACE code recorded and higher rates of missing GP appointments. Conclusion General practices would require substantial support to implement the recording of ACEs in the GPR. This study adds to the evidence that patients who often miss appointments are more likely to be socially vulnerable. | |
| | | | | www.rainn.org | |
| | | | | The majority of perpetrators of sexual assault will not go to prison. | |
| | | | | www.seiu.org | |
| | | We are the Service Employees International Union (SEIU), a union of about 2 million diverse members in healthcare, the public sector and property services who believe in and fight for our Vision for a Just Society: where all workers are valued and all people respected-no matter where we come from or what color we are; where all families and communities can thrive; and where we leave a better and more equitable world for generations to come. | ||