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Rebuilding Trust in a Divided Community: An Integrated Approach
Get PDFMetropolitan cities face a myriad of social challenges, including increased crime, homelessness, and declining business vitality. These issues are interrelated, demanding solutions that are multifaceted and systemic. Solutions backstopped by law enforcement are needed to foster an environment conducive to business growth, job creation, and reducing homelessness. However, a widespread lack of trust in local law enforcement complicates addressing these challenges, highlighting the importance of community engagement and cooperation for effective policing and crime prevention. A comprehensive approach is necessary to address these social challenges. Integrating the stakeholder and sectors models with insights from literature focusing on community policing, economic development, and social services can provide solutions unique to city challenges. These models advocate for collaboration across society’s sectors—public, private, and civil—to achieve common objectives. Such an approach leads to a coordinated response, creating an interactive effect that significantly reduces crime, homelessness, and economic downturns, while building community trust. Key to this strategy is enhancing partnerships between law enforcement and communities, facilitating a collaborative relationship that allows for a deeper understanding of crime’s root causes and generating economic revitalization efforts. By adopting a holistic strategy that leverages the stakeholder and sectors models’ strengths, metropolitan cities can tackle the systemic nature of their challenges, fostering a safer, more inclusive, and prosperous urban environment, enhancing community resilience, and rebuilding trust in law enforcement
A systematic review of the effectiveness of family-based treatment with and without adjunctive treatment for children and adolescents with eating disorders
Get PDFFamily-based treatment (FBT) has been widely accepted as the first-line treatment for children and adolescents with restrictive eating disorders. While this treatment has been widely studied and accepted as best practice, most studies confirming its effectiveness focus on the treatment of anorexia nervosa (AN) and bulimia nervosa (BN). There have been many studies aimed at providing adjunctive treatment to enhance the effectiveness of this treatment, but these benefits have yet to be cumulatively studied. The primary objectives of this study were to 1) summarize the effectiveness of FBT for the wide range of eating disorders, 2) summarize the effectiveness of adjunctive treatments, 3) identify predictors, moderators, and mediators that impact treatment outcomes of FBT, and 4) identify what definitions of remission are being used in the literature. Fifty-two studies were examined and synthesized. Based on these studies, FBT continues to demonstrate effectiveness when used to treat eating disorders, not limited to AN and BN. However, the results varied depending on the outcome measure. Varying predictors, moderators, and mediators of treatment have been identified, such as patient, parent, and family characteristics, severity of eating disorders, specific FBT interventions, and therapeutic alliance, among others. Adjunctive treatments were aimed at either providing greater parental support or addressing the psychological distress of the patient. Participants rated these adjunctive treatments highly and they produced favorable preliminary outcomes. The most common definition of remission for AN was achieving ≥95% EBW and an EDE Global score within one standard deviation of the community sample norms
