Effectiveness of intensive outpatient programming in private practice: integrating practice, outcomes, and business

The development of a model for treating acutely depressed patients on a frequent basis in an independent practice setting is described. Strategies to collaborate with managed care organizations, employee assistance programs, and local provider networks to recruit these patients are outlined. The patients treated in the intensive outpatient program described in this article were primarily depressed, were more acutely distressed than national and local inpatient samples, were often in suicidal crises, and had multiple comorbidities. Nonetheless, they demonstrated significant pre- and posttest improvements on a variety of client- and clinician-rated measures. A dose-response curve further illustrated that significant improvement in depressive symptoms was predictable. Private practitioners can expand their services through the development, implementation, delivery, management, and evaluation of mental health services that respond to market dynamics.     

The (Non)Impact of Differential Test Taker Engagement on Aggregated Scores

Disengaged test taking tends to be most prevalent with low-stakes tests. This has led to questions about the validity of aggregated scores from large-scale international assessments such as PISA and TIMSS, as previous research has found a meaningful correlation between the mean engagement and mean performance of countries. The current study, using data from the computer-based version of the PISA-Based Test for Schools, examined the distortive effects of differential engagement on aggregated school-level scores. The results showed that, although there was considerable differential engagement among schools, the school means were highly stable due to two factors. First, any distortive effects of disengagement in a school were diluted by a high proportion of the students exhibiting no non-effortful behavior. Second, and most interestingly, disengagement produced both positive and negative distortion of individual student scores, which tended to cancel out much of the net distortive effect on the school’s mean.     

What US judges know and believe about eyewitness testimony

In a survey, 160 US judges indicated their knowledge and beliefs about eyewitness testimony. Although correct on some issues, judges were often wrong on important issues such as whether at trial eyewitness confidence is a good indicator of eyewitness accuracy, and if jurors can distinguish accurate from inaccurate witnesses. Increased knowledge was associated with: a willingness to permit legal safeguards, including expert testimony at trial; a belief that jurors have limited knowledge of eyewitness factors; a reluctance to convict defendants solely from eyewitness testimony; a more accurate estimate of the extent to which wrongful convictions result from eyewitness error; and a belief that judges need more eyewitness training. Additional training about factors and procedures that affect eyewitness accuracy may help judges reduce the number of wrongful convictions. Copyright © 2004 John Wiley & Sons, Ltd.