PubMed · 10278244
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K S Sheldon. 1984. Exploring new developments in computerized fund raising.. https://pubmed.ncbi.nlm.nih.gov/10278244/
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The two goals of this technology transfer study were to: (1) increase the number and appropriateness of services received by substance abuse patients, and thereby (2) give clinical meaning and value to research-based assessment information. A software-based Resource Guide was developed to allow counselors to easily identify local resources for referral of their patients to additional clinical and social services. Two hours of training were provided on the use of the guide. It was hoped that this software and training would provide the counselors with a concrete method of linking the Addiction Severity Index (ASI) assessment information on patient problems to appropriate, available community services. We expected improved treatment planning, increased problem services matching, better patient-counselor rapport/satisfaction and better patient-performance during treatment. Data were analyzed from 131 patients of 33 counselors from 9 treatment programs, randomly assigned to 2 groups--Standard Assessment (SA) or Enhanced Assessment (EA). Patients of counselors in the EA group (1) had treatment plans that were better matched to their needs, (2) received significantly more and better-matched services than patients in the SA group, and (3) were less likely to leave treatment against medical advice and more likely to complete the full course of treatment than patients of counselors in the SA group. They did not have higher levels of patient satisfaction or helping alliance scores. These findings are discussed with regard to integrating empirically supported procedures into contemporary, community-based substance abuse treatment.
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A leaching method similar to the toxicity characteristic leaching procedure (TCLP) was designed and evaluated for testing of bulky wastes, such as discarded electronic devices. The objective was to meet the intent of the TCLP (same leaching solution, liquid-to-solid ratio and same leaching time) but to allow more representative and rapid testing. The procedure was evaluated by examining lead leaching from computer CPUs as a test case; disassembled CPUs were leached in their entirety (or close to entirety) in a large vessel using a drum rotator. The difference in rotation speed between the large-scale test and the TCLP was found to have no statistical impact on lead leaching. The lack of size reduction resulted in less reducing conditions than the standard TCLP (because of increased iron and zinc leaching), and this resulted in greater lead leaching. For electronic wastes with large amounts of steel, the large-scale procedure provides a more conservative estimate of TCLP lead leaching. The large-scale procedure greatly reduces sample processing effort but does increase the cost of analysis. Evaluation of this approach by the regulatory community is important as the CPUs tested here tended to leach lead at greater than the toxicity characteristic (TC) limit (5 mg/L) using the large-scale test, but less than the TC limit using the standard TCLP.