Objectives: The Alcohol Use Disorders Identification Test (AUDIT) is used to assess the level of alcohol use/misuse and to inform the intensity of intervention delivered within screening, brief intervention, and referral to treatment (SBIRT) programs. Policy initiatives are recommending delivery of SBIRT within health care settings to reduce alcohol misuse and prevent alcohol-impaired driving. Recent reports are considering extending delivery of SBIRT to criminal justice settings. One consideration in implementing SBIRT delivery is the question of resource utilization; the amount of effort required in delivering the 4 different intensities of intervention in SBIRT: Alcohol education, simple advice, brief counseling and continued monitoring, and brief counseling and referral to specialist (from least to most intense in terms of delivery time, the skill level of the provider, and personnel resources).
Methods: In order to inform expectations about intervention intensity, this article describes the AUDIT scores from 982 adults recently arrested for alcohol-impaired driving. The distribution of scores is extrapolated to state rates for individuals arrested for alcohol-impaired driving by intervention level.
Results: Though alcohol education was the most common intervention category, about one quarter of the sample scored in a range corresponding with the more intensive interventions using the brief counseling, continued monitoring for ongoing alcohol use, and/or referral to specialist for diagnostic evaluation and treatment.
Conclusions: This article provides local distribution of AUDIT scores and state estimates for the number of individuals scoring in each level of risk (AUDIT risk zone) and corresponding intervention type. Routine criminal justice practice is well positioned to deliver alcohol screening, education, simple advice, and continued alcohol monitoring, making delivery of SBIRT feasible for the majority of alcohol-impaired drivers. Challenges to implementing the full range of SBIRT services include resource demands of brief counseling, identifying the appropriate providers within a criminal justice context, and availability of community providers for referral to diagnostic and specialty care. Solutions may vary by state due to differences in population density and incidence rates of alcohol-impaired driving. 相似文献
Habitat fragmentation is a primary driver of wildlife loss, and establishment of biological corridors is a common strategy to mitigate this problem. A flagship example is the Mesoamerican Biological Corridor (MBC), which aims to connect protected forest areas between Mexico and Panama to allow dispersal and gene flow of forest organisms. Because forests across Central America have continued to degrade, the functioning of the MBC has been questioned, but reliable estimates of species occurrence were unavailable. Large mammals are suitable indicators of forest functioning, so we assessed their conservation status across the Isthmus of Panama, the narrowest section of the MBC. We used large-scale camera-trap surveys and hierarchical multispecies occupancy models in a Bayesian framework to estimate the occupancy of 9 medium to large mammals and developed an occupancy-weighted connectivity metric to evaluate species-specific functional connectivity. White-lipped peccary (Tayassu pecari), jaguar (Panthera onca), giant anteater (Myrmecophaga tridactyla), white-tailed deer (Odocoileus virginianus), and tapir (Tapirus bairdii) had low expected occupancy along the MBC in Panama. Puma (Puma concolor), red brocket deer (Mazama temama), ocelot (Leopardus pardalis), and collared peccary (Pecari tajacu), which are more adaptable, had higher occupancy, even in areas with low forest cover near infrastructure. However, the majority of species were subject to ≥1 gap that was larger than their known dispersal distances, suggesting poor connectivity along the MBC in Panama. Based on our results, forests in Darien, Donoso–Santa Fe, and La Amistad International Park are critical for survival of large terrestrial mammals in Panama and 2 areas need restoration. 相似文献
For modeling spatial processes, we propose a rich parametric class of stationary range anisotropic covariance structures that, when applied in R2, greatly increases the scope of variogram contors. Geometric anisotropy, which provides the most common generalization of isotropy within stationarity, is a special case. Our class is built from monotonic isotropic correlation functions and special cases include the Matérn and the general exponential functions. As a result, our range anisotropic correlation specification can be attached to a second order stationary spatial process model, unlike ad hoc approaches to range anisotropy in the literature. We adopt a Bayesian perspective to obtain full inference and demonstrate how to fit the resulting model using sampling-based methods. In the presence of measurement error/microscale effect, we can obtain both the usual predictive as well as the noiseless predictive distribution. We analyze a data set of scallop catches under the general exponential range anisotropic model, withholding ten sites to compare the accuracy and precision of the standard and noiseless predictive distributions. 相似文献
Nonlinear state-space models have been increasingly applied to study population dynamics and data assimilation in environmental sciences. State-space models can account for process error and measurement error simultaneously to correct for the bias in the estimates of system state and model parameters. However, few studies have compared the performance of different nonlinear state-space models for reconstructing the state of population dynamics from noisy time series. This study compared the performance of the extended Kalman filter (EKF), unscented Kalman filter (UKF) and Bayesian nonlinear state-space models (BNSSM) through simulations. Synthetic population time series were generated using the theta logistic model with known parameters, and normally distributed process and measurement errors were introduced using the Monte Carlo simulations. At higher levels of nonlinearity, the UKF and BNSSM had lower root mean square error (RMSE) than the EKF. The BNSSM performed reliably across all levels of nonlinearity, whereas increased levels of nonlinearity resulted in higher RMSE of the EKF. The Metropolis–Hastings algorithm within the Gibbs algorithm was used to fit the theta logistic model to synthetic time series to estimate model parameters. The estimated posterior distribution of the parameter θ indicated that the 95% credible intervals included the true values of θ (=0.5 and 1.5), but did not include 1.0 and 0.0. Future studies need to incorporate the adaptive Metropolis algorithm to estimate unknown model parameters for broad applications of Bayesian nonlinear state-space models in ecological studies. 相似文献
In young-of-the-year perch (Perca fluviatilis), individuals within groups differed in the degree of boldness, estimated by habitat utilisation and feeding activity in visual contact with a potential predator. We looked at changes in individual behaviour in connection with change of group composition. During the first period, perch were randomly assigned to groups, and time spent in open habitat versus in vegetation and number of prey attacks were registered. The perch were then categorised into personality types (shy, bold, intermediate) according to their behaviour. During the second period, fish were observed when sorted into new groups, each containing only one personality type. Shy individuals showed the largest changes in behaviour, and increased both the time spent in the open and the number of prey attacks when placed into the new groups. Feeding activity in shy fish during the second period was affected by group composition during the first period. After regrouping, bold individuals decreased their time in the open, whereas intermediate individuals did not change behaviour. Time in the open habitat was, to some extent, influenced by the behaviour of the other members of the group, but number of prey attacks was not. The behaviour of fish of the different personality types we have defined in this study seemed to be based on innate traits, but also modified by the influence of other group members and by habituation to the environment.Communicated by J.Krause 相似文献
We present a strategy for using an empirical forest growth model to reduce uncertainty in predictions made with a physiological process-based forest ecosystem model. The uncertainty reduction is carried out via Bayesian melding, in which information from prior knowledge and a deterministic computer model is conditioned on a likelihood function. We used predictions from an empirical forest growth model G-HAT in place of field observations of aboveground net primary productivity (ANPP) in a deciduous temperate forest ecosystem. Using Bayesian melding, priors for the inputs of the process-based forest ecosystem PnET-II were propagated through the model, and likelihoods for the PnET-II output ANPP were calculated using the G-HAT predictions. Posterior distributions for ANPP and many PnET-II inputs obtained using the G-HAT predictions largely matched posteriors obtained using field data. Since empirical growth models are often more readily available than extensive field data sets, the method represents a potential gain in efficiency for reducing the uncertainty of process-based model predictions when reliable empirical models are available but high-quality data are not. 相似文献
Abstract: Active adaptive management balances the requirements of management with the need to learn about the system being managed, which leads to better decisions. It is difficult to judge the benefit of management actions that accelerate information gain, relative to the benefit of making the best management decision given what is known at the time. We present a first step in developing methods to optimize management decisions that incorporate both uncertainty and learning via adaptive management. We assumed a manager can allocate effort to discrete units (e.g., areas for revegetation or animals for reintroduction), the outcome can be measured as success or failure (e.g., the revegetation in an area is successful or the animal survives and breeds), and the manager has two possible management options from which to choose. We further assumed that there is an annual budget that may be allocated to one or both of the two options and that the manager must decide on the allocation. We used Bayesian updating of the probability of success of the two options and stochastic dynamic programming to determine the optimal strategy over a specified number of years. The costs, level of certainty about the success of the two options, and the timeframe of management all influenced the optimal allocation of the annual budget. In addition, the choice of management objective had a large influence on the optimal decision. In a case study of Merri Creek, Melbourne, Australia, we applied the approach to determining revegetation strategies. Our approach can be used to determine how best to manage ecological systems in the face of uncertainty. 相似文献