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Accountability to authors and readers cannot exist without proper peer review practices. Thus, the information a journal seeks from its peer reviewers and how it makes use of this information is paramount. Disagreement amongst peer reviewers can be considerable, resulting in very diverse comments to authors. Incorporating a clear scoring system for key concrete items and requiring referees to provide justification for scores may ensure that reviewers contribute in a consistently fair and effective manner. This article evaluates information collected from reviewers and proposes an example of a system that aims to improve accountability, while having the potential to make it easier for reviewers to perform a more objective review.  相似文献   
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The current older adult population is more likely to need and seek treatment for alcohol and drug abuse than previous cohorts of older adults, which necessitates the need for age-appropriate substance use treatment. Building on previous research that examined the lack of attention on substance use among older adults, this study examines articles addressing substance use disorders among older adults in leading gerontological and substance abuse journals and federal funding between 2011 and 2017. Publications were identified from ten leading gerontological and ten leading substance abuse journals using Medical Subject Heading (MeSH) terms. During this time-period, there were 68 and 44 articles published in gerontology and substance abuse journals respectively related to substance use disorders in older adults. Most (59.8%) addressed alcohol abuse and 7% involved intervention studies. In the 7-year period, there were 13 federal grants. A paucity of published or funded work exists in this area despite growing misuse and treatment seeking among older adults with substance use disorders. Effectively addressing substance abuse in older adults will require a coordinated effort between researchers and practitioners to establish and implement best practices for practitioners to rely on when working with substance abusing older adults.  相似文献   
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While it is not possible to assert that all family treatment follows a universal and sequential pattern, commonalities can be ascertained which can help the therapist maintain objectivity and provide direction for himself and the family. Four major stages are outlined, each with several substages: 1) the preparation stage—mutual acceptance, definition of the problem, formulation of goals; 2) the transition stage—beginning actualization, crisis, reformulation and acceptance; 3) the consolidation stage—investment in the therapeutic work, working through alternatives; 4) the terminal stage—introduction to termination, defining the duration and format of the ending. Universal issues are identified, tasks for the therapist are outlined and common problems are described.  相似文献   
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