Responding to Adolescent Violence in the Home – A Community Mental Health Approach

Family violence perpetrated by adults is increasingly understood as a health issue, and we argue that this pertains even more strongly to violence by adolescents. The co-dependence of the parent–child bond, lack of maturity in the adolescent, and often related issues of disability or mental illness make these young people both complex and also vulnerable. This research paper reviews the current literature relating to adolescent violence in the home, identifies known best practice, and evaluates the importance of taking a family-focused, therapeutic approach to adolescent family violence, in place of a punitive one. It describes the use of a co-design workshop to unpack gaps in service provision and develop a potential family focused model of care to address the needs both of young people who use violence, and their families. The findings indicate that an inclusive family approach is a key element in addressing adolescent violence in the home across a spectrum of behaviours and mental health care needs. The use of a coordinated, family-inclusive response through mental health care services is recommended to address the complexity of this issue, as well as to provide support both to adolescents and to their families and carers.     

A comparison study on modeling of clustered and overdispersed count data for multiple comparisons

Data collected in various scientific fields are count data. One way to analyze such data is to compare the individual levels of the factor treatment using multiple comparisons. However, the measured individuals are often clustered – e.g. according to litter or rearing. This must be considered when estimating the parameters by a repeated measurement model. In addition, ignoring the overdispersion to which count data is prone leads to an increase of the type one error rate. We carry out simulation studies using several different data settings and compare different multiple contrast tests with parameter estimates from generalized estimation equations and generalized linear mixed models in order to observe coverage and rejection probabilities. We generate overdispersed, clustered count data in small samples as can be observed in many biological settings. We have found that the generalized estimation equations outperform generalized linear mixed models if the variance-sandwich estimator is correctly specified. Furthermore, generalized linear mixed models show problems with the convergence rate under certain data settings, but there are model implementations with lower implications exists. Finally, we use an example of genetic data to demonstrate the application of the multiple contrast test and the problems of ignoring strong overdispersion.     

Robust inference for estimating equations with nonignorably missing data based on SIR algorithm

Nonresponse is a very common phenomenon in survey sampling. Nonignorable nonresponse – that is, a response mechanism that depends on the values of the variable having nonresponse – is the most difficult type of nonresponse to handle. This article develops a robust estimation approach to estimating equations (EEs) by incorporating the modelling of nonignorably missing data, the generalized method of moments (GMM) method and the imputation of EEs via the observed data rather than the imputed missing values when some responses are subject to nonignorably missingness. Based on a particular semiparametric logistic model for nonignorable missing response, this paper proposes the modified EEs to calculate the conditional expectation under nonignorably missing data. We can apply the GMM to infer the parameters. The advantage of our method is that it replaces the non-parametric kernel-smoothing with a parametric sampling importance resampling (SIR) procedure to avoid nonparametric kernel-smoothing problems with high dimensional covariates. The proposed method is shown to be more robust than some current approaches by the simulations.     

Diagnostics of multiple group influential observations for logistic regression models

In this paper, two new multiple influential observation detection methods, GCD.GSPR and mCD*, are introduced for logistic regression. The proposed diagnostic measures are compared with the generalized difference in fits (GDFFITS) and the generalized squared difference in beta (GSDFBETA), which are multiple influential diagnostics. The simulation study is conducted with one, two and five independent variable logistic regression models. The performance of the diagnostic measures is examined for a single contaminated independent variable for each model and in the case where all the independent variables are contaminated with certain contamination rates and intensity. In addition, the performance of the diagnostic measures is compared in terms of the correct identification rate and swamping rate via a frequently referred to data set in the literature.     

The exponentiated power exponential regression model with different regression structures: application in nursing data

We define the exponentiated power exponential distribution and propose a regression model with different systematic structures based on the new distribution. We show that the new regression model can be applied to dispersion data since it represents a parametric family of models that includes as sub-models some widely-known regression models. It then can be used more effectively in the analysis of real data. We use maximum likelihood estimation and derive the appropriate matrices for assessing local influence on the parameter estimates under different perturbation schemes. Some global-influence measurements are also investigated and simulation studies are performed to evaluate the accuracy of the estimates. We provide an application of the regression model with four systematic structures to nursing activities score data in the Unit of the Medical Clinic of University of São Paulo (USP) Hospital.