This study represents the first attempt to directly compare two common methods of providing spouse abuse intervention, group treatment of couples, or gender-specific groups. Forty-nine couples were randomly assigned to one of the two treatments. Of these, data were available at posttest on only 42 couples because of attrition of the victimized spouses. A multiple analysis of covariance at posttest demonstrated that for the majority of abusers it did not matter which treatment was used. However, for those with a history of alcohol abuse, the couples approach was clearly superior. Analysis of victims' reports at a 6-month follow-up suggests that neither treatment approach was more effective in sustaining initial treatment gains over time. Finally, the issue of victim safety was addressed. Qualitative assessment of weekly reporting sheets suggests that women who received the couples group intervention were in no more danger than those receiving treatment in the gender-specific groups.

A community-based agency developed training for Cleveland Police Department Lieutenants and Supervisory Sergeants. This training adapted current methods used by the U.S. Army to deal with military combat stress. Police leaders were trained to recognize signs of operational stress in their line officers and provide “Leader Actions” to minimize long-term sequelae of operational stress, such as posttraumatic stress disorder, absenteeism, resignation, and misconduct. Laminated pocket cards were provided which summarized warning signs of operational stress, self-care and partner-care actions, and leader strategies to treat early signs of operational stress. Based on focus groups with police supervisors, an incentive system was developed and implemented to reward officers seeking help or assisting other officers in managing operational stress, which could change the culture of keeping silent about problems and remove the stigma attached to help seeking. Eighty-three police supervisors have been trained, with plans to provide further training to district (precinct) commanders.

Six months after September 11, 2001 (9/11), 124 New York City workers participated in a self-report study of symptoms of posttraumatic stress disorder (PTSD). Although direct exposure to the terrorist attacks of 9/11 was limited, estimates of the prevalence of current PTSD in this mostly ethnic minority population ranged from 7.8% to 21.2%, as measured by the PTSD Checklist (F. W. Weathers, B. T. Litz, D. S. Herman, J. A. Huska, & T. M. Keane, 1993). Consistent with the study hypotheses, direct exposure to the attacks of 9/11, worries about future terrorist attacks (threat appraisal), and reduced confidence in self after 9/11 each predicted symptoms of PTSD, even after controlling for symptoms of anxiety and depression. These results support the idea that a traumatic event's meaning is associated with PTSD symptoms. Gender was not a significant predictor of symptoms, once other demographic variables were controlled. Most respondents who met the criteria for current PTSD had not sought therapy or counseling.

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CME seems to positively influence physician reporting practices for CM cases, suggesting a need for universal training protocols.