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Hc 705 Managing And Replacing The Aspire Project
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Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081137 Total Pages :24 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 705 - Managing and Replacing the Aspire Project by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 705 - Managing and Replacing the Aspire Project written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most of HM Revenue and Customs' (HMRC's) major tax collection systems are provided under one contract, the Aspire contract. While this has provided stability over the last ten years HMRC has not managed the costs of the contract well. It has cost some £7.9 billion over this period and generated profits for the suppliers of some £1.2 billion. When the current contract ends in 2017 HMRC intends, in accordance with government IT procurement policy, to move from the current single contract to a new model with many short-duration contracts with multiple suppliers. However, HMRC has made little progress in defining its needs and has still not presented a business case to government. Once funding is agreed, it will have only two years to recruit the skills and procure the services it will need. Moreover, HMRC's record in managing the Aspire contract and other IT contractors gives the Committee little confidence that HMRC can successfully achieve this transition or that it can manage the proposed model effectively to maximise value for money. HMRC also demonstrates little appreciation of the scale of the challenge it faces or the substantial risks to tax collection if the transition fails. Failure to collect taxes efficiently would create havoc with the public finances.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215085582 Total Pages :21 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 892 - The Effective Management of Tax Reliefs by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 892 - The Effective Management of Tax Reliefs written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tax and tax reliefs are plainly different and require different accountability arrangements. Put simply tax is where you get money in through taxation and a tax relief is where you make a conscious decision to forgo that income. Some reliefs are structural parts of the system to ensure a more progressive system or avoid double taxation. But other reliefs, costing some £100 billion a year, are designed to deliver a policy objective that could be met instead through spending programmes. HM Treasury and HM Revenue and Customs (HMRC) do not keep track of those tax reliefs intended to influence behaviour. They do not adequately report to Parliament or the public on whether reliefs are working as intended and what they cost and whether they represent good value for money. While HMRC is accountable for implementing and monitoring all tax reliefs, its statements about the extent of its responsibilities are inconsistent with its actual practices. HMRC accepts it has a role to assess, evaluate and monitor reliefs, but is unable or unwilling to define or to categorise reliefs by their purpose. While HMRC accepts the need for reporting the costs of tax reliefs, it does not see the merit in assessing the economy, efficiency and effectiveness of reliefs, or considering their cost effectiveness alongside that of alternative policy instruments such as spending programmes. HMRC does not generally assess the effectiveness of reliefs with specific objectives although in a few instances it does consider their impact on taxpayer behaviour. HMRC's failure to articulate a set of principles to guide its management and reporting of tax reliefs is a serious omission which it now needs to rectify.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215085647 Total Pages :25 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 973 - Care Services for People with Learning Disabilities and Challenging Behaviour by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 973 - Care Services for People with Learning Disabilities and Challenging Behaviour written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Winterbourne View scandal in 2011 exposed the horrific abuse of people with learning difficulties and challenging behaviour in a private mental health hospital. Concerns were also raised about a number of other institutions. As a result, the Government committed to discharging those individuals for whom it was appropriate back into their homes and communities. However, since then, too many children and adults have continued to go into mental health hospitals, and to stay there unnecessarily, because of the lack of community alternatives. The number of people with learning disabilities remaining in hospital has not fallen, and has remained broadly the same at around 3,200. It was refreshing that NHS England took responsibility for this lack of progress and has now committed to develop a closure programme for large NHS mental health hospitals, along with a transition plan for the people with learning disabilities within these hospitals, from 2016-17. Discharges from hospital are being delayed because funding does not follow the individual when they are discharged into the community. This acts as a financial disincentive for local commissioners who have to bear the costs and responsibility for planning and commissioning community services. Delaying discharge has the effect of institutionalising people, making their reintegration into the community more difficult. Some local authorities' reluctance to accept and fund individuals in the community will be exacerbated by current financial constraints. The Department should set out its proposals for 'dowry-type' payments from NHS England to meet the costs of supporting people discharged from hospital.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215084489 Total Pages :21 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 737 - Strategic Flood Risk Management by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 737 - Strategic Flood Risk Management written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given financial constraints, the Department for Environment, Food and Rural Affairs and the Environment Agency have done a good job in improving the cost effectiveness of their approach to flood risk management. They have adopted rational methods to prioritise spending on both new capital flood defences and maintaining existing ones. However, risks remain to the sustainability of current levels of flood protection. The Agency will need to make difficult decisions about how it prioritises its maintenance budget, including some defences where it will need to reduce or stop maintenance. In these cases, there is a risk that lack of maintenance will mean that capital costs are incurred sooner, when defences require replacement earlier. Since our evidence session, the Agency has published a long term investment strategy, which presents a number of flooding scenarios and outlines how much funding would be needed to protect against these.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081250 Total Pages :23 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 736 - Financial Sustainability Of NHS Bodies by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 736 - Financial Sustainability Of NHS Bodies written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: The financial health of NHS bodies has worsened in the last two financial years. The overall net surplus achieved by NHS bodies in 2012-13 of £2.1 billion fell to £722 million in 2013-14. The percentage of NHS trusts and foundation trusts in deficit increased from 10% in 2012-13 to 26% in 2013-14. Monitor found that 80% of foundation trusts that provide acute hospital services were reporting a deficit by the second quarter of 2014-15. NHS England, Monitor and the NHS Trust Development Authority recognise that radical change is needed to the way services are provided and that extra resources are required if the NHS is to become financially sustainable. The necessary changes will require further upfront investment. Present incentives to reduce A&E attendance and increase community based care services have not had the impact expected. New incentives and strong relationships are needed to promote the more effective collaboration necessary for delivering new models of care.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081218 Total Pages :20 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 675 - Oversight of the Provate Infrastructure Development Group by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 675 - Oversight of the Provate Infrastructure Development Group written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department for International Development is the main funder of the Private Infrastructure Development Group, a multilateral agency which invests in infrastructure projects in developing countries. The Department has not used its position as by far the dominant funder of PIDG to influence the direction of its operations and improve its performance. The Department's oversight of PIDG has not been sufficiently 'hands on'. The Committee is concerned that the Department has insufficient assurance over the integrity of PIDG's investments and the companies with which it works and the Department has not done enough to put a stop to PIDG's wasteful travel policies and poor financial management.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081323 Total Pages :20 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 860 - Tax Avoidance: The Role Of Large Accountancy Firms (Follow-Up) by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 860 - Tax Avoidance: The Role Of Large Accountancy Firms (Follow-Up) written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: The tax arrangements PwC promoted in Luxembourg bear all the characteristics of a mass-marketed tax avoidance scheme according to the Public Accounts Committee. Large accountancy firms advise multinational companies on complex strategies and contrived structures which do not reflect the substance of their businesses and are instead designed to avoid tax. In light of the publication of leaked documents detailing some of the tax advice it has given to its multinational clients, the Committee took evidence from PriceWaterhouseCoopers (PwC). PwC did not convince the Committee that its widespread promotion of schemes to numerous clients, based on artificially diverting profits to Luxembourg through intra-company loans, constituted anything other than the promotion of tax avoidance on an industrial scale. The fact that PwC's promotion of these schemes is permitted by its own code of conduct is clear evidence that Government needs to take a more active role in regulating the tax industry, as it evidently cannot be trusted to regulate itself. HMRC should set out how it plans to take a more active role in challenging the advice being given by accountancy firms to their multinational clients. In contributing to the OECD's discussions aimed at reforming international tax law, HMRC should push for a more rigorous and meaningful definition of what "substance" means in respect of business, particularly if multinational companies conduct any business in the countries where they shift profits to in order to avoid tax. The Committee believes strongly that the Government must act by introducing a code of conduct for all tax advisers.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081234 Total Pages :28 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 808 - Implementing Reforms to Civil Legal Aid by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 808 - Implementing Reforms to Civil Legal Aid written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ministry of Justice is on track to make a significant and rapid reduction to the amount that it spends on civil legal aid. However, it introduced major changes on the basis of no evidence in many areas, and without making good use of the evidence that it did have in other areas. It has been slow to fill the considerable gaps in its understanding, and has not properly assessed the full impact of the reforms. Almost two years after the reforms, the Ministry is still playing catch up: it does not know if those still eligible are able to access legal aid; and it does not understand the link between the price it pays for legal aid and the quality of advice being given. Moreover, the Ministry's approach to implementing the reforms has inhibited access to mediation for family law cases which can be a cost-effective alternative to court for resolving disputes. Amazingly, it failed to foresee that removing legal aid funding for solicitors would reduce the number of referrals to family mediation. Perhaps most worryingly of all, it does not understand, and has shown little interest in, the knock-on costs of its reforms across the public sector. It therefore does not know whether the projected £300 million spending reduction in its own budget is outweighed by additional costs elsewhere. The Department therefore does not know whether the savings in the civil legal aid budget represent value for money
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215083814 Total Pages :21 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 893 - Public Health England's Grant to Local Authorities by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 893 - Public Health England's Grant to Local Authorities written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 21 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since it was created in 2013, Public Health England (PHE) has made a good start in its efforts to protect and improve public health. Good public health is vital to tackling health inequalities and reducing burdens on the NHS. The Committee were impressed by the passion shown by PHE's Chief Executive, and his determination to challenge Government to consider public health in wider policymaking. However, we are concerned that the Department of Health is not getting local authorities to their target funding allocations for public health quickly enough, with nearly one third of 152 local authorities currently receiving funding that is more than 20% above or below what would be their fair share. The Agency decided not to change the grant distribution for 2015/16. Local authorities are also presently constrained by being tied into contracts to which the Department had previously committed, such as for sexual health interventions. It is not clear whether the public health grant to local authorities will remain ring-fenced, and they need more certainty to better plan their public health programmes. If the ring-fence is removed, there is a risk that spending on public health will decline as councils come under increasing financial pressures. There are still unacceptable health inequalities across the country, for example healthy life expectancy for men ranges from 52.5 years to 70 years depending on where they live. These inequalities make PHE's support at a local level particularly important but the Committee are concerned that PHE does not have strong enough ways of influencing local authorities to ensure progress against all of its top public health priorities. Finally, given how important it is to tackle the many wider causes of poor public health, PHE needs to influence departments more effectively and translate its own passion into action across Whitehall.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081196 Total Pages :28 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 833 - Financial Sustainability of Local Authorities 2014 by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 833 - Financial Sustainability of Local Authorities 2014 written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department for Communities and Local Government does not have a good enough understanding of the impact of funding cuts, either on local authorities' finances or on services. It is unclear whether the Department is exercising a cross government leadership role with respect to local government. It relies on data on spending and has little information on service levels, service quality, and financial sustainability. HM Treasury should better support the Department by ensuring compliance with its requests for information at future spending reviews. While the Department has identified that local authorities will need to change the way they deliver services to remain financially sustainable, it is unclear if it is providing sufficient leadership to ensure they can implement service transformation programmes successfully. Furthermore, if funding reductions were to continue following the next spending review, we question whether the Department would be in a position to provide assurance that all local authorities could maintain the full range of their statutory services. Overall, as pressure from cuts grows, so do the risks to local authorities' finances and their provision of services. The depth and quality of the Department's insight into these issues needs to keep pace with these changes, something it has struggled to achieve so far.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215081625 Total Pages :24 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 811 - Financial Support for Students at Alternative Higher Education Providers by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 811 - Financial Support for Students at Alternative Higher Education Providers written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 140 institutions offering higher education are termed 'alternative providers'. These alternative providers comprise a diverse range of organisations ranging from private companies to charitable institutions. They do not receive government grants directly but do access public funding through student loans which are used to pay their fees. Following the announcement of higher education reforms in 2011, and the associated increase in tuition fee loans, there has been substantial and rapid growth in the sector. Between 2010/11 and 2013/14, the number of students claiming support for courses at alternative providers rose from 7,000 to 53,000. Over the same period, the total amount of public money paid to students at alternative providers, through tuition fee loans and maintenance loans and grants, has risen from around £50 million to around £675 million. The Department has overall responsibility for oversight of publicly-funded higher education, including alternative providers with publicly-funded students. The Department did not learn from previous Government experience, furthermore, it has been slow to react to warning signs. The rapid expansion in numbers was concentrated in five colleges that accounted for 50% of the expansion. 20% of students receiving funding were not registered for a qualification and drop-out rates were very high in some institutions. There was also evidence from whistleblowers that proficiency in English language was not tested, that some institutions were recruiting students on the streets, and that students claiming funding were not attending colleges.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :021508425X Total Pages :25 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 971 - An Update on Hinchingbrooke Health Care NHS Trust by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 971 - An Update on Hinchingbrooke Health Care NHS Trust written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The taxpayer has been left exposed by the failure of the Hinchingbrooke franchise according to the Public Accounts Committee's report. In February 2012, Circle took operational control of Hinchingbrooke Health Care NHS Trust, becoming the first private company to run an NHS hospital. In January 2013, the Committee expressed concerns that Circle's bid to run Hinchingbrooke had not been properly risk assessed and was based on overly optimistic and unachievable savings projections. The Department of Health responded that the NHS Trust Development Authority would monitor progress and take action if the Trust was failing to deliver on its plans to make the hospital financially sustainable. In the event, Circle was not able to make the Trust sustainable and the NHS Trust Development Authority did not take effective action to protect the taxpayer. In January 2015, Circle announced that it intended to withdraw from the contract, just three years into the 10-year franchise. It was clear at the time the franchise was let that the Trust would only survive if it secured substantial savings. The Comptroller and Auditor General's 2012 report highlighted that the savings projected in Circle's bid were unprecedented as a percentage of annual turnover in the NHS.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215085779 Total Pages :41 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 1141 - The Work of the Committee of Public Accounts 2010-15 by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 1141 - The Work of the Committee of Public Accounts 2010-15 written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report summarises the key areas of the Committee's work over the past five years. It draws out the areas where progress has been made and where their successors might wish to press in future. The Committee has assiduously followed the taxpayer's pound wherever it was spent. Since 2010 they held 276 evidence sessions and published 244 unanimous reports to hold government to account for its performance. 88% of their recommendations were accepted by departments. In many cases they successfully secured substantial changes, for example with the once secret tax avoidance industry. They secured consensus from government and from industry that private providers of public services do have a duty of care to the taxpayer, and in pushing the protection of whistleblowers further up the agenda of all government departments. By drawing attention to mistakes in the Department for Transport's procurement of the West Coast Mainline, more recent procurements for Crossrail, Thameslink and Intercity Express have all benefited from more expert advice and a more appropriate level of challenge from senior staff. After discovery in 2012-13 that 63% of calls to government call centres were to higher rate telephone numbers, the Government accepted our recommendation that telephone lines serving vulnerable and low income groups never be charged above the geographic rate and that 03 numbers should be available for all government telephone lines. They also secured a commitment to close large mental health hospitals.
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215085728 Total Pages :25 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 975 - Inspection in Home Affairs and Justice by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 975 - Inspection in Home Affairs and Justice written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current arrangements for appointing Chief Inspectors and for setting their budgets potentially pose a significant threat to their independence. Chief Inspectors are reliant for their appointment, the length of their tenure and the size of their budgets on the very same Ministers who are responsible for the sectors they inspect. There is a risk that Departments could use these controls over inspectorates as levers to influence Chief Inspectors. The Chief Inspectors told that they do not believe the independence of how they conducted inspections was in doubt. However the Cabinet Office needs to conduct a full review of all arrangements for Chief Inspectors. Particularly shocking was the Ministry of Justice's mishandling of an entirely foreseeable conflict of interest in its appointment of Paul McDowell - whose wife held a senior position in Sodexo Justice Services. The independence of the Chief Inspector of Borders and Immigration is also undermined by the fact that the Home Secretary now decides when to publish his reports. Since the Home Secretary took control of publishing the Chief Inspector's reports, there have been significant delays which can undermine genuine accountability by blunting the impact of reports. Inspectorates are not held to account, with no formal requirements for inspectorates to demonstrate their impact and effectiveness. The Chief Inspectors accepted that they needed to do more to follow-up and make sure their recommendations were implemented by inspected bodies. Inspectorates need to do more to exploit their findings, and do more to learn from each other
Author :Great Britain. Parliament. House of Commons. Committee of Public Accounts Publisher :The Stationery Office ISBN 13 :0215083997 Total Pages :25 pages Book Rating :4.2/5 (15 download)
Book Synopsis HC 809 - Children in Care by : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Download or read book HC 809 - Children in Care written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by The Stationery Office. This book was released on 2015 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department for Education should set out how it will lead and work with others to improve the outcomes for children by improving the quality of care according to the Committee's report. The Department for Education holds policy responsibility for children in care, and has national oversight of the local authorities who provide the services for these children. Although the Department is clearly best placed to provide the leadership required in many cases, it shows an alarming reluctance to play an active role in securing better services and outcomes for children in care. It chooses to limit its role to passing legislation, publishing guidance and intervening after Ofsted has failed a local authority service. It does far too little to disseminate actively what works and to support authorities to improve before they are failed by Ofsted. It sits on a wealth of information and knowledge which it fails to use in an active way to support better outcomes for this most vulnerable group of children. While 62% of children in care have suffered abuse and neglect, too many still do not get the right placement first time, too many are moved too often, and too few are placed close to their homes.
Author :American Psychiatric Association Publisher :American Psychiatric Pub ISBN 13 :0890426821 Total Pages :226 pages Book Rating :4.8/5 (94 download)
Book Synopsis The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder by : American Psychiatric Association
Download or read book The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder written by American Psychiatric Association and published by American Psychiatric Pub. This book was released on 2018-01-11 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Alcohol use disorder (AUD) is a major public health problem in the United States. The estimated 12-month and lifetime prevalence values for AUD are 13.9% and 29.1%, respectively, with approximately half of individuals with lifetime AUD having a severe disorder. AUD and its sequelae also account for significant excess mortality and cost the United States more than $200 billion annually. Despite its high prevalence and numerous negative consequences, AUD remains undertreated. In fact, fewer than 1 in 10 individuals in the United States with a 12-month diagnosis of AUD receive any treatment. Nevertheless, effective and evidence-based interventions are available, and treatment is associated with reductions in the risk of relapse and AUD-associated mortality. The American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder seeks to reduce these substantial psychosocial and public health consequences of AUD for millions of affected individuals. The guideline focuses specifically on evidence-based pharmacological treatments for AUD in outpatient settings and includes additional information on assessment and treatment planning, which are an integral part of using pharmacotherapy to treat AUD. In addition to reviewing the available evidence on the use of AUD pharmacotherapy, the guideline offers clear, concise, and actionable recommendation statements, each of which is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms. The guideline provides guidance on implementing these recommendations into clinical practice, with the goal of improving quality of care and treatment outcomes of AUD.
Book Synopsis Preparing Principals for a Changing World by : Linda Darling-Hammond
Download or read book Preparing Principals for a Changing World written by Linda Darling-Hammond and published by John Wiley & Sons. This book was released on 2009-11-04 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preparing Principals for a Changing World provides a hands-on resource for creating and implementing effective policies and programs for developing expert school leaders. Written by acclaimed author and educator Linda Darling-Hammond and experts Debra Meyerson, Michelle LaPointe, and Margaret Terry Orr, this important book examines the characteristics of successful educational leadership programs and offers concrete recommendations to improve programs nationwide. In a study funded by the Wallace Foundation, Darling-Hammond and the team examined eight exemplary principal development programs, as well as state policies and principals' experiences across the country. Using the data from the study, they reveal how successful programs are structured, the skills and knowledge participants gain, and what they are able to do in practice as school leaders as a result. What do these exemplary programs have in common? Aggressive recruitment; close ties with schools in the community; on-the-ground training under the wing of expert principals, and a strong emphasis on the cutting-edge theories of instructional and transformational leadership. In addition to highlighting the programs' similarities, the study also explains the differences among the programs and sheds light on the effectiveness of approaches and models from different states and contexts?East, West, North, and South; urban and rural; pre-service and in-service. The authors analyze program outcomes for principals and their schools, including illustrative case studies and educators' voices on the influence of programs' strategies for recruitment, internships, mentoring, and coursework. The ideas and suggestions outlined in Preparing Principals for a Changing World are presented with the goal of increasing the number of highly qualified, thoughtful, and innovative educational leaders.