Envisioning Future Directions: Conversations With Leaders in Domestic and Sexual Assault Advocacy, Policy, Service, and Research.

This article delves into the views of 72 leaders in domestic violence and sexual assault advocacy, policy, service, and research to determine their vision for the future direction of the field. Through discussions with experts, we identified numerous strategies necessary to best meet the needs of domestic violence and sexual assault victims. Common themes focused on the need to (a) examine the context of victims' and offenders' experiences; (b) increase cultural competence to adequately provide appropriate victim services and criminal justice responses for underserved, marginalized, and culturally specific populations; (c) increase reliance on victims' voices; (d) continue to develop partnerships at both the community and the state levels and ensure the role of local communities; (e) expand the concept of successful outcomes that can be reliably and validly assessed; (f) emphasize mixed-methods approaches to address these questions, in recognition that various methods complement each other; and (g) be open to novel or emerging approaches to intervention.

Victim Empowerment, Safety, and Perpetrator Accountability Through Collaboration: A Crisis to Transformation Conceptual Model.

This article describes the development of the Victim Empowerment, Safety, and Perpetrator Accountability through Collaboration (VESPAC) model based on a grounded theory analysis of congressionally mandated and permissible purpose areas for grants authorized by the Violence Against Women Act. These areas are reflective of ongoing and emerging needs of victims and agencies serving victims and are rooted in the expertise, insight, and concerns of those who work most closely with victims and perpetrators on a regular basis. Analysis resulted in five overarching and interconnected themes: Community Readiness, Victim Services, Justice Responses, Coordinated Community Responses, and Cultural Relevance. The final model emphasizes the centrality of coordinated community responses to ensure that the remaining components of the model work in tandem across time to achieve victim safety and perpetrator accountability in a culturally appropriate way. The model also may help agencies, coalitions, and communities think "big" and consider more strategically about where their strengths best fit in the vast scope of victim needs necessary to meet safety goals and where they might benefit most from the expertise of partners.

Untapped resources: refugee employment experiences in central North Carolina.

OBJECTIVE: The objective of this study was to elucidate a comprehensive understanding of the pre-migration expectations and current realities of refugees resettled in the United States (U.S). Employment expectations and the current work situations experienced by African refugee populations recently resettled in Greensboro, NC are examined. PARTICIPANTS: Ten French-speaking refugees of African descent who had resided in Central North Carolina for less than three years were selected to participate. METHODS: A phenomenological approach was used; semi-structured interviews were conducted with participants in spring 2010. Interviews needing interpretation were translated throughout the course of the interview in real time. All interviews were transcribed verbatim or word for word. RESULTS: All participants expected to find work in their fields with relative ease, but were either unemployed or under-employed compared to their professional training and/or previous occupation in their country of origin at the time of their interview. Emergent themes from the interviews included financial stability, ease of finding work, identity concerns, English language comprehension, the economy, and navigating a new system. CONCLUSIONS: Refugees in this sample were not prepared for the challenges they encountered when searching for gainful employment. Their experiences appear to be common with available anecdotal evidence. Adjustments to the cultural orientation programs received prior to migration, and enhancements to social networks in addition to an increased focus on English language comprehension post-migration have the potential to positively impact employment outcomes for newly arrived refugees.

Ethnic and racial differences of baseline stroke knowledge in a "stroke belt" community.

Acute stroke is often a treatable condition; however, intervention is time dependent and typically should ensue within 3 hr from onset of symptoms. The ability of individuals to understand stroke risk factors to reduce individual risk and to recognize warning signs and symptoms of stroke as signals to initiate medical care is paramount to decreasing stroke-related morbidity and mortality. This descriptive study presents ethnic and racial differences of baseline stroke knowledge among residents (n = 1,904) of two North Carolina counties situated in the Stroke Belt. Findings suggest a global stroke knowledge deficit that is more pronounced among Hispanics. Future community stroke education campaigns need to consider various educational mediums and outlets to ensure inclusion of persons at highest risk for stroke. Suggestions are provided for possible content of future stroke knowledge and prevention campaigns.