Diversity Meets Complexity: Supporting Armed Forces young people to thrive in post-16 education
Commissioned by the SCiP Alliance, with funding from a group of Uni Connect partnerships and the University of Winchester, ‘Diversity Meets Complexity: Supporting Armed Forces Students to Thrive in Post-16 Education’ is the first report to examine the educational experiences of Armed Forces young people aged 16-19 and explores how the post-16 education sector can best support these young people to achieve their potential. The research, which has been led by The Centre for Education and Youth, brings together extensive consultation with leaders, practitioners, academics, and most importantly, young people themselves. The report shows how needs arising from the experience of being from an Armed Forces family combined with systemic barriers to accessing support can disadvantage these young people in post-16 education.
Abstract: Context: In response to the opioid crisis, federal guidelines were implemented, including the Veterans Health Administration's (VA) Opioid Safety Initiative in 2013. The impact of policies on patients near the end of life is unknown. Objective: Examine temporal trends in opioid prescribing, pain, and opioid overdoses among Veterans near the end of life. Methods: Retrospective, time series analysis of VA decedents between October 2009 and September 2018 whose next-of-kin participated in VA's Bereaved Family Survey (BFS). Using multivariate regression to adjust for sociodemographic and clinical covariates, we examined temporal trends in outpatient opioid prescribing, uncontrolled pain based on BFS report, and opioid overdose-related hospitalizations, in the last month of life, overall and by clinical diagnosis (cancer versus non-cancer). Results: Among 79,409 decedents, mean daily outpatient opioid dose in morphine milligram equivalents in the last month of life decreased from 4.6 mg in 2010 to 2.1 mg in 2018 (adjusted change -0.20 mg/year; P