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By contrast, most state policy changes decreased the number of reports that were substantiated-by 24% if they implemented both differential response and higher standards of proof. Implications for future research and policy are discussed.The Glasgow Outcome Scale (GOS) in its original or extended (GOSE) form is the most widely used assessment of global disability in traumatic brain injury (TBI) research. Several publications have reported concerns about assessor scoring inconsistencies, but without documentation of contributing factors. We reviewed 6801 GOS
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