Not Centralisation but Decentralised Integration through Australia's National Mental Health Policy

This article challenges dominant perceptions of Commonwealth centralisation in Australia's federal system. While recognising the Commonwealth has entered a range of policy fields not anticipated by federal founders, it argues this does not equate to a generalised unidirectional and hierarchical orchestration of state/territory functions. The crucial case of mental health policy is presented as an alternative scenario in Australia's federal experience. Theoretically key challenges from the multi‐level governance literature are proffered against the centralisation thesis. These include queries about the origins of Commonwealth directives and assumptions of zero‐sum notions of state/territory autonomy. Brief empirical analysis highlights the role of the Commonwealth as a conduit of horizontal and vertical flows of knowledge through the national mental health policy agenda. Given disconnect and diversity between national ambitions and their realisation at state/territory level, it is argued better proceduralisation through bottom‐up peer dialogue and feedback present alternative routes towards decentralised integration.     

Australia's difficult defence balance

Australia's latest White Paper on defence sets out how Australia's strategic vision is changing in response to evolving regional dynamics. However, the government's finances may not be sufficient to support its strategic ambitions.     

Twenty years of Australia's engagement with Asia

Abstract

For the past two decades, ‘engagement with Asia’ has been a central theme in Australian public policy and public debate about Australia's place in the world. The commitment to Asian engagement has been shared by both sides of federal politics throughout this period; however, when in government the Labor Party (1983–96) and the Coalition (1996–2007) pursued radically different approaches to this common objective. This article contrasts and evaluates the differing approaches adopted by the Labor and Coalition governments, in the context of the domestic and regional debates and controversies that accompanied them. In particular, it seeks to explain why Australia is more engaged with Asia than ever before, in seeming defiance of the widespread criticism of the Coalition government's particular approach to Asian engagement.     

Performance Management in Australia's Public Mental Health Service: A State Based Perspective

This article investigates the implementation of key performance indicators (KPIs) in Western Australia's public mental health system. A nationally agreed performance measurement framework forms part of the much needed reform now taking place within Australia. However, progress in the effective monitoring and reporting of KPIs is slow in most states, including Western Australia. The authors report on the results of a selective case study involving semi‐structured interviews with mental health administrators and offer a more nuanced insight into the intricacies and difficulties involved in performance measurement reform. The principal finding is that effective performance measurement and reporting can be internally problematic, particularly within a fragmented and networked system. This tends to give rise to a conformance‐only approach to performance measurement.     

The meanings,origins and implications of 'the Howard Doctrine'

This article examines the background to the so-called 'Howard Doctrine' of 1999 in response to the problems that Australian diplomacy and defence policy encountered during the East Timor crisis. The article begins by examining the critical reaction both in Australia and abroad to the doctrine which appeared to imply Australia's increased reliance on the 'special relationship' with the US and its role as a 'deputy' of its ANZUS partner in the East Asia region. The article then demonstrates the historical origins of the doctrine's thinking in Australia's reliance since the post-war period on a system of serial bilateralism and special relationships with first the UK, the US and then Indonesia. However, the article also points out the essential vulnerabilities inherent in this type of serial bilateralism and its relative inability to respond effectively to the East Timor crisis. Finally, the article considers the systemic risk in Australian policy as manifested in the doctrine, and the future viability of serial bilateralism in dealing with Australia's regional diplomatic and security agenda.     

The Malaise of Federalism: Comparative Reflections on Commonwealth–State Relations

The High Court's decision in the ‘Work Choices’ case expanding further the scope of the Commonwealth's enumerated powers is the latest reminder of the highly centralised nature of Australian federalism. The division of powers traditionally forming the essence of a federal system has become increasingly difficult to discern and the roles and responsibilities of the two levels of government have become entangled. While for a good part of Australia's history divided jurisdiction was deplored as an obstacle to progress in government, today the decay of the system is most likely to be lamented. Discussion of options for reform presupposes an understanding of the forces that have led to the present condition. This article examines the Australian experience in a broader comparative and historical perspective and suggests that those forces are endemic and substantial.     

Australian Quarantine Policy: From Centralization to Coordination with Mid-Pandemic COVID-19 Shifts

Combining a historical institutionalism approach with institutional isomorphism and punctuated equilibrium, this article analyzes quarantine policy change across 120 years of Australian quarantine history. By anchoring its analysis within specific time periods (the years before the Spanish flu, seven decades of inaction, and multiple post-1997 pandemic updates and responses), the authors highlight when and why policies did or did not change and how the constant push-and-pull between state and Commonwealth institutional ownership altered policy possibilities. The heart of the analysis showcases how Australia's successful COVID-19 response is a unique output of prior quarantine policies, institutional evolution, and mid-pandemic alterations of key national pandemic response plans.     

An innovative approach to metropolitan management in the philippines

The paper describes the historical development of metropolitan planning and administration in Metro Manila, and identifies five major problems: the sectoral isolation of planning; the inadequate involvement of local government; inadequacies in planning methods; weaknesses in the system of resource management; and institutional fragmentation. The development of the Capital Investment Folio process, its institutional framework and the main characteristics and results of applying the approach are described. The benefits and lessons which have emerged are then set out and their possible application elsewhere discussed. The main achievements of CIF are progress towards a rational system of urban planning; the generation of consensus within government about Manila's investment strategy; a more widespread appreciation of opportunity costs; and a new understanding of how to plan under conditions of uncertainty. It remains for CIF to be integrated into the national resource allocation process, and to be fully accepted by national government agencies. Local government still needs to be positively involved in the planning process.     

The Australian way of government and public sector commercial reform: from a lucky to a clever country?

In recent years, Australia has struggled to remain in the top twenty developed countries, globally. The reality is that Australia's natural resource and agricultural bases no longer serve to provide sustainable national competitive advantage. In the past decade, therefore, government initiatives have aimed to produce a range of industry policies, apparently designed to strengthen the economic base, enhance government and industry responsiveness and productivity, and to attract increased overseas investment. The modernization of Australian public sectors and the adoption of private sector business principles, especially commercialization and privatization, have been critical aspects of competitive reform. This article examines several of the key strategies adopted by Australian governments, especially those designed to enhance national competitive advantage, to determine which strategies may be working, or not working, and why. Particular emphasis is placed on the role of governments as corporate business managers and their ability to respond to commercial realities on a business management, as distinct from an ideological, basis. (© 1997 by John Wiley & Sons, Ltd.)     

The practice and effect of development planning in Bangladesh

Development planning in Bangladesh has not been conspicuously successful. Neverthless it is essential for the nation to continue to plan its economy. Bangladesh's plans must be explored within the context of the economic and sociopolitical constraints that are placed upon the plan and its implementation. The First Five Year Plan (FFYP) was prepared within the framework of a socialist economy but not implemented accordingly. The attitude of the government was a major factor in the eventual distortion of this plan. The mobilization of national resources and their allocation, land reforms, subsidy measures, and industrial policies pursued by the government appeared to protect group interests rather than following recommendations of the plan. A bitter triangular relationship emerged among the politicians, the bureaucrats and the planners. This can explain why the implementation of the plan fell short of what was minimally expected. Subsequent plans, unlike the FFYP which placed high priority on social sectors, have been formulated in favour of the more productive sectors of agriculture and manufacturing. The outcome has been a modest increase in economic growth, but inequality and poverty have tended to perpetuate themselves. To achieve growth with social equality, planning in Bangladesh appears to need strong public commitment and bureaucratic support, the absence of which may prove to make national development planning ineffective, if not counterproductive.     

The Politics of Regulation: A Comparative-Historical Study of Occupational Health and Safety Regulation in Australia and the United States

Australia and the United States adopt radically different approaches to occupational health and safety regulation, even though their ultimate objectives in this policy area are effectively the same. The US regulatory style is more centralised, legalistic and adversarial, in contrast to Australia's state-based and more consensual approach. This difference in regulatory approach dates from the 1970s: for the 100 years prior to that, workplace health and safety regulation in both countries took a similar legal, institutional and administrative form. The reasons for the contemporary regulatory divergence lie in the distinct national configurations of state and societal institutions in the two countries and the different constellation of political actors involved in regulatory design and reform.     

The practice of regional development in Indonesia: Resolving central-local coordination issues in planning and finance

Renewed interest by the Indonesian government in decentralization and cost-recovery practices has led to both real and illusory reforms, though the distinction between the two is often not clear. This is particularly true with respect to infrastructure planning and finance. Recently, the allocation criteria for capital grants to local governments have been substantially revised, nearly every year, to reflect long lasting concerns regarding differences in interregional development needs and resources. In addition, the level of funding for local government investment has risen dramatically to support increased local responsibility in planning. Most development spending does not pass through local budgets, however. In either case, the project planning process has remained firmly under the direction of the central government's technical ministries. Infrastructure investment thus tends to be segmented, not only by sector, but also by funding source. The rate at which these two factors balance off in current practice does not indicate a strong commitment to effective decentralization. The article suggests that greater regional government participation in the national planning process would be beneficial. To deal with the fragmented nature of sectoral planning is more problematic, as a more integrated approach would in the long term require either a new layer of bureaucracy or a substantial reorganization of the technical ministries. In the shorter term, a gradual shift toward general purpose grants would also generate regional development plans more consistent with the goals of decentralization while maintaining substantial central control and oversight.     

Deinstitutionalisation and Managerialism in Queensland's Public Psychiatric Institutions: Challenging ‘Rhetoric’ with Empirical Results

This article places the experience of public psychiatric institutions for the long term mentally ill in the context of New Public Management (NPM). This managerialist school of thought has been in widespread ascendancy since the 1970s. Some key characteristics of deinstitutionalisation and NPM are outlined. We then present some historical data about the temporal process of deinstitutionalisation in Queensland's public psychiatric institutions. The time series analysis provided is of a single state since Australia's public health care system is state‐based. Although NPM is not a coherent set of principles or doctrines, it is argued that ideology and the reality may be contradicting. Some of NPM's particular emphases are empirically analysed, in particular the view that administration/management expenditures are to be reduced, while emphasising workers ‘at the coal face’. The empirical results provide no evidence of a ‘parsimonious’ approach to management: parsimony occurs only for nursing staff. Relative expenditures on managerial functions have increased.     

Women,civil society and politics in Pakistan

This article makes the argument that when women have organized themselves into groups with a political purpose, we have witnessed significant advancement in the construction of a civil society in Pakistan. It traces the role women's groups have played as intermediary groups, particularly as they play increasingly important political and social roles in countering the actions and inactions of the state. Importantly, it is in the ongoing effort to develop a National Plan of Action in Pakistan in response to the Beijing Platform for Action that women's groups are contributing in a significant way to a participatory, sensitized and increasingly decentralized national planning process which is encouraging regional and NGO inputs in unprecedented ways.     

Assessing Integrity Systems: Introduction to the Symposium

The following Symposium on Australia's national integrity systems, drawn from an Australian Research Council‐funded project conducted in 2002‐2004 by researchers from Griffith University, Charles Sturt University, University of Sydney, RMIT University, Monash University and the Australian National University, together with Transparency International Australia. The first three papers examine the public integrity regimes at federal, state (NSW) and local levels. The remaining four papers develop three themes as a framework for assessing strengths and weaknesses in Australia's major integrity regimes: consequences, capacity and coherence. The papers were originally presented in sessions of the Australasian Political Studies Association (University of Adelaide, September 2004) and the 5th National Investigation Symposium (NSW Ombudsman, Independent Commission Against Corruption and Institute of Public Administration Australia NSW, Sydney, November 2004).     

National Investment Planning and equity policy in developing countries: The challenge of decentralized administration

The impact of national economic planning in developing countries over the past three decades has been severely limited. Little evidence supports the contention that it has either directly improved investment decisions for stimulating economic growth or significantly affected development policymaking. Constraints on implementing national planning in Asia include weaknesses of political and administrative support for national plans, deficiencies in their content, difficulties of relating plan priorities to investment decisionmaking, ineffectiveness or inappropriateness of comprehensive planning methods and techniques, and inadequate administrative capacity to implement and evaluate multisectoral investment strategies. Changes in Asian development policy toward growth with equity imply the need for more decentralized methods and arrangements for planning, creation of a stronger relationship between policy planning and program implementation, and diffusion of administrative capacity among a wide variety of public and private institutions to generate, formulate and implement investment policies and projects.     

Australia and the China Threat: managing ambiguity

A China Threat – the fear of being taken over by China and the Chinese – has been an ever present in the politics of Australia since even before there was a Commonwealth of Australia. It was both a major cause of Federation in 1901 and a determinant of Australia's foreign policy thereafter. In the last 20 years, concerns about China have come to focus less on migration and more on economic integration and China's political influence. There are as always distinct paradoxes in the China Threat. It may be a useful vehicle for making a political point at election time but China has a place in the Australian economy that has led Australia's leaders to at least modify their resistance once in office.     

Redesigning health information systems in developing countries: the need for local flexibility and distributed control

Despite widespread aims to strengthen the Health Information System (HIS) as a tool for decentralised health care, there is a strong tendency in most developing countries that the HIS continues to reflect the central level's needs and requirements. The traditional design approach with little or no end user involvement results in a centralised HIS with an extensive, somewhat inappropriate, but also inflexible set of standards. Consequently, the HIS is not very useful for the wished‐for decentralisation of health services, and there is an urgent need to redesign the existing HIS in order to make it locally relevant and appropriately decentralised. Based on a comparative case analysis of the HIS in Tanzania and Ethiopia, we offer practical recommendations on the way to achieve this redesign. A central design goal should be to achieve a balance between centralised control and local autonomy. Some degree of control over a decentralised HIS, including budgets and the use of resources, should be delegated to the district administration. In order to achieve the aim of a locally relevant, well‐working HIS, it is necessary that appropriate authority, capacity and decentralised allocation of resources for HIS will be developed at the district and sub‐district levels. Copyright © 2008 John Wiley & Sons, Ltd.     

The relevance,practicality and viability of spatial development initiatives: a South African case study

Policymakers have for long had an ambivalent attitude towards space and have been hesitant in dealing with intra‐national models of uneven development. Issues surrounding regional development have always been tainted with ideological and political influences rather than being a purely economic consideration. This article addresses the thinking behind regional development policies and questions the role of spatial policy. It confronts this question in the South African case where local government capacity is particularly constrained and the boundaries between government tiers unclear. The first section outlines a selected critical history of the regional policy literature as it applies to South Africa. This is followed by an examination of South Africa's post‐apartheid policy of spatial development initiatives (SDIs) focusing on the most contentious of these, namely the Fish River SDI, which has been plagued by controversy. It focuses on the tensions involved in development planning between government agencies and between politicians and technocrats. It also highlights the growing schism between government and civil society with the former emphasising mega‐projects which reinforce its global competitive strategy but with limited apparent benefit to the local community. Lastly, it concludes that little effort was made to integrate the SDI into a provincial poverty strategy and argues that instead of utilising industrial decentralisation to redress inequality and poverty, a ‘first‐best’ option may be for the government to target poverty directly by investing in various forms of human capital. Such an approach would lead to long‐term economic growth and also improve South Africa's international competitiveness. Copyright © 2003 John Wiley & Sons, Ltd.     

Collaborative Governance in the Reform of Western Australia's Alcohol and Other Drug Sector

Collaborative governance involves processes and structures for policy development and decision making with particular relevance for health and social services. We examined collaborative governance in the reform of Western Australia's alcohol and other drug sector, applying Emerson et al.'s (2012) integrative framework. A documentary review and group interviews with government, sector, and consumer representatives were involved. Contextual factors included increased service funding, and the development of a partnership approach. Drivers for collaboration involved leadership and financial incentives for policy implementation. Key stakeholders across government and the sector reported a mutually supportive and constructive relationship and increased capacity, and they shared an agenda for change. The integrative framework was a useful structure for the explication of collaborative governance, although financial arrangements were not addressed.