Competence to consent to treatment as a psycholegal construct

The issue of whether civilly committed patients should be extended the right to accept or refuse treatment has generated much controversy and litigation during the past 15 years. In general, the current rule is that in nonemergency situations, individuals who are competent to give informed consent to treatment should be extended the right to refuse it. Obviously, the manner in which this rule is implemented partly depends on how competence to consent to treatment is defined and measured. Most researchers have implicitly assumed that an understanding of treatment information is the sole criterion of competence. It is argued that such a definition may be incomplete and is in need of reexamination. Following a review and analysis of the relevant legal and psychological literature, a comprehensive construct of competency to consent to treatment is proposed and future directions for research are discussed.     

Setting Agendas and Designing Alternatives: Policymaking and the Strategic Role of Meetings1

This paper investigates the role of strategic forums—such as special commissions, task forces, roundtables, working groups, summits—in the policy process. Reviewing prominent theories about policymaking, the author suggests ways in which strategic forums might fit within these frameworks as an analytically distinct policy lever. The paper examines existing literature on such forums, and identifies characteristics of “meetings that matter”—those gatherings that appear to have achieved some policy traction in a given domain. Finally, the paper investigates a particular field, cultural policy, to evaluate the extent to which meetings are serving policy purposes. The author concludes that meetings can serve an important role in the policy process by framing public problems and highlighting policy alternatives; creating and sustaining policy communities; fostering policy transfer and knowledge uptake; and developing networks among policy entrepreneurs. Nonetheless, with regard to cultural policy, the author argues that, compared to other policy domains, strategic policy-focused convenings are not a regular part of the arts and culture landscape and remain underused policy tools.     

Performance Standards and Evaluation

The benefits of performance monitoring for public services are identified as greater transparency of objectives and accountability for results. This article considers recent experience in developing standards to evaluate efficiency and effectiveness of public services. In broad terms this is being done through performance information which is a much more encompassing concept than standards or indicators. Such information is an element of an accountability framework that provides greater management autonomy and flexibility and extends to the private sector which is increasingly providing, or involved with the provision of, public services.     

The drug trade in Southern Africa

Introductory Address by Dr. AM Omar MP, Minister of Justice, at the South African Institute of International Affairs’ Workshop on ‘The Drug Trade in Southern Africa’, 5 June 1997, University of the Witwatersrand, Johannesburg.     

Integrated leadership system in the Australian Public Service

On 16 July 2004 the Australian Public Service Commission launched a new approach to leadership capability development for the public service. This approach, the Integrated Leadership System (ILS), is described as innovative and unique by the four speakers who make up this presentation—including Andrew Podger (AO), Public Service Commissioner, Jane Halton, Secretary of Health and Ageing, Anne Simic, Head of People, Qantas, and Dr Peter Shergold, Head of the Public Service and Secretary of the Department of Prime Minister and Cabinet.     

Identification of decomposed human remains by deoxyribonucleic acid (DNA) profiling

After routine methods failed to establish positive identification of a decomposed homicide victim, deoxyribonucleic acid (DNA) typing techniques using blood from the victim and putative parents of the victim were used. This is the first report in the literature of a case using DNA fingerprinting in a "parentage" context to establish identity of unidentified, decomposed human remains.