Illuminating Nineteenth-Century English Urban Midwifery: the register of a Coventry midwife

The three-volume register of a sworn midwife provides unique insights into midwifery practice in an English city in the second half of the nineteenth century. The register is a rare primary source, and contains 5029 entries, from July 1847 to October 1875. Considered alongside the limited sources discovered to date, this analysis casts light on our understandings of non-elite midwifery, and the wider context of women's work in the nineteenth century. The midwife's patterns of work, her relationships with clients and lying-in charities, and the impact of local economic circumstances on her practice are discussed. Despite her extensive practice, the official record of her occupation is meagre.     

Decide your time: Testing deterrence theory's certainty and celerity effects on substance-using probationers

Background

Bolstered by the initial effectiveness of programs such as Hawaii's Project HOPE, the resurgence in practical applications of deterrence theory has focused on certainty and swiftness of punishment. Following this theoretical trend, Delaware's Decide Your Time (DYT) program was designed to manage high risk substance-using probationers by focusing on the certainty of detection through frequent drug tests and graduated but not severe sanctions.

Objective

This paper, stemming from a larger process evaluation of DYT, reports on the theoretical development and implementation issues involved in instituting such a program in a large, urban probation department.

Methods

Data for the current effort consisted of notes taken at DYT management and staff meetings, interviews with key informants, and observational fieldwork.

Results

The evaluation demonstrated that judicial practices, client eligibility, logistics, and cooperation with secure facilities all posed noteworthy issues for program implementation. Perhaps just as important is the willingness of the program managers to listen to front line officers and make necessary changes to ensure the program's effectiveness and efficiency.

Conclusion

This study suggests that the design of similar programs should carefully consider the local legal structure and the policies and practices of the corrections institutions, treatment providers, and probation department.     

Crisis intervention team officer dispatch, assessment, and disposition: Interactions with individuals with severe mental illness

The Crisis Intervention Team (CIT) model is a specialized police response program for people in a mental illness crisis. We analyzed 2174 CIT officers' reports from one community, which were completed during a five year period. These officers' reports described interactions with people presumed to be in a mental illness crisis. We used hierarchical logistic and multinomial regression analyses to compare transport to treatment to either transport to jail or no transport by how the calls were dispatched. The results revealed that both dispatch codes and officers' on-scene assessments influenced transport decisions. Specifically, calls dispatched as suspected suicide were more likely to be transported to treatment than calls dispatched as mental disturbance. Furthermore, calls dispatched as calls for assistance, disturbance, suspicious person, assault, suspicion of a crime, and to meet a citizen were all less likely than mental disturbance calls to result in transportation to treatment. Officer assessments of the use of substances, being off medications, signs and symptoms of mental or physical illness, and violence to self or others were associated with the likelihood of being transported to treatment. These results build on previous work that demonstrated differences in transport decisions between CIT trained and non-CIT trained officers.