Introduction

The seemingly disparate aspects of long-term care (LTC) exist in a broader context of concern for the ability of disabled and chronically ill individuals of all ages to function in everyday life. A focus in LTC, therefore, is on the types of services and products needed for an individual to perform basic activities of daily living.

A primary emphasis in LTC is on the individual who is in need of assistance. Related questions include: What impact will the receipt of LTC have on the autonomy of the individual? How will the care, which may extend over a period of years or decades, be funded? How will the various payment mechanisms affect an individual's access to care? What are potential solutions to the problems encountered as the individual and his or her family deal with the fragmentation and other problems of the LTC system? Such questions are addressed in the articles in this symposium, “Issues in Long-Term Care.” This paper provides a context for the symposium.     

Integrating risk,the Good Lives Model and recovery for mentally disordered sexual offenders

Abstract

Personality disordered and mentally disordered sexual offenders (MDSOs) with complex diagnoses such as schizophrenia, developmental disorders and mood disorders face challenges of restoring their mental health, living more safely with personality- and offence-related risks, while addressing concerns about their capacity to reintegrate into society; this has been termed “secure recovery”. This paper reviews the literature on recovery, demonstrating its commonality with the Good Lives Model (GLM) as applied to MDSOs' offending treatment. GLM appears to provide a better fit with the recovery needs of MDSOs than the Risk–Need–Responsivity model because it emphasises approach goals, enhanced responsivity and skills acquisition. Recovery needs to integrate coping with mental disorders with risk management and a healthy, future lifestyle. Both secure recovery and GLM support the need for client–clinician collaboration, promoting self-determination and a shared narrative about coping with enduring risk and the hope of sustained well-being.     

Political context,policy networks and policy change: the complexity of transition in Hong Kong

Abstract

Central to the debates on the transition of Hong Kong to Chinese sovereignty is how this process has affected change in the policy process and policy outputs. Many see policy change as a result of the evolving political environment in Hong Kong following the political transition. This article, however, adopts the notion of policy networks and argues that the analysis of policy change cannot be reduced to a simple contextual stimulus – the policy alteration model. A case study – ‘the development of civic education’ – demonstrates the importance of policy networks, as a particular structure of government and group relations in decision making, in explaining the course of policy change. It is apparent that the relationship between regime change and political liberalization, on the one hand, and established networks, on the other, tends to be complex and dialectical in Hong Kong. Despite the importance of sovereignty transition and political restructuring, the effect of contextual factors on public policy greatly depends on the nature of the network involved.     

Asia and European transport biofuels stalled at the same place?

Over the past decade, both Asia and Europe have devoted considerable effort to expanding the production of first-generation biofuels to fuel cars, taxis, buses, trucks, motorcycles, etc. On the one hand, with “peak oil” potentially looming in the future, and on the other, with an insatiable need for petroleum and diesel, the prospect of large-scale use of biofuels enjoyed tremendous public appeal as they seemed to provide a long-term alternative and clean fuel source in Asia and Europe. However, globally today, biofuels constitute only 3 % of the total transport fuel mix. Production is still steadily increasing in some countries, but their economic competitiveness and environmental sustainability have come into question in others with the result that production has slowed down considerably or even halted. The outlook for second- and third-generation biofuels is promising. However, they also cannot yet supplement, far less substitute, for petroleum and diesel in a commercially viable way.     

Transit Industry Gears Up and Responds to Climate Change Challenges

The transit industry in the United States is preparing for growth as the world deals with climate change and it is applying various methods to measure and monitor its impact on the environment. Working with local, state, and federal governments, transit agencies have adapted many commonsense solutions. Now the American Public Transportation Association is putting together standards and best practices to encourage the industry and inform the public about the benefits of public transportation to the environment, helping our nation join the rest of the world. It is also developing and applying new transit strategies that will attract more riders and reduce greenhouse gas emissions. Portland, Oregon's Tri-Met, New York's Metropolitan Transportation Authority, and the Utah Transit Authority are leading the industry. Portland, Oregon's Tri-Met General Manager, who chairs the industry's Sustainability Committee for the American Public Transit Association has been leading by example with an Environmental Management System that addresses greenhouse gas, pollution, waste, inefficiency, and congestion. New York and Utah are recording greenhouse gases with the Climate Registry. Many agencies are developing new strategies that are attracting more riders and experiencing an intermodal shift to buses and trains. Meanwhile, developing countries are able to increase service and pay for it by selling carbon credits.     

Putting the Cart before the Horse: Accountability or Performance?

Conventional wisdom argues that a good set of performance measures builds accountability and that improved accountability generates better productivity in the organisation. By way of an analysis of a case study in one inland Chinese county, this article shows that the assumed relationship between performance and accountability is more rhetoric than real. In practice, the implementation of performance measurement in local China leads to an accountability paradox, in which enhanced accountability tends to hinder the improvement of government productivity. The implementation of the Chinese target-based responsibility system risks boosting the short term accountability of public employees while undermining the long term productivity of government agencies. With the deepening of China's market-oriented reform, this choice appears to put the cart before the horse.