Motivational interviewing training in juvenile corrections: A comparison of outside experts and internal trainers

Purpose. This study was designed to compare expert consultant trainers and less experienced, in‐house trainers in providing basic training in motivational interviewing (MI) for juvenile corrections employees. Methods. Trainees (n= 1,552) attended a 3‐day workshop administered by either a member of the Motivational Interviewing Network of Trainers (MINT) or a corrections staff member who had been trained by a MINT trainer. Results. Pre‐ to post‐test MI knowledge and skill gains did not vary between MINT expert and internal trainers, and increased for both groups. MINT trainees were more motivated to learn MI and expected it to be more effective in their work compared with those trained by corrections staff. MINT trainers were perceived as more knowledgeable about the topic, whereas corrections staff trainers were rated as better at utilizing handouts and visual aids. The groups did not differ on other measures of trainee satisfaction. Conclusions. These data suggest that a train‐the‐trainers model, in which expert consultants provide initial trainings to develop a pool of staff to provide subsequent trainings, may be as effective as a model that relies exclusively on expert trainers.     

Fatal Ingestion of Chlumsky Disinfectant Solution

A 32‐year‐old pregnant woman in the 25th week of pregnancy underwent oral glucose tolerance screening at the diabetologist's. Later that day, she was found dead in her apartment possibly poisoned with Chlumsky disinfectant solution (solutio phenoli camphorata). An autopsy revealed chemical burns in the digestive system. The lungs and the brain showed signs of severe edema. The blood of the woman and fetus was analyzed using gas chromatography with mass spectrometry and revealed phenol, its metabolites (phenyl glucuronide and phenyl sulfate) and camphor. No ethanol was found in the blood samples. Both phenol and camphor are contained in Chlumsky disinfectant solution, which is used for disinfecting surgical equipment in healthcare facilities. Further investigation revealed that the deceased woman had been accidentally administered a disinfectant instead of a glucose solution by the nurse, which resulted in acute intoxication followed by the death of the pregnant woman and the fetus.     

Interactive Policy Development: Undermining or Sustaining Democracy?

The question can be raised whether the principal effect of interactive policy development is to shore up a (creaking) democratic system or to destabilize its very foundations. In this article, a framework is presented for assessing the democratic credentials of interactive policy development. It is based on four views on how a democracy should work: instrumental or substantial democracy and direct or indirect democracy. Critics and advocates differ in their confidence that the intended aims can ever be realized. Based on extensive case study material of interactive local policy development projects collected between 1997 and 2001, the validity of the various arguments for or against interactive policy-making is analysed. The analysis indicates that whether interactive policy development undermines or sustains democracy depends principally on the extent to which divergences in the expectations of the various groups are made explicit and unrealistic or mistaken expectations are dispelled.     

Transforming the Post-Soviet Research Systems Through Incubating Technological Entrepreneurship

For many years the Soviet Union and the Eastern block countries (member countries of the former Warsaw pact) had been considered as the main military competitors of the western countries buttressed in their struggle against the West by their economic and scientific resources. The Warsaw pact countries had high levels of R&D investments, a large number of researchers and engineers, and diverse research facilities. On the other hand, output indicators (patent applications, number of papers, scientific citations, etc.), and especially the rates of technological innovation were not so impressive. This paper analyzes the sources of these differences with special attention to the functions played by science and technology (S&T) programs in the formerly communist societies of Europe and Russia. The dynamics of changes in the R&D potential in these countries are considered along with ways and possible scenarios of convergence towards the national systems of innovation of developed western economies. Special emphasis is assigned to the constructive role that technology transfer and commercialization processes along with the use of a network of virtual incubators and the promotion of technological entrepreneurship, can play in fostering a socio-economic renaissance in Eastern Europe and Russia.