When is Growth Not Growth? The Curious Case of Mental Health Budgeting in New York

This article argues that the adverse impact of Medicaid on state budgets alleged in various public debates has been overstated, in some measure because of the inaccurate and misleading manner in which Medicaid expenditures are appropriated in state budgeting systems. Data on Medicaid and mental health spending in the state of New York is used for analysis. The first section provides a Medicaid spending and budgeting background. The second section discusses Medicaid and mental health in New York. The third section describes actual budgeted spending for mental health in New York, and the final section provides a discussion and concluding comments.     

Low-level Radioactive Waste Compacts: Lessons Learned from Theory and Practice

The interstate compact as a policy tool has a long history ofuse in the United States. Yet some observers feel that interstatecompacts have never lived up to their potential. Nevertheless,in 1980, the compact was chosen as the policy instrument tosolve one of the thorniest environmental policy issues of thedecade: the siting of low-level radioactive waste (LLRW) disposalfacilities. Drawing from research on interstate compacts andon alliance theory developed in international relations, thisarticle applies five key questions to the case of LLRW: Whydo states join compacts? Which compacts will they join? Howstable are the compacts? How important are outside factors?What types of situations are compacts most suited to address?It concludes with lessons that should be useful to future policymakersabout the use of interstate compacts to solve salient, nationwidepolicy problems.     

The sporting life: Athletic activities during early adolescence

The decline in sports participation that begins in early adolescence has been well documented, and there has been considerable controversy regarding the reasons for this attrition. The present study addressed the attrition process by focusing on the subjective experience of sports as a function of grade, gender, and sport context. Following the procedures of the Experience Sampling Method, 401 5th–9th-grade boys and girls carried electronic pagers, similar to those worn by doctors, for one week, and filled out self-report forms on their activities and subjective states in response to signals received at random times. Older respondents spent less time in sports than their younger peers. This age difference was due primarily to a decline in informal sports participation, with less pronounced attrition from organized sports. Our findings suggest that the reasons for attrition from sport may be context specific. While informal sports were experienced more positively than gym class or organized sports, perceptions of skill were lowest during informal sports and declined with age. It seems youngsters stop participating in organized sports because these activities are less enjoyable to them, while attrition from informal sports is more performance based. Boys spent more time in sports than girls, and this difference was based primarily upon significant gender differences in informal sports participation. In spite of their differential rates of participation, boys and girls reported similar levels of affect, arousal, and skill during sports.This research was supported by NIMH grant number MH38324, Stress in Daily Life During Early Adolescence, awarded to Reed Larson, and was carried out while the first author was a Dissertation Fellow in the Department of Psychology at Loyola University of Chicago.Received Ph.D. in psychology from Loyola University of Chicago. Current research interests include athletic, involvement during early adolescence, body image, and adolescent mental health.Current research interests are stress and coping during early adolescence, and the adaptive use of leisure time.Received Ph.D. from the Committee on Human Development at the University of Chicago. Current research interests include pubertal development, the precursors of eating disorders, and the effects of maternal employment of young adolescents.     

Family relationships and social competence during late adolescence

Data from a large sample of late adolescents was used to examine associations between family relationships (reported closeness to parents and siblings) and perceived social competence. Significant positive relationships were found between family bonds and the social competence measures, which included social self-esteem, instrumentality, expressiveness, shyness, and degree of satisfaction/ease in same- and opposite-sex peer relationships. There was no evidence of differential effects of sibling versus parent relationships upon adolescent social competence.This project was supported by NIMH Grant 5 R01 MH34570.Received Ph.D. from Northwestern University.     

The nonpartisan ballot and the decline of American parties: A contextual effect?

The nonpartisan municipal ballot is one of several turn-of-the-century reforms intended to weaken political parties. Through its effects on individuals' political contexts and voting experiences, it might have contributed to the twentieth-century decline in public support for political parties. This paper tests this hypothesis with items available in the 1980 CPS presidential election survey augmented with a ballot form variable. There are no significant differences in measures of party support among residents of partisan and nonpartisan communities, and thus no measurable evidence that nonpartisan elections discouraged the public from supporting political parties.This is a revised version of a paper delivered at the XIII World Congress of the International Political Science Association, Paris, July 1985.     

Utopia and the legal system

She is author of The Boundaries of Utopia.     

Congressional committees as users of analysis

Structural arrangements in the Congress work against the use of analysis, but newer developments, such as growth in staff professionalism and activity of the congressional support agencies, tend to promote it. Interviews with committee staff show that they are aware of much analysis, use it primarily for political advantage, but that they also take it seriously as warning of problems and as guidance on particular issues. Staff value information more when they know and trust its source and understand its political motivations. The use of analysis to reconceptualize problems is not much in evidence, perhaps because such “enlightenment” takes place elsewhere and filters into the Congress through informal channels.     

Child murder committed by severely mentally III mothers: an examination of mothers found not guilty by reason of insanity. 2005 Honorable Mention/Richard Rosner Award for the best paper by a fellow in forensic psychiatry or forensic psychology

Forensic hospital records of 39 severely mentally ill mothers adjudicated Not Guilty by Reason of Insanity for filicide (child murder by parents) were analyzed to describe characteristics preceding this tragedy and to suggest prevention strategies. Almost three-quarters of the mothers (72%) had previous mental health treatment. Over two thirds (69%) of the mothers were experiencing auditory hallucinations, most frequently command hallucinations, and half (49%) were depressed at the time of the offense. Over one third (38%) of the filicides occurred during pregnancy or the postpartum period, and many had a history of postpartum psychosis. Almost three-quarters (72%) of the mothers had experienced considerable developmental stressors, such as death of their own mother or incest. Maternal motives for filicide were predominantly "altruistic" (meaning murder out of love) or "acutely psychotic" (occurring in the throes of psychosis, without rational motive). Psychiatrists should perform careful risk assessments for filicide in mothers with mental illnesses.