The public health implications of United Kingdom offender healthcare policy: a holistic approach to achieve individual and societal gains

In 2009, two seminal documents were published by the United Kingdom (UK) government concerning healthcare services for offenders. The Bradley review into diversion for people with mental health problems and learning disabilities emphasised a need to improve offender health, not least because of the high economic costs to society as a whole resulting from unresolved mental illness, physical ill-health and substance abuse problems commonly experienced by offenders. The Bradley review made wide-reaching recommendations for change, requiring strong partnership between health and justice agencies at both central government and local levels. A framework for the delivery of Bradley's recommendations has been set out in Improving health, supporting justice, the Department of Health's offender health strategy which sets out the direction of travel for the next 10 years.This paper discusses the reality of working toward improving health services for this marginalised group in the context of the influence of the current straitened financial climate on the allocation of resources to publically funded healthcare in the UK; it examines the historically based, and widely held, belief in the principle of “less eligibility” within our society, whereby there is much public and media resistance to allocating resources to improving care for offenders when other, more “deserving”, groups are perceived to be in continuing need.     

The mental health and substance misuse needs of male ex-armed forces personnel in prison

Ex-armed forces personnel constitute the largest known occupational group in prison but there is little evidence regarding their mental health, or substance misuse, needs. A total of 105 participants were interviewed and measures assessing symptoms of common mental health (CMH) problems and substance misuse were completed along with a review of their health care records. Forty (38%) participants screened for current CMH problems (CCMH) and high levels of dual symptomology and alcohol misuse were assessed. Thirty-nine (37%) had a mental health diagnosis recorded, most commonly for post-traumatic stress disorder (PTSD), depression and personality disorder. Those who screened for a CCMH problem were more likely to have pre-service vulnerability to negative health outcomes and those with dual symptomology were more likely to have experienced deployment during their service. Findings suggest the mental health needs of this group are similar to the general prison population. Potentially higher prevalences of PTSD and alcohol misuse may direct service provision.     

Birds of a Feather Fight Together: Status-Enhancing Violence,Social Distance and the Emergence of Homogenous Gangs

Objectives

This study proposes a theoretical framework for understanding two empirical findings from gang research: (1) gangs are generally racially homogenous, even in heterogeneous environments, and (2) gang violence tends to be intra-racial. We draw from the extensive literature on street gangs as well as from research on group formation and status-enhancing behavior to develop a theoretical model of gang formation.

Methods

Using game theory, we model the simultaneous decisions of individuals to commit status-enhancing acts of violence and to seek protection by joining a gang. We then conduct computer simulations to examine the resulting patterns of violence and gang composition.

Results

We demonstrate that as long as some social distance exists between racial groups in a community, gang violence will be intra-racial and gangs will be homogenous. We find that our results are robust to a number of simple variations of the model and allow us to generate several hypotheses about the nature of gang formation and patterns of violence.

Conclusions

When violence is motivated by socially constructed rewards, socially closer targets are likely to yield greater rewards. In such a system, individuals must reduce their likelihood of victimization by entering a social contract of non-violence (i.e. gang membership) with individuals who might view them as status-enhancing targets (i.e. socially close individuals). The result is that gangs are made up of socially close individuals interested in attacking other socially close individuals. Therefore, gangs tend to be racially homogenous and violence is overwhelmingly intra-racial.

     

Feature reviews

Portraits of Fidel Castro

Fidel Castro: Nothing Can Stop the Course of History. Edited by Jeffrey M Elliott and Mervyn M Dymally. New York: Pathfinder Press. 1986. 258pp. £5.75pb

Fidel and Religion: Castro Talks on Revolution and Religion with Frei Betto. Frei Betto. New York: Simon and Schuster. 1987. 314pp. $19.95hb

Fidel: A Critical Portrait. Tad Szulc. London: Century Hutchinson. 1987. 585pp. £14.95hb. New York: William Morrow. 1986. 703pp. $19.95hb

Castro. Peter Bourne. London: Macmillan. 1986. 332pp. £14.95hb

Kwame Nkrumah and African liberation

The Closest of Enemies: A Personal and Diplomatic History of the Castro Years. Wayne S Smith. New York: W W Norton. 1987. 308pp. $19.95hb

The Rise and Fall of Kwame Nkrumah: A Study of Personal Rule in Africa. Henry L Bretton. London: Pall Mall Press. 1967. 232pp. n/p

Black Star: A View of the Life and Times of Kwame Nkrumah. Basil Davidson. London: Allen Lane. 1973. 225pp. n/p

Ghana's First Republic 1960–1966. Trevor Jones. London: Methuen. 1976. 366pp. £3.95pb

The likelihood of coups.

The Likelihood of Coups. Rosemary H T O'Kane. Aldershot, England: Avebury. 1987. 162pp. £18.50hb

The Iran‐Contra Affair

The Iran‐Contra Connection: Secret Teams and Covert Operations in the Reagan Era. Jonathan Marshall, Peter Dale Scott and Jane Hunter. Boston, Massachusetts: South End Press. 1987. 313pp. $11.00pb

The Tower Commission Report: The Full Text of the President's Special Review Board. John Tower, Edmund Muskie and Brent Scowcroft. New York: Bantam Books and Times Books (distributed in the UK by. Transworld). 1987. 550pp. £4.95pb

Perspectives on terrorism

Terrorism, Ideology and Revolution: The Origins of Modern Political Violence. Edited by Noel O'Sullivan. Brighton, England: Harvester. 1986. 224pp. n/p

Terrorism and the Liberal State. Paul Wilkinson. London: Macmillan Educational. 1986. 322pp. £20.00hb/£7.95pb

Terrorism: How the West Can Win. Edited by Benjamin Netanyahu. London: Weidenfeld and Nicholson. 1986. 239pp. £14.95hb

Terrorism and International Order. Lawrence Freedman, Christopher Hill, Adam Roberts, RJ Vincent, Paul Wilkinson and Philip Windsor. London: Routledge and Kegan Paul for Royal Institute for International Affairs. 1986. 111pp. £5.95pb

Holy Terror: The Inside Story of Islamic Terrorism. Amir Taheri. London: Century Hutchinson. 1987. 301pp. £12.95hb

Invisible Annies: Terrorism into the 1990s. Stephan Segaller. London: Michael Joseph. 1986. 311pp. £15.95hb

Food, famine and future prospects for Africa

World Hunger: Twelve Myths. Frances Moore Lappé and J Collins. New York: Grove Press for Food First. 1986. 208pp. $7.95pb

World Recession and the Food Crisis in Africa. Edited by Peter Lawrence. London: James Currey/African Review of Political Economy. 1986. 314pp. £25.00hb/£9.95pb

Food in Sub‐Saharan Africa. Edited by Art Hansen and Delia E McMillan London: Frances Pinter. 1986. 410pp. £30.00hb

Drought and Aid in the Sahel: A Decade of Development Cooperation. Carolyn M Somerville. Boulder, Colorado: Westview. 1986. 306pp. n/p

Rural Vulnerability to Famine in Ethiopia, 1958–77. Mesfin Wolde Mariam. London: Intermediate Technology Publications. 1986. 191pp. £7.95pb

The Ethiopian Famine. Kurt Jansson, Michael Harris and Angela Penrose London: Zed. 1987. 196pp. £25.95hb/£6.95pb

South African history

South Africa: A Modern History. T R H Davenport. London: Macmillan. 1987 (third edition). 692pp. £45.00hb/£16.95pb.

History of Southern Africa. J D Omer‐Cooper. London: James Currey. 1987. 298pp. £25.00hb/£9.95pb

Hidden Struggles in Rural South Africa: Politics and Popular Movements in the Transkei and Eastern Cape 1890–1930. William Beinart and Colin Bundy. London: James Currey. 1987. 326pp. £25.00hb/£9.95pb

Rural Transformations in Industrialising South Africa: The Southern Highveld to 1914. Timothy J Keegan. London: Macmillan. 1987. 302pp. £29.50hb

Our common environmental future

Environment and Development. Peter Bartelmus. London: Allen and Unwin, 1986. 96pp. £5.95pb

Our Common Future. The World Commission on Environment and Development Oxford: Oxford University Press. 1987. 383pp. £5.95pb

Learning from China? Development and Environment in Third World Countries. Edited by Bernhard Glaeser. London: Allen and Unwin. 1987. 282pp. £30.00hb     

Deconstructing Crime and Nature or, What Does Post Humanism Have to Do With Criminology?

The aim of this paper is to extend some of the theoretical concerns that Marcus Felson (2006) opens up in Crime and Nature by considering the contribution of post humanist political ecology to the construction of crime and nature that he proposes. Post humanism problematises dichotomous understandings of nature and culture as well as related binaries that follow from that division, suggesting that dominant assumptions about nature and the non human undermine antiracist and feminist efforts. While Felson (2006) takes steps towards troubling the nature/culture binary, he fails to question the constructed character of crime and crime prevention, thereby leaving unarticulated a critical problematisation of the exclusionary logics that underlie dominant practices and ways of thinking as race, sex, class and species fundamentally determine the nature of criminological knowledge. Abstracting crime from social context produces a partial analysis as spaces are reduced to their supposed propensity for criminal activity and some spaces are produced as always already criminal. Without examining and understanding how power relations intersect in the context of crime it is difficult to alter those relations to promote social justice.     

Ultrafast Amplification of DNA on Plastic Microdevices for Forensic Short Tandem Repeat Analysis

The majority of microfluidic devices used as a platform for low‐cost, rapid DNA analysis are glass devices; however, microchip fabrication in glass is costly and laborious, enhancing the interest in polymeric substrates, such as poly (methyl methacrylate) (PMMA), as an inexpensive alternative. Here, we report amplification in PMMA polymerase chain reaction (PCR) microchips providing full short tandem repeat profiles (16 of 16 loci) in 30–40 min, with peak height ratios and stutter percentages that meet literature threshold requirements. In addition, partial profiles (15 of 16 loci) were generated using an ultrafast PCR method in 17.1 min, representing a ~10‐fold reduction in reaction time as compared to current amplification methods. Finally, a multichamber device was demonstrated to simultaneously amplify one positive, one negative, and five individual samples in 39 min. Although there were instances of loci dropout, this device represents a first step toward a microfluidic system capable of amplifying more than one sample simultaneously.     

Measuring error for adjacent policy position estimates: Dealing with uncertainty using CMP data

Careful users of CMP party position data should take the uncertainty of position estimates into account. We compare and evaluate two current approaches that provide error estimates for party positions. Researchers of the CMP group identify measurement error in quantitative content analysis as the cause of uncertainty about position estimates, whereas a second approach by Benoit et al. (2009) attributes the uncertainty of position estimates to a stochastic generation of election programs. We illustrate the commonalities and differences of these approaches and provide two empirical applications, the identification of the left–right order of parties and of policy shifts by parties, using CMP data for 25 countries. Despite conceptual differences, results in these applications are surprisingly similar.     

Intellectual Property Rights and the Potential for Universal Access to Treatment: trips,acta and hiv/aids medicine

Where hiv/aids is concerned, the twin goals of ‘zero new infections’ and an ‘aids-free generation’ are now, due to advances in treatment (and treatment as prevention), a realistic possibility. However, these goals can only be achieved through the scaling-up of treatment to the point of universal access. It is inevitable that the success of any scaling-up will be predicated on cost, particularly of hiv/aids medicines. This article argues that recent changes in the global intellectual property landscape—effected by way of bilaterally- and plurilaterally-negotiated trade agreements initiated by developed countries—jeopardise the target of universal access. Enhanced protection of international intellectual property rights increasingly poses a threat to the development of, and international trade in, generic medicines. Unless developing countries move to reinvigorate moribund multilateral institutions, particularly the wto, they will lose control of the intellectual property agenda, and thus the ability to impose an alternative vision regarding universal access.