Explaining variations in enforcement strategy: A comparison of the Swedish health care,eldercare, and compulsory school sector

This article analyzes whether, and if so, why, national inspectorates adopt different enforcement strategies when controlling the provision of welfare services, such as health care, eldercare, and the compulsory school. The findings show that the Swedish Schools Inspectorate uses a predominantly strict strategy, while the Health and Social Care Inspectorate relies on a more situational strategy. To explain this variation in enforcement strategy, the article tests four hypotheses derived from the literature on regulatory enforcement. The findings suggest that the variation between the agencies is not primarily the result of differences in resources or the authority to issue punitive decisions, as suggested by previous research. Instead, we find support for the hypothesis that the definition of quality can explain variation in adopted strategies, and partial support for the hypothesis that differences in regulatory mission can account for a variation in the agencies' formal enforcement strategies.     

Politics of the precautionary principle: assessing actors’ preferences in water protection policy

This paper analyzes the prospects for introducing the precautionary principle in water protection policy. In situations where a problem enters the political agenda and scientific uncertainties remain about causes or effects, political actors can justify state intervention based on the precautionary principle. It allows for public action even if risks related to the problem remain unclear. While the precautionary principle is widely applied in health and environmental policy fields all over the world, the mechanisms leading to its adoption are not fully understood. To close this gap, the paper investigates decision-makers preferences for the precautionary principle and further asks: Which factors promote political actors’ preferences for precautionary policy measures? In order to answer this question we study the case of emerging micropollutants—a water quality issue that recently entered political agendas, where many uncertainties remain about sources and effects. We rely on data gathered through a standardized survey among the political elite in Switzerland, which represents one of the first countries that adopted policy measures to reduce micropollutants in water bodies, despite the uncertainties that remain. Results analyzed through a temporal network autocorrelation model reveal that actors embedded in collaborative governance arrangements have the tendency to prefer precautionary action. Certain aspects of policy design, such as problem prioritization and target group membership, also impact the prospects for introducing the precautionary principle.     

On the front lines of welfare delivery: Are workers implementing policy reforms?

The impact of policy changes on the local delivery of services has been overlooked in several decades of largely unsuccessful efforts to “reform” welfare. This article uses one case of state-level welfare reform in the early 1990s to examine the implementation of policy changes in local welfare offices. Direct observation of transactions between welfare workers and clients suggests that policy reforms were not fully implemented by street-level bureaucrats. The instrumental transactions that continued to dominate interactions with clients were consistent with processing claims and rationing scarce resources, but they were poorly aligned with new policies aimed at changing the services and message delivered to welfare clients. The failure to fully implement reforms on the frontlines has implications for the achievement of policy objectives and for equity in service provision. Implementation issues will have even greater urgency as welfare is devolved from federal to state governments.     

Arbeit und Organisation in der funktional differenzierten Gesellschaft

This article identifies central dimensions of the concept of labor and integrates this concept into a systems-theoretical framework. It proposes to describe labor as the inclusion of persons in the performance of organizations. We demonstrate that by using this reconceptualization it becomes possible to situate the concept of labor within organizational theory and theories of society. Furthermore, empirical sketches of labor in firms and schools show how this reconceptualization of labor fosters our understanding of work in contemporary societies.     

Zwischen tertiärer Krise und tertiärer Zivilisation

Gesellschaftstheoretische Zugänge zur Analyse von Dienstleistungsgesellschaften sind noch vergleichsweise jung. Als Klassiker kann Fourastiés Analyse der Expansion von Dienstleistungen in westlichen Industriegesellschaften einschließlich der These einer ?tertiären Zivilisation“ gelten. Sie markiert einen bis in die aktuelle gesellschaftstheoretische Diskussion anschlussfähigen Interpretationshorizont für den Wandel von Arbeits- und Konsumformen, gerade weil sie ökonomische Engführungen vermeidet. Gleichwohl, so die weitere Argumentation, bedürfen Fourastiés Analyse wie auch deren kritische Weiterführungen, etwa durch Berger/Offe, einer Geschlechtssensibilisierung im Sinn einer stärkeren Berücksichtigung der geschlechterkulturellen Überformung von Dienstleistungsarbeit und privater Sorgearbeit. Hier sind Ansätze der vergleichenden Wohlfahrtsstaatsforschung ertragreich. Angesichts krisenhafter wie zivilisatorischer Potenziale von Dienstleistungsentwicklung bleiben freilich forschungsstrategische und normativ-gesellschaftspolitische Herausforderungen bestehen.     

Posttraumatic Stress as a Mediator of the Relationship Between Trauma and Mental Health Problems Among Juvenile Delinquents

This study investigated the interrelationships among trauma exposure, PTSD, and mental health problems in a sample of 289 adolescents (199 male, 90 female) detained in a juvenile correctional facility. Mean differences were found in that females scored higher than males on measures of interpersonal trauma exposure and symptoms of both simple and complex PTSD. Females also endorsed more mental health problems in the areas of depression/anxiety, somatic complaints, and suicidal ideation. For all youth, trauma exposure, PTSD, and mental health problems were correlated. Results of structural equation modeling were consistent with the hypothesis that PTSD mediates the relationship between interpersonal trauma and mental health problems for all youth, although the results were stronger for females.

Coronary thrombus and peracute myocardial infarction visualized by unenhanced postmortem MRI prior to autopsy

Sudden cardiac deaths are common within the community. They also constitute a substantial part of daily pathologic and forensic case work. However, macroscopic myocardial findings indicating acute ischemia are often absent. Then, diagnosis is based on coronary status in combination with indirect signs of acute cardiac failure. We present a case of sudden cardiac death where diagnosis was based on cardiac postmortem magnetic resonance imaging (pmMRI) findings already prior to autopsy: the heart's anterior basal ventricular septum showed hypointensities in T2-weighted images that raised suspicion of peracute ischemia. The lumen of the left anterior descending artery (LAD) exhibited a lack of otherwise discernible postmortem sedimentation of cellular blood components. Instead of a sharp border between serum and erythrocytes a homogeneous signal was seen within the narrowed lumen of the beginning LAD over a length of 1cm. Based on this, a thrombotic occlusion was assumed. Subsequent autopsy confirmed peracute septal myocardial ischemia secondary to a thrombotic occlusion of the LAD as concluded from the pmMRI.     

Assessing Danger: What Judges Need To Know

Every day, judges are faced with decisions regarding intimate partner violence (IPV) victims' requests for protection orders, custody arrangements, and visitation schedules. To make informed decisions, judges must understand victims' risk for future violence. This mixed method study explores the extent to which protection order petitions (n=169) communicate victims' current danger and future risk of violence. Methods included interviews coupled with an archival review of court petitions. Findings suggest judges are inadequately prepared to render decisions to improve victim safety in the absence of standardized risk assessments. The Danger Assessment provides an evidence-based solution to routinize intake interviews with victims petitioning the court.     

Integrating biodiversity: a longitudinal and cross-sectoral analysis of Swiss politics

Policy Sciences - The effective conservation and promotion of biodiversity requires its integration into a wide range of sectoral policies. For this to happen, the issue must receive attention...