The Swiss regulatory framework for paediatric health research

Medical research on minors entails both risks and benefits. Under Swiss law, clinical trials on children, including nontherapeutic drug trials, are permissible. However, ethics committees must systematically verify that all clinical studies have a favorable risk-benefit profile. Additional safeguards are designed to ensure that children are not unnecessarily involved in research and that proper consent is always obtained. Federal Swiss law is undergoing revision to extend these protections beyond clinical trials to a broad array of health research. The Swiss drug agency also seeks to improve the incentives for pharmaceutical firms to develop new paediatric drugs and relevant paediatric drug labels.     

Making the Case for Evaluation Partnerships in Child Protection Mediation Programs: Insights from a Case Study

Many jurisdictions have instituted child protection mediation programs (CPM) for the purposes of reducing the length of children's stays in out‐of‐home care and decreasing court system burden, and numerous studies have shown promising results. However, important implementation and sustainability problems persist. This article presents a case study's findings and retrospectively interprets underlying reasons for challenges the program faced in implementation. Study implications call for a more structured planning process, including early partnership with experienced court‐based evaluators to develop successful marketing and recruitment strategies that may encourage stakeholder endorsement and foster sustainability.     

The Coalition and the Decline of Majoritarianism in the UK

The United Kingdom has traditionally featured many aspects of the majoritarian model of democracy: its first‐past‐the‐post electoral system tends towards producing single‐party majorities, while its legislative decision rules concentrate policy‐making power in the hands of the resulting single‐party governments. However, in an unprecedented break with the UK's postwar conventions, the Conservatives and Liberal Democrats formed a coalition following the general election of 2010. In this article, we examine some of the Coalition's impacts on governing and constitutional conventions, placing them in a comparative European context. We conclude that the Coalition reflects a shift towards the less majoritarian forms of politics prevalent in continental Europe, and that some of these changes are likely to persist even after the end of the current government.     

Policy termination in mental health: The hidden agenda

Three policy termination objectives can be analyzed in the field of mental health: the move to phase-down, and in some instances close, large state institutions for the mentally disabled; the elimination in some states of indefinite involuntary commitment procedures; and the attempt to transfer responsibility for the provision of direct services from the state level to local government and/or private providers of care. Initiatives in these areas have come from the executive, the legislature, consumer organizations, and most recently from the public interest law community through the use of litigation. Termination in this field, however, has met with increasing resistance because of the failure in many instances to pair these objectives with positive program development. In some states, the result has been the dismantling of one system without the commitment of resources necessary to encourage the development of an alternative system.     

Developmental Pathways from Genetic,Prenatal, Parenting and Emotional/Behavioral Risk to Cortisol Reactivity and Adolescent Substance Use: A TRAILS Study

Journal of Youth and Adolescence - Cortisol reactivity is a frequently studied biomarker of substance use, though infrequently examined in adolescence. However, past research provides evidence that...     

Beyond over- and under-control: Behavioral observations of shelter children

A review of the available research on child witnesses of family violence reveals inconsistent results. It is proposed that this is due in part to varying methodologies including oversimplified data categories and unreliable sources of report. The current study utilizes a longitudinal naturalistic observation format of 75 children in 5 women's shelters. Results show first, the complexity of behaviors, second, fluctuating positive behaviors, third, the overall decline of negative behaviors, and fourth, the shelter worker's role as the victims' primary object. Conclusions emphasize the importance of early childhood development, the need for clinical support to child victims of violence, and the need for counselling models to facilitate the changes in child victims' behaviors.