Reducing Adolescents’ Perceived Barriers to Treatment and Increasing Help-seeking Intentions: Effects of Classroom Presentations by General Practitioners

The Building Bridges to General Practice (BBGP) program is an outreach initiative. It aims to reduce young peoples’ perceived knowledge- and belief-based barriers to engaging in treatment and to increase their behavioral intentions to consult a general medical practitioner (GP) for physical and psychological problems. By increasing intentions, the BBGP program aims to increase actual consultations with a GP for both types of problem. A quasi-experimental nested design was used to evaluate the effect of the intervention in three Australian high schools. A Treatment group (n = 173, M = 16 years) and Comparison group (n = 118, M = 15 years) completed questionnaires of perceived barriers, intentions and self-reported consultations with a GP. Questionnaires were completed 1 week before the intervention, 5 then 10 weeks post-intervention. The Treatment group, but not the Comparison group, showed reductions in perceived barriers over time, increased intentions to consult a GP for psychological problems and a significant correlation between intentions and subsequent GP consultations. Results support the utility of the intervention for improving adolescents’ beliefs, intentions and behavior related to consulting a GP for physical and psychological problems.

How to make a dis-entrepreneur of the Schumpeterian entrepreneur: the impact of institutional settings on growth

Fiscal and monetary institutions are conspicuously omitted in the conventional theory of long-run economic growth. Moving from the Schumpeterian entrepreneur, who adopts new technology because its value, according to Tobin’s q, dominates the economic rents of existing capital, we argue that the Schumpeterian entrepreneur’s incentives to innovate change when he is transplanted into the public economy. We analyze two alternative institutional settings denoted as “long chain” and “short chain”. Through the “long chain” model we show that the Schumpeterian entrepreneur is driven towards “destructive creation” of new capital, thus becoming a political dis-entrepreneur, while the quasi-contractual “short chain” model provides incentives to innovate.     

Militarism and Dual-Conflict Capacity

This research note examines how domestic institutions can moderate the relationship between domestic and interstate conflict involvement. Previous work has found that military dictatorships are more likely to become involved in either domestic or international conflicts, compared to party-based autocracies. We argue that the same institutional explanations for why military autocracies are more conflict-prone also make them less capable of successfully carrying out multiple conflicts at the same time. Analyzing interstate and domestic conflict involvement on a sample of dictatorships over the period 1947–2004, we show that military autocracies dealing with internal armed conflict are less likely than their nonmilitary counterparts to become involved in an international conflict.     

From Apathy to Action: Promoting Active Citizenship and Global Responsibility amongst Populations in the Global North

Efforts to address social and global problems such as poverty, mass hunger and mass-atrocity crimes are hindered significantly by apathy and low levels of active civil and political engagement amongst populations in developed countries. Social change non-government organisations (NGOs), such as Oxfam Australia, Oxfam Hong Kong and Médecins Sans Frontières, have recently employed innovative, creative, experience-based strategies in their efforts to promote active citizenship and greater global responsibility amongst populations in the Global North. These techniques are based on two key assumptions: that experiences change attitudes and that changes in behaviour will follow changes in attitudes. Yet the effectiveness of these newer techniques and the accuracy of the assumptions on which they are based remain largely untested. This article explores these assumptions and discusses the innovative, creative techniques that they have generated in NGO public education efforts. The article examines the theoretical literature on the problem of apathy and on the use of creative techniques to overcome apathy. It further discusses the practical application of these techniques through an examination of Oxfam Australia's “Refugee Realities” project. This discussion is based on preliminary evaluation research conducted by Oxfam Australia and the author's own experiences as an actor/volunteer on the project. The article suggests that creative, experience-based public education strategies are effective in challenging and confronting public attitudes towards issues of global injustice. Further research is needed, however, to determine whether these encounters result in long-term changes in attitudes and whether they contribute to moving individuals and communities from apathy to action.     

Does incarceration-based drug treatment reduce recidivism? A meta-analytic synthesis of the research

This research synthesized results from 66 published and unpublished evaluations of incarceration-based drug treatment programs using meta-analysis. Incarceration-based drug treatment programs fell into five types: therapeutic communities (TCs), residential substance abuse treatment (RSAT), group counseling, boot camps specifically for drug offenders, and narcotic maintenance programs. We examined the effectiveness of each of these types of interventions in reducing post-release offending and drug use, and we also examined whether differences in research findings can be explained by variations in methodology, sample, or program features. Our results consistently found support for the effectiveness of TC programs on both outcome measures, and this finding was robust to variations in method, sample, and program features. We also found support for the effectiveness of RSAT and group counseling programs in reducing re-offending, but these programs’ effects on drug use were ambiguous. A limited number of evaluations assessed narcotic maintenance or boot camp programs; however, the existing evaluations found mixed support for maintenance programs and no support for boot camps.