Invited Commentary: National Safe Place: Meeting the Immediate Needs of Runaway and Homeless Youth

An estimated 1.6 million youth run away from home each year. While on the run, these youth are vulnerable to exploitation, victimization, increased dangers and perpetration of criminal behavior. Runaway and homeless youth are far more likely to engage in substance use and delinquent behavior, drop out of school and suffer from sexually transmitted diseases and mental illness at greater rates than the norm. Timely and direct intervention in runaway and throwaway cases is imperative to protect youth from the high risks of living on the streets. National Safe Place is an outreach and prevention program that is uniquely designed to provide immediate safety and access to services for any youth in need. In partnership with over 360 youth serving agencies and over 10,000 businesses and community organizations across the United States, the Safe Place program educates youth about alternatives to running away and homelessness and provides easily accessible links to service providers. Ongoing data collection indicates that National Safe Place has been successful in reaching endangered youth at risk of abuse, neglect or serious family problems but that expanded program models remain needed. The challenges and successes of current programming and the future of National Safe Place program expansion are discussed.     

Book Reviews

Jeffrey T. Richelson and Desmond Ball, The Ties that Bind: Intelligence Cooperation between the UKUSA Countries (London: George Allen &; Unwin 1986). Pp. xviii + 402. £19.95.

Giuseppe De Lutiis, Storia dei Servizi Segreti in Italia (Rome: Editori Riuniti, 1985). Pp. 313, Lire 16,500.

Scott D. Breckenridge, The CIA and the U.S. Intelligence System (Boulder, CO; Westview Press, Frederick A. Praeger). Pp. 364.

Phillip Thurmond Smith, Policing Victorian London. Political Policing, Public Order, and the London Metropolitan Police (Westport, CT and London: Greenwood Press, 1985). Pp. x + 230. £35.

Charles Perrow, Normal Accidents: Living with High‐Risk Technologies (New York: Basic Books, 1984). Pp. 386. $10.95.     

Clarity of responsibility: How government cohesion conditions performance voting

Recent literature has shown that the long established link between economic performance and electoral outcomes is conditioned by a country's institutions and government, what is often termed ‘clarity of responsibility’. In this article two distinct dimensions of the clarity of the political context are identified: institutional and government clarity. The first captures the formal dispersion of government power, both horizontally and vertically. The second captures the cohesion of the incumbent government. Analysing survey data from 27 European countries, it is shown that voters' ability to hold governments to account, for both the economy and management of public services, is primarily influenced by the extent to which there is an identifiable and cohesive incumbent, whereas formal institutional rules have no direct impact on performance voting.     

Problematic Proximities: Or Why Critiques of Gay Imperialism Matter

This article examines the issues of censorship, language and racism through a critical reflection on Peter Tatchell’s response to the critique of gay imperialism offered by Jin Haritaworn, Tamsila Tauqir and Esra Erdem. In ‘Academics smear Peter Tatchell’, we are invited to find evidence of ‘Islamophobia, racism or support for imperialist wars’ in the writings that can be downloaded from Tatchell’s website. The article shows how islamophobia and racism operate in Tatchell’s writings not necessary in the content of specific arguments but through the very form of proximities (for example in the proximity between the words ‘Islam’, ‘fundamentalism’ and ‘terror’). The article thus reflects on how racism operates in language through the repetition of associations that get ‘stuck’.     

To evaluate the utility of smaller sample sizes when assessing dental maturity curves for forensic age estimation

Dental maturation and chronological age estimation were determined from 144 healthy Western Australian individuals aged 3.6-14.5 years. The results were compared with Farah et al.'s previous study which comprised a larger heterogeneous sample of Western Australian individuals (n = 1450). Orthopantomograms were analyzed with the application of Demirjian and Goldstein's 4-tooth method based on eight stages of dental mineralization. Analysis of variance revealed no significant differences in dental maturity scores in each age group among the males in both studies; similar results were seen in the females. Paired t-tests showed no statistical significance overall between chronological and estimated ages for the males in our sample (p = 0.181), whereas the females showed significant differences (p < 0.001). Our results show that smaller samples may be used when assessing dental maturity curves for forensic age estimation.     

A comparison of Demirjian's four dental development methods for forensic age assessment

The aim of this study was to determine the comparative accuracy of Demirjian's four dental development methods for forensic age estimation in the Western Australian population. A sample comprising 143 individuals aged 4.6 to 14.5 years were assessed using Demirjian's four methods for dental development (original 7-tooth: M(2), M(1), PM(2), PM(1), C, I(2), and I(1); revised 7-tooth: M(2), M(1), PM(2), PM(1), C, I(2), and I(1); 4-tooth: M(2), M(1), PM(2), and PM(1); and an alternate 4-tooth: M(2), PM(2), PM(1), and I(1)). When comparing all four methods, the 4-tooth method overestimated age in both males and females by 0.04 and 0.25 years, respectively. The original 7-tooth was least accurate for males, while the original 7-tooth, the revised 7-tooth, and the alternate 4-tooth were unsuitable for females. Therefore, we recommend the 4-tooth method to be used for forensic age estimation in Western Australian males and females, as it has the lowest overall mean deviation and the highest accuracy.     

Health care for older persons in England and the United States: a contrast of systems and values

This article extends previous comparisons of access to health care for older persons in England and the United States by comparing rates of avoidable hospital conditions as a proxy for primary care access and by examining the distribution of care within these older populations. Drawing on hospital data from the two countries, we find that older persons in the United States, particularly those over the age of seventy-five, receive far more revascularizations than do older persons in England. Differences in the use of lower-joint replacement are not as great, but we are unable to assess differences in the need for these procedures. Although older persons have greater access to specialty care in the United States, there appears to be much better access to primary care in England. We are unable to draw comparisons on the extent of inequalities in access to health care, although in the United States there is evidence of inequalities in access by race, and in England we confirm earlier studies that find inequalities by level of deprivation. These findings are discussed in the context of the political debates over access to care and rationing in the two countries.