Advancing prevention research on child abuse, youth violence, and domestic violence: emerging strategies and issues

Prevention research on the related problems of child abuse, youth violence, and domestic violence has grown at an accelerating pace in recent years. In this context, a set of shared methodological issues has emerged as investigators seek to advance the interpersonal violence prevention knowledge base. This article considers some of the persistent methodological issues in these areas and points out emerging research strategies that are forging advances in garnering valid, rigorous, and useful knowledge to prevent interpersonal violence. Research issues and emerging strategies in three key domains of prevention research are considered, including complexities in validly conceptualizing and measuring varying forms of violence as specific targets for preventive intervention, research issues and strategies designed to reliably predict and identify future violence risk to be targeted by preventive intervention, and research issues and emerging strategies in the application of empirical methods to forge specific advances in preventive intervention strategies themselves.     

Toxicologic analysis in cases of possible sudden infant death syndrome: a worthwhile exercise?

The diagnosis of sudden infant death syndrome (SIDS) is one of exclusion. At the Department of Forensic Medicine, Westmead Hospital, toxicologic analysis is performed as part of the postmortem examination of all apparent SIDS deaths. The results for the 5-year period January 1, 1994, to December 31, 1999, were audited to determine whether such routine testing was worthwhile. During this time there were 117 cases with a history consistent with SIDS. Drugs were detected in 19 (16%) of these cases. In 1 case, death was attributed to the finding of methadone. The presence of methadone was regarded as a possible contributing factor to death in a further 2 cases. The presence of possible methadone toxicity had not been expected from the history given before the examination in these 3 cases. In 114 cases there was a suitable sample for alcohol testing; in no case was alcohol detected. In 13 cases the postmortem examination revealed an anatomic cause of death (including 3 cases consistent with whiplash/shaken baby/impact head injury), which excluded a diagnosis of SIDS. In conclusion, routine toxicologic testing in all possible cases of SIDS death supplements the postmortem examination in excluding cases of non-SIDS.     

FISCAL STRESS AND HEALTH POLICY IN THE A.C.T.*

Abstract: Since 1981, the financing of the‘ ACT has been subject to five inquiries by the Commonwealth Grants Commission. These inquiries have incorporated the ACT into the fiscal equalisation process between Australian states and territories. and have significantly affected the ACT'S general revenue grants from the commonwealth. The inquiries produced evidence of generous commonwealth funding of the ACT compared with the other states. This funding has given rise to “over-spending” on service provision by the ACT government. The ACT government is not currently responsible for all identified “over-spending”. being buffered to some extent by transitional allowances recommended by the Grants Commission. The ACT government is, however, experiencing fiscal stress for the “overspending” for which it is responsible. This stress is expected to increase in the future as the ACT government comes to bear the full burden of all “overspending”. A significant cause of the “over-spending” identified by the Grants Commission was health services expenditure. This situation has raised a number of interesting questions. Is the “overspending” on health a conscious policy decision to produce a higher quantity/quality combination of health services in the ACT? Or does it represent inefficiency? What policy options are appropriate in view of the “over-spending” on health? This paper addresses these questions using data from the Grants Commission inquiries and a recently released study of hospital utilisation and costs in Australia. It is concluded that, at least with respect to public hospitals in the ACT. excessive stafting is the primary cause of “over-spending”. There is little evidence to support an argument that this “over-spending” is resulting in superior health outcomes for ACT citizens.     

Relating rationality to context: interinstitutional complexity and embedded individual agency within industrial training in the UK tableware sector

ABSTRACT

The central contribution of this paper lies in showing a need to consider the complexity of interinstitutional systems, thereby more effectively relate rationality to context. Drawing on an institutional logics perspective, it presents a study of workplace training in a particular industrial sector in the UK: ceramic production. While identifying a vicious circle in the form of, what can be termed, a ‘high-quality/low-(formal-)skill’ system state, rather than simply privileging structure over action, findings show embedded individual agency. Besides being directed by goals, interests and self-seeking behaviour, a dominant logic for senior management personnel towards technology and home-based production was guided by issues of social identity and identification. ‘Nested’ in different opportunities and constraints presented at the levels of organizations and institutions, this individual-level logic was translated into not one, but two alternative corporate logics towards existing state-led intermediate-level workforce training arrangements. Both perpetuated a low-(formal-)skill situation in the sector.     

Time-of-voting decision and susceptibility to campaign effects

There is mounting evidence that election campaigns matter. There are also reasons to expect interpersonal heterogeneity in the susceptibility to campaign influence. Time-of-voting decision has been suggested as a key mediating variable for campaign effects. However, there is no persuasive empirical evidence to substantiate the claim that people who decide during campaigns actually respond to campaign events or campaign-specific information.This study incorporates time of decision into dynamic models of campaign effects in order to test whether there is a significant interaction effect between time of decision and campaign persuasion. In sum, the vote intentions of campaign deciders are indeed more volatile because they respond to actual campaign events and coverage, not because they fluctuate haphazardly. People who say they decided before the campaign are, reassuringly, not influenced by campaigns.