Evaluation of the south carolina comr/cunity long-term care medicaid waiver for the elderly and disabled

Medicaid waivers play an important role in the health policy process. Various health care policy initiatives have encouraged states to experiment ith their Medicaid programs by expanding coverage to populations not traditionally covered by Medicaid, or by delivering Medicaid services in non traditional ways. Lessons learned by individual states' Medicaid waivers could be an important part of the health care reform debate. This paper presents an evaluation of a Medicaid waiver operating in South I Carolina. The South Carolina Community Long-term Care Waiver for the Elderly and Disabled is evaluated for cost effectiveness, quality of care, and client satisfaction. This evaluation shows that the waiver is highly effective in offering individuals who are medically and financially eligible for Medicaid supported nursing home care a viable, cost effective, high quality alternate to institutionalization.     

The temptation of provincial criminal law

Under s.91 (27) of the BNA Act, 1867, the Federal Parliament has the exclusive authority to legislate “criminal law.” This has not stopped the provinces from passing “quasi‐criminal” laws that are difficult to distinguish from criminal law. Recent legislation regarding “public fighting” and civil remedies for criminal acts suggest there are few legal obstacles to enacting provincial criminal law. This article identifies such provincial criminal laws, explains how the modern doctrines of federalism might invite and allow for their enactment, and discusses impacts on criminal justice policy and administration. It highlights the discretion afforded the Crown and police in charging individuals under the federal Criminal Code or similar provincial laws (or municipal by‐laws). While provincial or local laws may allow for more efficient law enforcement, they do so at the expense of the procedural guarantees associated with the criminal law.     

Money,exports, government spending,and income in Peru, 1951–66

Most studies of open developing economies, such as Peru, have found the foreign sector's impact on the domestic economy is very great. This is usually true whether the vehicle for changes in income is monetary or real.¹ This study, following the basic models developed by Polak, Prais and Schotta, will attempt to explain short run changes in income in Peru using two different approaches: a monetary approach and an income approach.     

Definitions and terminology regarding child alignments,estrangement, and alienation: A survey of custody evaluators

Parental alienation (PA) is a highly consequential family dynamic that causes harm to children and parents. While many mental health and legal professionals agree that PA is common and potentially very harmful to children, there is still the appearance that there is controversy and discord in the field. The purpose of this study was to test the extent of consensus in the field regarding the basic tenets of PA theory. Specifically, 11 key terms related to PA were identified through expert input and preliminary field-testing. An on-line survey was created specifically for the study to assess level of agreement with these key terms among custody evaluators. This profession was selected because of their high degree of training and experience with a variety of family conflict situations; 119 child custody evaluators selected as members of a professional custody evaluator listing (88% response rate) rated their endorsement of these 11 key definitions with response options including: strongly agree, agree, neither agree nor disagree, disagree, and strongly disagree. Results revealed that roughly 80% of respondents agreed or strongly agreed with each of the 11 definitions. These results demonstrate a high degree of consensus and should guide future trainings of legal and mental health professionals to ensure a common language and understanding of this phenomenon.