Joint Working: The Health Service Agenda

The purpose of this article is to examine the policy and practice of collaboration between health and local government from a health servicesperspective. Within this remit, the authors primarily focus on the area of primary care. Four key elements of the post-1997 policy context are discussed: the move from GP fund-holding to Primary Care Groups and Trusts (PCG/Ts); a shift from treating to preventing illness; a drive for implementation by central government; and an emphasis on collaboration. Within this broad context, there are a number of factors which may support enhanced collaboration: the size, scope, responsibilities and budgets of PCG/Ts may well provide an organisational framework which is supportive of joint working. However, the ‘Berlin Wall’ between health and social care has proved to be enduring, and there are aspects of the post-1997 policy context which will continue to inhibit effective joint working, in particular centrally designed performance management systems and the dominance by GPs of PCG/Ts.     

The Precautionary Principle: A Thrill Ride on the Roller Coaster of Energy and Climate Law

The International Energy Agency has reported that, in 2007, fossil fuels were the source of 66% of global energy production, while the Intergovernmental Panel on Climate Change has found that 60% of all anthropogenic greenhouse gas emissions in 2004 were carbon dioxide emissions from the stationary energy sector. This article relies on recent case law in Australia to assess the extent to which the precautionary principle is a relevant consideration for development consent authorities determining applications for energy-generation facilities, including coal-fired power stations, coal mines, wind farms and uranium mines. What emerges is that there is really no certainty that the precautionary principle will be applied consistently by Australian courts to determine the legal responsibilities of decision makers assessing energy projects. In this sense, the precautionary principle has taken a thrill ride on the roller coaster of energy and climate law in Australia .     

Developmental and Cross-Situational Differences in Adolescents' Coping Strategies

In this study, we investigated developmental and cross-situational differences in strategies adolescents use to cope with family, school, and peer stressors. We also examined the relation between adolescents' use of coping strategies and two indices of adjustment (self perceptions of their adjustment as a result of coping with the specific stressor and state anxiety). The sample included 148 seventh graders, 124 ninth graders, and 103 twelfth graders (n = 375). Approach coping increased across the three grade levels, especially in relation to family and peer stressors. Adolescents used more avoidance than approach coping strategies for family stressors, and more approach than avoidance strategies for school and peer stressors. Across stressors, approach coping predicted more favorable outcomes and avoidance coping predicted less favorable outcomes. Coping strategies in response to a specific stressor were more strongly predictive of stressor-specific adjustment than state anxiety, suggesting the need to include both stressor-specific and global measures of adjustment in assessing the relation between coping and adjustment.     

Self-control, Victimization, and their Influence on Risky Lifestyles: A Longitudinal Analysis Using Panel Data

This research expands past investigations into the influence of low self-control as a risk factor for criminal victimization. Specifically, we consider two questions: (1) whether low self-control at one point in time can predict future victimization, and (2) whether victims alter lifestyle choices (like their own delinquency and contact with delinquent peers) in response to their earlier victimization. We answered these questions using three waves of adolescent panel data from the evaluation of the Gang Resistance Education and Training program. Our results support the predictions of self-control theory, showing that low self-control measured at an earlier time is associated with later victimization, even after controlling for past victimization, delinquency, social bonds, and delinquent peer contact. Likewise, self-control appears to influence the relationship between earlier victimization and later lifestyles.