Involuntary outpatient treatment as “desintitutionalized coercion”: The net-widening concerns

In American jurisprudence, two justifications have traditionally been put forth to support the government's social control of persons with mental illness: police power and parens patriae. As public mental hospitals became less available as loci in which to exercise these functions, governments sought alternative means to achieve the same ends. One prominent but quite controversial means is involuntary outpatient treatment (IOT). While the concerns about IOT have been myriad, one often alluded to but never documented is that of “net-widening.” That is, once IOT became available, it would be applied to an ever greater number of individuals, progressively expanding the margins of the designated population to whom it is applied, despite the formal standard for its application remaining constant. We tested the net-widening belief in a naturalistic experiment in Massachusetts. We found that net-widening did not occur, despite an environment strongly conducive to that expansion. At this time, whatever the arguments against IOT might be, net-widening should not be one of them.     

Book Reviews

Books reviewed:
The Law of Energy for Sustainable Development , edited by Adrian J. Bradbrook, Rosemary Lyster, Richard Ottinger and Wang Xi , published by Cambridge University Press, 2005, 630pp, £75.00, hardback.
Fresh Water and International Economic Law , edited by Edith Brown Weiss, Laurence Boisson de Chazournes and Nathalie Bernasconi-Osterwalder , published by Oxford University Press, 2005, 506pp, £70.00, hardback.
Handbook of Global Environmental Politics , edited by Peter Dauvergne , published by Edward Elgar, 2005, 560pp, £125.00, hardback.
Emerging Forces in Environmental Governance , edited by Norichika Kanie and Peter M. Haas , published by United Nations University Press, 2004, 320pp, US$36.00, paperback.
Economic Globalization and Compliance with International Environmental Agreements edited by Alexandre Kiss, Dinah Shelton and Kanami Ishibashi , published by Kluwer Law International, 2003, 352pp, £85.00, hardback.
German Environmental Law for Practitioners , edited by Horst Schlemminger and Claus-Peter Martens , 2nd edition, published by Kluwer Law International, 2004, 833pp, £119.25, hardback.
The International Climate Change Regime: A Guide to Rules, Institutions and Procedures , Farhana Yamin and Joanna Depledge , published by Cambridge University Press, 2004, 730pp, £40.00, paperback.     

Changing security cultures in Europe and Southeast Asia: Implications for inter-regionalism

Recent development in Southeast Asia demonstrates a slowly but steadily changing security culture from, first, an informal, consensus-based and often hidden way of managing security to a more open and explicit discourse and, second, from a statist realist definition of security as hard or military security to a broader, liberal understanding that covers the whole spectrum of human, economic and environmental security. This security culture in the making also touches upon formerly tabooed issues such as sovereignty and humanitarian intervention. The paper argues that the new approach has removed obstacles in relations between Europe and East Asia and contributed to the emergence of security as a cornerstone of the co-operation agenda since 1998. At the same time, however, a rapid translation of the inter-regional discourse on security into a working programme or even specific policies is hindered by the prevalence of diverging views on the nature, scope and degree of institutionalisation in Europe-East Asia relations.     

Advising for impact: lessons from the Rae review on the use of special‐purpose advisory commissions

Abstract: Ontario's recent Postsecondary Review, led by former premier Bob Rae, was dramatically more successful than previous reviews by special‐purpose advisory commissions on postsecondary education conducted in Ontario. The authors argue that the success of special‐purpose advisory commissions ‐ defined as the extent to which a commission's recommendations are implemented in a timely way ‐ is dependent on environmental variables (such as the economy, fiscal situation and political cycle), process variables (such as reporting relationships, characteristics of the commissioners and stakeholder strategies) and the political acuity with which the commission develops recommendations that can command broad public support. The Rae review benefited from political conditions that favoured stronger investments in postsecondary education, despite a difficult fiscal situation. The report also benefited from a stakeholder community that was able to put aside most internal differences for the sake of a perceived common good. Within this environment, the review created a highly focused process that involved extensive consultation, the support of expert panel members and frequent interaction with decision‐makers. The review developed recommendations that were sensitive to long‐standing patterns of public opinion, articulated new public goals, recognized the important role to be played by each major stakeholder and proposed a new institution to entrench positive change in the long term. This experience offers lessons for governments, stakeholders and future commissions on how to manage special‐purpose advisory commissions in a way that maximizes their policy impact. Sommaire: La récente étude de l'éducation post‐secondaire en l'Ontario, menée par l'ancien premier ministre provincial Bob Rae, a remporté beaucoup plus de succès que les études antérieures entreprises en Ontario par des commissions consultatives spécialisées en éducation post‐secondaire. Les auteurs prétendent que le succès des commissions consultatives spécialisées ‐ défini par la mesure dans laquelle les recommandations d'une commission sont mises en œuvre de façon adéquate ‐ dépend de paramètres environnementaux (tels que l'économie, la situation financière et le cycle politique), de paramèrres de traitement (tels que les rapports hiérarchiques, les caractéristiques des commissaires et les stratégies des intervenants) et de l'acuité politique avec laquelle la commission élabore des recommandations qui peuvent susciter une forte adhésion du public. l'étude Rae a bénéficié d'un contexte politique favorable à de solides investissements dans l'éducation post‐secondaire, malgré une situation financière difficile. Le rapport a également tiré parti d'une communauté d'intervenants qui ont pu mettre de côté la plupart de leurs différences internes au profit de l'intérêt commun. Dans ce contexte, l'étude a donné lieu à un processus hautement focalisé qui a comporté de nombreuses consultations, l'appui des membres d'une commission d'experts, et de fréquentes interactions avec les décisionnaires. l'étude a mis au point des recommandations sensibles aux tendances ancrées dans l'opinion publique, a formulé de nouveaux objectifs publics, a reconnu l'importance du rôle à jouer par les principaux intervenants et a proposé qu'une nouvelle institution garantisse des changements positifs à long terme. Cette expérience offre des leçons aux gouvernements, aux intervenants et aux futures commissions sur la manière de gérer les commissions consultatives spécialisées afin de maximiser l'impact de leurs politiques.