ACCOUNTABILITY AND CREDIBILITY IN THE MANAGEMENT OF COMPLEX HAZARDOUS TECHNOLOGY

The requirements for dependable management of complex hazardous technologies include multiple barriers against serious failure, clear accountability for errors, and credibility for the decision-making process. Unfortunately, these requirements are in direct conflict. These conflicts can undermine the public's assurance that their health and safety concerns are being properly addressed. These conflicts can be reduced by the adoption of policies that enhance information exchange and evaluation, thereby, complementing the current policies based on physical safe guards and adversarial processes.     

HIV prevention services for adults with serious mental illness in public mental health care programs

Despite well-documented need, little is known about the HIV prevention services provided to adults with serious mental illness in the public mental health system. This study examined the types, frequency, and client-level correlates of HIV prevention services provided to a representative sample of clients in five public mental health care programs. Although results indicate that HIV prevention care is infrequent, clients identified as being at higher risk for HIV infection reported receiving prevention interventions more frequently. However, both the clients' gender and the service setting influenced the types and frequency of services that clients received.