An economic analysis of the in-prison therapeutic community model on prison management costs

This study estimated the impact of an in-prison, therapeutic community (TC) substance abuse treatment program on management costs in a California prison. A deconstruction method was developed to estimate the opportunity cost of staff time and other resources involved in various prison administrative tasks. Compared to “non-treatment” yards within the facility, the TC environment generated lower administrative costs for disciplinary actions, inmate grievances, and major disruptive incidents resulting in lockdowns. These findings suggest that, in addition to their intended rehabilitative outcomes, prison-based TCs may foster institutional environments that help to control prison management costs.     

Gender Role and Gender as Predictors of Behavior Problems in Children Exposed to Intimate Partner Violence

Children exposed to intimate partner violence (IPV) are likely to develop behavior problems, but findings are mixed regarding whether girls and boys are differentially affected. Bem (Journal of Personality and Social Psychology, 31, 634–643, 1975) argued that gender role is an important predictor of mental health, and this relationship may differ for males and females due to societal gender norms. Given the gendered nature of IPV, we examined whether gender role interacted with gender to predict behavior problems in IPV-exposed children (n = 176). Among four-year-old children, gender-typed gender roles were a risk factor for girls but not boys, and androgynous gender roles were protective for both boys and girls on average. However, post hoc analyses indicated the amount of IPV exposure mattered; androgynous girls exposed to chronic IPV had more behavior problems. Results illustrate the importance of societal and family gender norms in determining children’s risk for behavior problems following exposure to IPV.     

Effect of Enabling Resources and Risk Factors on the Relationship between Intimate Partner Violence and Anxiety in Ever-Married Women in Minya,Egypt

The effect of intimate partner violence (IPV) on mental health remains understudied in the Arab world. Using data from 608 ever-married women in rural Minya, Egypt who took part in the 2005 Egypt Demographic Health Survey (EDHS) and a 2012 follow-up survey, we assessed how a woman’s enabling resources and risk factors influenced the association of her exposure to IPV with her generalized anxiety. Results from multivariate regression models showed that proximity to natal kin, prior schooling, and engagement in market work 12 months before marriage had protective effects on generalized anxiety associated with IPV. Childhood abuse from mother also had a protective effect on this relationship. Similar abuse from the brother exacerbated the effects of anxiety when a woman was exposed to IPV. Empowerment programs can encourage women to attend school and engage in market or subsistence work, while suggesting strategies to improve the relationship of women with natal kin.     

The WORSHIP II study: a pilot of psychodynamic interpersonal therapy with women offenders who self-harm

Abstract

The Women Offenders Self Harm Intervention Pilot II (WORSHIP II) study was conducted in three female prisons in England and piloted a treatment intervention for self-harm. WORSHIP II specifically aimed to reduce thoughts and actions of self-harm and suicide risk, through an evidence-based intervention Psychodynamic Interpersonal Therapy (PIT), which is also known as the conversational model. This paper provides an outline of this pilot evaluation of using the PIT approach in prison settings. Therapeutic obstacles associated with implementing WORSHIP II in a correctional environment are discussed, together with successful strategies to overcome these difficulties. Finally, examination of some of the quantitative outcomes suggests that WORSHIP II is a promising approach for this difficult area.     

Too close to home: Dioxin contamination of breast milk and the political agenda

Both the Canadian and U.S. governments have determined that breast-fed infants are among the populations most exposed to dioxins, receiving levels of exposure orders of magnitude above those considered acceptable. In light of the political controversy associated with dioxins and the cultural significance of breast milk as a symbol of purity, one might have expected dioxin contamination of breast milk to achieve prominence on both the popular and governmental agendas. Yet as this article demonstrates, this issue has received less media and governmental attention than other environmental issues believed to present comparable or lower health risks. Consistent with recent literature on agenda denial strategies, there is some evidence that efforts by environmental groups to publicize levels of breast milk contamination have been rebuffed by government officials, physicians, and breastfeeding advocacy groups fearful that women will stop breastfeeding. However, what is more striking is just how seldom environmentalists have attempted to reframe this issue. The article argues that North American environmentalists have consciously chosen not to press the dramatic issue of breast milk contamination out of concern that mothers would discontinue breastfeeding, as well as personal anxiety about an issue that fundamentally challenges conceptions of our own bodies and our relationships with our children. Their self-restraint challenges the depiction by some authors of environmental groups as eager to capitalize on any opportunity to provoke public concern and outrage to advance their agenda. The case study also suggests that the literature on agenda setting must look beyond active strategies of agenda denial by economically and politically powerful interests, to the role of shared cultural values in shaping – and restricting – the political agenda.     

Exit, voice, and loyalty in international organizations: US involvement in the League of Nations

Recent challenges to traditional international relations theory have questioned the nature of international organizations (IOs) as agents of powerful state-members and have examined various conduits through which non-state actors can voice their concerns. Yet little work has focused on participation in IOs when a powerful state’s official position contradicts the goals of actors within it. This article examines the archival record of American involvement in the League of Nations’ economic section to explore such a circumstance. I correct the prevailing historical view of American isolationism in the interwar period and argue that participation by advanced, industrial democracies can better be understood as combinations of exit, voice, and loyalty on the part of individual components of state and civil societies.

The European Commission's Own ‘Preliminary Reference Procedure’ in Competition Cases?

This article considers the implications of the European Commission, as primary administrative enforcer of competition law in the Union, using its own ‘preliminary reference procedure’, through observations in national court proceedings under Council Regulation 1/2003, to minimise the risks of divergent application of EU anti‐trust rules under the decentralised system of enforcement ushered in by that Regulation. It sets the scene with the relationship between the European Commission and national courts in competition law, before describing the relevant provisions of the Regulation and its accompanying Courts Notice. It then discusses the legal nature of the Commission opinion as a Union instrument. Identifying cases where the Commission has offered observations, it assesses the implications of administrative intervention in judicial decision making. It finds that greater transparency is crucial for legitimacy, legal certainty and maximum impact on consistent application.     

Urban Pressures and Innovations: Sustainability Commitment in the Face of Fragmentation and Inequality

Local government innovations occur within environments characterized by high service‐need complexity and risk. The question of how broader environmental conditions influence governmental willingness or ability to innovate has been a long‐standing concern within organizational, management, and policy scholarship. Although wealth and education are robust predictors of the propensity to engage in a wide range of local sustainability activities, the linkages among governmental fragmentation, social inequality, and sustainability policies are not well understood. This study focuses on the conditions both within and across city boundaries in urban regions which inhibit adoption of sustainable development innovations. We utilize a Bayesian item response theory approach to create a new scale measuring sustainability commitment by local governments in the United States. The analysis finds service‐need complexity and capacity within local governments' organizational task environments have nonlinear influences on innovation in terms of both green building and social inclusion policy tools.     

Testing an Age-old Adage: Can Autopsy Findings be of Assistance in Differentiating Opioid Versus Cardiac Deaths?

Given the common occurrence of both opioid and cardiovascular deaths, and the concomitant use of opioids in those with cardiac disease, the present study was undertaken to see whether the old adage of using the triad of cerebral and pulmonary edema and bladder fullness to suggest an opioid death could be used to differentiate deaths due to opioid toxicity from deaths due to cardiac disease. Brain weight, lung weight, and bladder fullness were compared among opioid-related deaths, cardiac deaths, and a control population. It was found that opioid-related deaths were more likely to have heavy lungs, a heavy brain, and a full bladder, while cardiac-related deaths had smaller volumes of urine in the bladder and heavier hearts. In conjunction with a thorough investigation, these findings may be useful to forensic pathologists when determining whether a death is opioid-related, especially in the setting of concomitant cardiac disease.     

Optimization of Performance Validity Test (PVT) Cutoffs across Healthy and Non-Referred Clinical Research Samples

Performance validity tests (PVTs) effectively detect suboptimal test performance, but cutoff scores for a given test may differ between populations. This research examines how optimal PVT cutoffs differ in a collegiate research population when mental health and clinical conditions are considered. Healthy controls (n = 328) and non-referred students with self-reported clinical conditions (n = 42) were assigned to perform their best while others simulated ADHD symptoms (n = 123). PVT indices were derived from a stand-alone measure (Victoria Symptom Validity Test) and embedded measures (California Verbal Learning Test – Second Edition; Wechsler Adult Intelligence Scale – Fourth Edition, Digit Span). PVT cutoffs with the highest sensitivity, while maintaining adequate specificity, were identified when the control groups were considered together, and when students with reported clinical conditions were considered separately. Mean differences in PVT performances were found between the simulation group and control groups, but not between clinical and nonclinical controls. The optimized cutoffs differed for five of eight PVT indices when all controls were considered together versus the clinical control group, only. When discordance was observed, cutoffs tended to be lower (less stringent) for the non-referred clinical control group. Together, these optimized cutoffs tended to be more stringent than previously established cutoffs. This study suggests that PVT cutoffs may be responsibly altered in a research context in the presence of a clinical condition. Future research should investigate if PVT classification accuracies can be improved in clinical and forensic samples while considering clinical conditions.