Partnership and public administration: conceptual and practical considerations

Abstract: In recent years, there has been a proliferation of partnerships involving public organizations. The use of partnerships has evolved from an ad hoc response to particular problems to a general approach to problem-solving and to improving the efficiency, effectiveness, and responsiveness of public organizations. Partnerships are also used to empower individuals, groups, and organizations outside government by enabling them to make a genuine contribution to government decisions affecting them. It is important, therefore, to explain the meaning and types of partnership, to examine their purposes, benefits, and participants, and to assess their political implications. In-depth evaluative studies of partnerships are scarce, but there are enough data on partnerships and enough sufficient and theoretical materials on inter-organizational relations in general to formulate hypotheses about the requirements for successful partnerships. Sommaire: Au cours des dernieres annees, on a assiste a une proliferation des partenariats impliquant des organismes publics. Leur utilisation a evolue, passant de la simple reponse concue pour un probleme particulier a une approche generate visant a resoudre les problemes et a ameliorer l'efficacite et la receptivite des organismes publics. Cette forme d'association sert aussi a deleguer davantage de pouvoirs aux particuliers, aux groupes et aux organismes non-gouvernementaux en leur permettant de contribuer vraiment aux decisions gouvernementales qui les touchent. II importe done d'expliquer la signification et les differents types de partenariats, d'examiner leurs objectifs, leurs avantages et leurs participants, et d'evaluer aussi leurs repercussions politiques. Les etudes sur ce sujet sont rares, mais il existe a cet egard suffisamment de donnees et de materiel conceptuel et theorique sur les relations interorganisationnelles en general, pour pouvoir formuler des hypotheses sur les elements qui garantissent la reussite d'une association en partenariat.     

Prevention science,drug abuse prevention,and Life Skills Training: Comments on the state of the science

There has been tremendous growth in the field of prevention science over the past two decades. The defining features of contemporary prevention science are high quality empirical research using rigorous and well-established scientific methods, careful hyphothesis testing, and the systematic accumulation of knowledge. One area where substantial progress has been made is in our understanding of the etiology and prevention of tobacoo, alcohol, and illicit drug abuse. In this paper, we review the growth in prevention as a scientific enterprise, discuss advances in drug abuse prevention research, and review the effectiveness of one approach to the problem of adolescent drug abuse, the Life Skills Traning (LST) program, and the methodological strengths of the LST evaluation research. In addition, we provide a response to criticism regarding two types of data analysis in evaluation research, and show that these analyses can help address a number of important research questions with implications for theory and practice. First, the analysis of high fidelity subsamples can address research questions about the importance of program implementation fidelity; and second, composite measures of concurrent tobacco, alcohol, and marijuana use (i.e., polydrug use) are useful in testing research questions about program effects on more serious levels of drug involvement. With an increasing number of ramdomized controlled trials underway, the field of prevention science is contributing to a new generation of evidence-based approaches and policies that, if widely utilized, offer the potential of reducing the mortality and morbidity associated with a number of major health and social problems.     

Teaching medical ethics and law

The teaching of medical ethics is not yet characterised by recognised, standard requirements for formal qualifications, training and experience; this is not surprising as the field is still relatively young and maturing. Under the broad issue of the requirements for teaching medical ethics are numerous more specific questions, one of which concerns whether medical ethics can be taught in isolation from considerations of the law, and vice versa. Ethics and law are cognate, though distinguishable, disciplines. In a practical, professional enterprise such as medicine, they cannot and should not be taught as separate subjects. One way of introducing students to the links and tensions between medical ethics and law is to consider the history of law via its natural and positive traditions. This encourages understanding of how medical practice is placed within the contexts of ethics and law in the pluralist societies in which most students will practise. Four examples of topics from medical ethics teaching are described to support this claim. Australasian medical ethics teachers have paid less attention to the role of law in their curricula than their United Kingdom counterparts. Questions like the one addressed here will help inform future deliberations concerning minimal requirements for teaching medical ethics.     

Explanations of a Violent Relationship: The Male Perpetrator’s Perspective

The purpose of this study was to understand the way male perpetrators’ perceive and explain intimate partner violence (IPV) in their relationship. Specifically, men were invited to reflect upon their role in their relationship when violence exists, their contributions to the violence, and how they felt about it. Using coding procedures from grounded theory methodology, researchers analyzed data from 13 men who had been in violent relationships. Seven key themes were identified from 104 significant statements. These themes included justification, relapse, control, anger, emotional threshold, triggers, and remorse. Clinical implications as well as suggestions for future research are presented.