Economic issues in access to medications: schizophrenia treatment in England

Mental health problems and the services to address them are currently receiving more attention in the UK than ever. Mental health care in England--indeed, across the UK--is experiencing a much needed transformation. It is therefore highly pertinent to examine the patterns of psychotropic medication use, given their intended links to recovery, rehabilitation, and reintegration, as well as to explore the economic and other factors that appear to influence those patterns. These are the aims of this paper. Our attention will be primarily focused on England. What this analysis shows is that given a higher profile by government, including additional funding (although not really benefiting differentially compared to other parts of the health service) and the first national service framework, it is possible to see changes in service patterns, access and (to a degree) outcomes. These changes are occurring at a time when new classes of psychotropic medication are being introduced in a range of therapeutic areas, contributing to the relatively rapid growth of take-up but also raising questions about appropriateness, effectiveness, cost-effectiveness and equity.     

Ecstasy in the city: Synthetic drug markets in Europe

How do “new” drug markets develop and operate? Which are the characteristics of synthetic drug suppliers? How are they organized, owned and managed? This article summarizes the outcomes of a cross-national study which investigated three urban synthetic drug markets at a different stage of development: Amsterdam, Barcelona and Turin. The study – the first of this type in Europe – outlines a composite picture which clearly indicates the presence of rather flexible and dynamic actors and a quasi “free” drug economy. Hence, the role played by more structured, mafia-type organizations, even in Italy, needs to be reconceived. The wide use of primary sources, altogether the adoption of qualitative interpretative tools, contributed to shed some light on a phenomenon which is still poorly investigated both at national and international levels.     

Y-chromosome STR haplotypes in a southwest Spain population sample

The Y-chromosome polymorphism of eight STRs (DYS19, DYS389I, DYS389II, DYS390, DYS391, DYS392; DYS393, DYS385) were studied in 111 unrelated individuals from the population of southwest Spain. The most common haplotype was shared by 3.6% of the sample, while 99 haplotypes were unique. The gene diversity was 0.9977.     

The PCL-R and violent recidivism in a prospective follow-up of a nationwide sample of female offenders

Psychopathy has been linked to violent reoffending in men, but the findings in women have been contradictory. The aim of this study was to examine the predictive validity of the Psychopathy Checklist-Revised (PCL-R) for violent recidivism in a nationwide sample of female violent offenders. The offenders (n = 48) had been assessed by the PCL-R and were followed after their release from prison or a psychiatric hospital. The average follow-up period was 8 years. Of the offenders, 16 (33%) had been reconvicted of a violent crime. Current findings of the performance indicators did not support the use of the PCL-R as a predictive instrument assessing risk of violent recidivism in females. The findings indicate that impulsivity plays a crucial role in female violent recidivism and that the PCL-R should be used with caution in risk assessment with female populations.     

Counter-Terrorism,Security and Intelligence in the EU: Governance Challenges for Collection,Exchange and Analysis

In this article we seek to address the emerging role of the European Union (EU) as a security and intelligence actor from the perspective of counter-terrorism. Intelligence as a process and product has been strongly promoted by the EU as a useful and necessary tool in the fight against terrorism, radicalization, organized crime and public order problems. A range of agencies has been established that collect, analyze and operationalize intelligence in view of strategically defined security threats. Examples are Europol and Frontex. This article makes an inventory of their roles and competences in the field of intelligence and looks at the list of instruments that encourage the sharing of intelligence between different law enforcement and security agencies. Moreover, it is argued in this article that as intelligence becomes more hybrid and as the EU only holds light powers of oversight on ownership and integrity of data, considerable governance challenges lurk around the corner. As ‘intelligence’ is usually a complex and sensitive product, it often travels outside formal bureaucratic channels, which undermines accountability and transparency of where, how and for what purpose the intelligence was gathered.     

From Convergence to Deep Integration: Evaluating the Impact of EU Counter-Terrorism Strategies on Domestic Arenas

With the 2001 EU Action Plan and the 2005 EU Counterterrorism Strategy, the European Union has unfolded a roadmap for counter-terrorism measures and an itinerary of actions to be undertaken by the Member States. In some respects, the EU strategies, flanked by the Action Plans in the Area of Freedom, Security and Justice, as well as more concrete forms of cooperation such as the adoption of the EU Arrest Warrant, the Member States have been encouraged to use the same conceptual apparatus, to adopt the precautionary logic (pre-terrorism), and to adopt similar organizational models (multi-disciplinary cooperation) and tools (surveillance, public-private cooperation, etc.). This may have led to a level of convergence between the national counter-terrorism approaches, in line with what the Action Plan on Organized Crime in 1997 sought to achieve by demanding from Member States that they would adapt their national structures. The number of policy-impulses that has emanated from the EU Counterterrorism strategy and ensuing policy documents has been rather numerous. Moreover, this article seeks to take stock of whether all proposals have led to the full adoption and implementation of instruments. The article assesses whether the EU strategies have encouraged ‘deep integration’ between the Member States in terms of a common threat assessment, pooling resources, sharing intelligence, mutual legal assistance in anti-terrorist investigations, creating joint investigation teams and transferring suspects between Member States. The primary focus of this article will be on levels of legal convergence between six Member States.     

Communist regimes,legitimacy and the transition to democracy in Eastern Europe

The purpose of this article is to clarify the relationship between forms of political legitimacy employed by communist regimes in East and Central Europe and subsequent models of revolutionary change in 1989. The conceptual basis of the analysis lies in Max Weber's theoretical framework of legitimacy. The four cases selected for comparison are Bulgaria, Hungary, Poland and Romania. The attempts of de-Stalinization and reformation of these party-state regimes through the introduction of paternalistic and also more goal-oriented measures could not prevent their disintegration in the 1980s and their subsequent collapse in 1989. But, I argue, it was the withdrawal of ideological support by elites that ultimately brought communism to an end. The differences in revolutionary scenarios and transitions to democracy in the four cases indicate the importance of a shift in both rulers and masses towards interest in dialogue and compromise. Hungary and Poland represent the clearest scenarios in which communist parties acted as agents of regime change in a rational-legal direction. The Bulgarian case stands as an intermediary case between these two and Romania. Finally, Romania represents an extreme case of violent revolution and the overthrow of a traditionalist and sultanistic regime and illustrates the difficulties following a complete collapse of political authority.