Decision Aiding,Not Dispute Resolution: Creating Insights through Structured Environmental Decisions

Public participation in environmental decisions has become commonplace. A favored model for public input is to use the tools of dispute resolution to seek consensus among members of a multi‐party stakeholder group. The authors believe that a focus on dispute resolution and consensus building can pose impediments to the creation of insights for decisionmakers and lead to the adoption of inferior policy choices. Instead, they advocate an alternative approach to stakeholder participation characterized as “decision aiding” through a structured process based on constructive, multi‐attribute techniques and value‐focused thinking. In this paper some of the major difficulties posed by a dispute‐resolution approach are articulated, the principles of a decision‐aiding process reviewed, and this alternative approach illustrated by describing a stakeholder consultation involving water‐use planning for a hydroelectric facility on the Alouette River in British Columbia, Canada. © 2001 by the Association for Public Policy Analysis and Management.     

Invited Commentary: National Safe Place: Meeting the Immediate Needs of Runaway and Homeless Youth

An estimated 1.6 million youth run away from home each year. While on the run, these youth are vulnerable to exploitation, victimization, increased dangers and perpetration of criminal behavior. Runaway and homeless youth are far more likely to engage in substance use and delinquent behavior, drop out of school and suffer from sexually transmitted diseases and mental illness at greater rates than the norm. Timely and direct intervention in runaway and throwaway cases is imperative to protect youth from the high risks of living on the streets. National Safe Place is an outreach and prevention program that is uniquely designed to provide immediate safety and access to services for any youth in need. In partnership with over 360 youth serving agencies and over 10,000 businesses and community organizations across the United States, the Safe Place program educates youth about alternatives to running away and homelessness and provides easily accessible links to service providers. Ongoing data collection indicates that National Safe Place has been successful in reaching endangered youth at risk of abuse, neglect or serious family problems but that expanded program models remain needed. The challenges and successes of current programming and the future of National Safe Place program expansion are discussed.     

Terrorist incident management and jurisdictional issues: A Canadian perspective

This article briefly outlines the organization and procedures that have evolved at the federal level of the government of Canada for the handling and management of crises relating to internal security. Organization of policy formation and organization for crisis management are discussed. Jurisdictional difficulties between the federal and provincial governments are analyzed. The basic policy framework is to deal with terrorist incidents by refusal to yield to the demands of hostage takers, without precluding the granting of minor concessions, limited in scope to the immediate place and time of the incident. Unresolved policy issues are listed.     

The impact of neighbors who use section 8 certificates on property values

Abstract

This article statistically examines the sale prices of single‐family homes surrounding Section 8 sites first occupied between 1991 and 1995 in Baltimore County. If only a few Section 8 sites were located within 500 feet, we found a strong positive impact on property values in higher‐valued, real‐appreciation, predominantly white census tracts. However, in low‐valued or moderately valued census tracts experiencing real declines in values since 1990, Section 8 sites and units located in high densities had a substantial adverse effect on prices within 2,000 feet, with the effect attenuated past 500 feet. Focus groups with homeowners revealed that the negative impact was based on the units’ imperfect correlation with badly managed and maintained properties.

We argue that policies should be devised to direct Section 8 households away from vulnerable neighborhoods, better regulate managers of Section 8 apartments, and more stringently screen and monitor Section 8 households.     

Participation in Youth Programs as a Catalyst for Negotiation of Family Autonomy with Connection

Current research and theory suggest that the healthy path of autonomy development involves gradual negotiation of adolescents’ independence within a context of continued family connection. This theory-generating study examined the role that adolescents’ participation in youth programs plays in these adolescent-parent negotiations. Qualitative data from high-school-aged youth in 12 programs and from a sub-sample of parents were analyzed employing methods of grounded theory. These analyses suggest that program participation provides a pathway of opportunities for youth to exercise individual choice and develop qualities of self-reliance with parental approval. In turn, parents’ observation of self-reliance in the program and youth's demonstration of these qualities in family interactions can lead to changes in adolescent-parent relationships that provide youth greater family autonomy with connection.

Tailoring health programming to clergy: findings from a study of United Methodist clergy in North Carolina

Research indicating high rates of chronic disease among some clergy groups highlights the need for health programming for clergy. Like any group united by similar beliefs and norms, clergy may find culturally tailored health programming more accessible and effective. There is an absence of research on what aspects clergy find important for clergy health programs. We conducted 11 focus groups with United Methodist Church pastors and district superintendents. Participants answered open-ended questions about clergy health program desires and ranked program priorities from a list of 13 possible programs. Pastors prioritized health club memberships, retreats, personal trainers, mental health counseling, and spiritual direction. District superintendents prioritized for pastors: physical exams, peer support groups, health coaching, retreats, health club memberships, and mental health counseling. District superintendents prioritized for themselves: physical exams, personal trainers, health coaching, retreats, and nutritionists. Additionally, through qualitative analysis, nine themes emerged concerning health and health programs: (a) clergy defined health holistically, and they expressed a desire for (b) schedule flexibility, (c) accessibility in rural areas, (d) low cost programs, (e) institutional support, (f) education on physical health, and (g) the opportunity to work on their health in connection with others. They also expressed concern about (h) mental health stigma and spoke about (i) the tension between prioritizing healthy behaviors and fulfilling vocational responsibilities. The design of future clergy health programming should consider these themes and the priorities clergy identified for health programming.     

Do experimental and nonexperimental evaluations give different answers about the effectiveness of government‐funded training programs?

This paper uses meta‐analysis to investigate whether random assignment (or experimental) evaluations of voluntary government‐funded training programs for the disadvantaged have produced different conclusions than nonexperimental evaluations. Information includes several hundred estimates from 31 evaluations of 15 programs that operated between 1964 and 1998. The results suggest that experimental and nonexperimental evaluations yield similar conclusions about the effectiveness of training programs, but that estimates of average effects for youth and possibly men might have been larger in experimental studies. The results also suggest that variation among nonexprimental estimates of program effects is similar to variation among experimental estimates for men and youth, but not for women (for whom it seems to be larger), although small sample sizes make the estimated differences somewhat imprecise for all three groups. The policy implications of the findings are discussed. © 2006 by the Association for Public Policy Analysis and Management     

Compensation for medical injury in New Zealand: does "'no-fault" increase the level of claims making and reduce social and clinical selectivity?

The issues of patient safety and quality of care have gained policy attention with a growing appreciation of the scale and impact of medical injury in health systems. While the focus is clearly on the prevention of iatrogenic injury, the question of patient compensation is now also considered important, if only because in fault-based tort systems the fear of litigation may itself be a barrier to the disclosure and open discussion of medical error. No-fault systems, by contrast, do not require proof of culpability, and thus may both reduce barriers to compensation and increase disclosure of error. Little evidence, however, is available on the performance of such systems. This article reports on the analysis of two data sources-a sample of hospital admissions and a complete set of compensation claims for medical injury. Both are for the same year and region of New Zealand, a country that has maintained a no-fault system of accident compensation for a quarter of a century. Just over 2 percent of hospital admissions were associated with an adverse event that was potentially compensable under scheme criteria. While the claims process was well targeted, the level of claims making and receipt was low, with the ratio of successful claims to potentially compensable events being approximately 1:30. Comparison of social and clinical characteristics of the two data sets revealed a degree of selectivity. Compared with the hospital events, the typical successful claimant was younger and female and was much more likely to have experienced a surgical adverse event that, while unexpected, was not due to substandard care. It is concluded that, in interpreting these results, account needs to be taken of a number of features unique to the New Zealand system. These include: the limited payoff for a compensation claim (no pain and suffering or lump sum, free hospital care); the relative complexity of the grounds for claim (either rarity and severity or practitioner error); and a history of limited litigation for medical error. This suggests that, while the New Zealand system is well targeted, cheap, and free of financial and legal barriers, a change in legal doctrine alone has not in itself been sufficient to remove completely the selective and low level of claims making traditionally associated with patient compensation under tort.