Factors affecting perceptions of medical errors

The purpose of the study was to assess how three factors affect subjects' perceptions of a medical error made in a hypothetical scenario. The factors were (i) type of compensation system, (ii) degree of procedural “voice” present in the physician-patient relationship, and (iii) magnitude of damage sustained by the patient. Perceptions were defined to include subjects' (i) emotional reactions to the incident, (ii) causal attributions about the incident, (iii) evaluations of the faimess of the compensation systems, and (iv) compensation demands. Results indicated that damage magnitude was the only factor that affected subjects' emotional reactions to the described incident and their compensation requests. When damage was severe, subjects reacted more negatively to the event and demanded greater compensation. Subjects rated the no-fault system and greater voice conditions as more fair. In general, subjects causally analyzed the error incident in a manner that was less blameworthy of the physician when procedural justice was high, especially if this was combined with a no-fault compensation system. Results were discussed in terms of Wexler and Winick's (1991) model of therapeutic jurisprudence.     

“Juvenile Drug Courts and Recidivism: Results from a Multisite Outcome Study”

This study reports findings from a study of nine juvenile drug courts (JDCs) from across the US. A quasi-experimental design, with one-to-one matching on possible confounders and sociodemographics, was used for the outcome assessment (n?=?1372). Baseline and outcome data were drawn from justice system records. Although there is variation across sites and, to some extent, outcomes, these JDCs were generally ineffective in reducing recidivism. Similar findings have emerged in other recent studies of JDCs. Given the results of this study and others, it is essential that juvenile courts work to improve the effectiveness of JDCs by increasing adherence to known principles of effective intervention.     

Evaluating the Effectiveness of a Juvenile Drug Court: Comparisons to Traditional Probation

Juvenile Drug Courts have been in operation in the United States for over 20 years, yet their effectiveness and design have been challenged throughout the literature. Using data collected from a Juvenile Drug Court (JDC) in Southeast Texas, this project sought to determine if the JDC intervention reduced recidivism compared to a comparison sample of juvenile offenders. Results indicate that the recidivism rates of participants in the JDC were lower than the comparison group, suggesting that the Drug Court intervention was successful. The program completion rates for JDC youths were also higher for those with fewer infractions. Although the JDC youths had statistically lower infractions, the intervention overall appears to need strengthening. A close inspection of program components could document which programmatic skills are tied to efficacy, leading to the achievement of better outcomes.     

Nicholas R. Lardy,ed., The State Strikes Back: The End of Economic Reform in China

Journal of Chinese Political Science -     

Reunification Family Therapy: A Treatment Manual,by Jan Faust,Hogrefe Publishing (2017)

Jan Faust's (2017) book entitled Reunification Family Therapy: A Treatment Manual, is a well‐organized, evidence‐based resource for clinicians who intervene in one of the most challenging and complex problems in high conflict shared custody‐parent‐child contact problems. She provides a comprehensive conceptual framework for this work, which is grounded in Family Systems, and details more specific interventions that address individual, relationship and larger system issues. The addenda contain useful tools and resources to structure treatment, including a 14‐session Fundamental Treatment Plan.     

Digital identity – From emergent legal concept to new reality

Over the past decade, digital identity has gone from a largely unrecognized emergent legal concept to something that is now well known, but still not fully understood. Most individuals now know that they have a digital identity but its legal nature, its transactional functions, and its implications now and for the future, are not generally well understood.This article tracks the emergence of digital identity from the time it was recognized as a new legal and commercial concept to the present time; and outlines its impact and significance for individuals, governments, the private sector and even what is means to be a nation and a citizen in the digital era. The author recounts her experience in recognizing the implications of digital identity in 2006 to its current importance and the implications of future evolutions including an international digital identity, the groundwork for which is being laid now.     

Understanding How Domestic Violence Support Services Promote Survivor Well-being: A Conceptual Model

Domestic violence (DV) victim service programs have been increasingly expected by legislators and funders to demonstrate that they are making a significant difference in the lives of those using their services. Alongside this expectation, they are being asked to describe the Theory of Change guiding how they believe their practices lead to positive results for survivors and their children. Having a widely accepted conceptual model is not just potentially useful to funders and policy makers as they help shape policy and practice -- it can also help programs continually reflect upon and improve their work. This paper describes the iterative and collaborative process undertaken to generate a conceptual model describing how DV victim services are expected to improve survivors’ lives. The Social and Emotional Well-Being Framework guiding the model is an ideal structure to use to describe the goals and practices of DV programs because this framework: (1) accurately represents DV programs’ goal of helping survivors and their children thrive; and (2) recognizes the importance of community, social, and societal context in influencing individuals’ social and emotional well-being. The model was designed to guide practice and to generate new questions for research and evaluation that address individual, community, and systems factors that promote or hinder survivor safety and well-being.