Trauma Severity,Poly-victimization,and Treatment Response: Adults in an Inpatient Trauma Program

The goal of the current study was to evaluate the extent to which abuse history predicted change in treatment in an inpatient setting. Poly-victimization and trauma severity were examined as predictors of treatment response measured by the Trauma Symptom Checklist-40 and the Symptom Checklist-90-R at admission, discharge, and 6-months follow-up. Data from 161 clients of an inpatient trauma treatment program were analyzed using structural equation modeling. Results indicate that level of poly-victimization predicted treatment response from admission to discharge on two of four outcome variables; however, this relationship was not found at follow-up. Further analyses suggest that the difference in treatment response at discharge among clients with higher rates of poly-victimization was an artifact of scores at admission. Trauma severity analyses reveal that differing types of abusive experiences generally did not predict treatment response. Overall, results demonstrate that this inpatient treatment program is similarly effective for a broad array of patients, including those with a greater number, and higher severity, of victimizations.     

Gender Differences in Strains Associated with Suicidal Behavior Among Adolescents

Scholars such as Durkheim and Chodorow have argued that the social strains contributing to suicide vary by sex. Specifically, it has been asserted that women relative to men either do not respond to social strain with suicide, or respond to relational but not status strains. Conversely, others assert that process differences never existed, or at the least have dissipated with increasing equality between the subgroups. Neither side has offered convincing empirical evidence for their position. This study examines social strains contributing to suicidal behavior among adolescents, by sex, to address this debate. Results clearly support the presence of process differences and delineate the specific nature of these differences. Generally, males and females are responsive to both status and relational strains. However, theoretical models suggesting males are more status oriented whereas females are more relationally dependent are supported. Results hold theoretical and interventionist implications for the contextual nature of suicide among adolescents.     

Adjudicating reasonable and necessary funded supports in the National Disability Insurance Scheme: A critical review of the values and priorities indicated in the decisions of the Administrative Appeals Tribunal

Beyond the initial euphoria of the National Disability Insurance Scheme (NDIS), tough choices will be needed for sustainability. Although the spirit of the NDIS is to deliver choice and control, the Australian government's objective is to ensure that rights and aspirations are proportionate to expectations of best practice, aptness of mainstream services and cost effectiveness. The position in this paper is that this test of ‘reasonable and necessary’ when determining funded supports, raises value dilemmas for government and citizens. The objective is to demonstrate this through a critical scrutiny of the reviews and decisions regarding reasonable and necessary funded supports of the Administrative Appeals Tribunal (AAT). In this paper, a synthesis and critique of 35 appeals to the AAT and one Federal Court Appeal are used to make explicit the decisional ambiguities and contestations in the scheme and the values and priorities that are currently dominant in the allocation of reasonable and necessary support. This in turn is used as a basis for a discussion about the operation of rights in the scheme and what counts as legitimate support. The benefit is for scheme transparency and fairness but also broader debate about core principles and values to inform decisions about scarce resources in society.     

Roemer on Responsibility and Equality

Law and Philosophy -     

Collaborations between drug courts and service providers: Characteristics and challenges

Addressing the multiple treatment needs of drug-involved offenders can enhance outcomes including sobriety and recidivism. Meeting drug court offenders' needs requires collaborative linkages between courts and providers of treatment and other services; however, there has been limited research on linkages. Using semi-structured interview data collected from administrators of fourteen drug courts and providers of services to offenders in those drug courts, this study described collaborative linkages and the challenges involved in fostering them. Although results suggest a moderate to strong level of linkage as perceived by both drug court administrators and service providers, services other than substance abuse treatment were sparsely provided through the drug courts. Limitations in funding, management information systems, and staffing were perceived as barriers to linkage. Results offer directions for enhancing linkages between drug courts and service providers and should be of value in improving quality of drug court treatment and offender outcomes.     

What is valued in resolving environmental dilemmas: Individual and contextual influences

Justice is an increasingly important concept to examine with regard to decisions about environmental conflicts. But justice can be defined in a number of ways. This paper argues that the perceived importance of different principles of justice to environmental decisions is affected by the position argued, by contextual manipulations, and by individual difference variables. Literature is reviewed in support of the first of these points, suggesting that environmentalism is more congenial than antienvironmentalism to macrojustice principles. Data are presented to show that the way in which a conflict is described, in general or specific terms, affects the perceived importance of some justice principles, and that subject gender and environmental ideology are also related.