Collaboration and Integrated Services in the NSW Public Sector

The paper discusses some of the findings of a review of whole-of-government activities in the NSW public sector conducted for the NSW Premier's Department. Some major sources of the difficulties people encounter in whole-of-government initiatives are identified, together with some factors essential for success. Since there is no one 'right' model for whole-of-government activity, criteria are proposed for identifying the most appropriate whole-of-government response to different types of problem. In conclusion the paper summarises some key benefits and achievements of a growing whole-of-government ethos in the NSW public sector, and some possible strategies for further strengthening whole-of-government approaches.     

Criminal justice as an academic discipline: Costs and benefits

One of the stages through which any new field must pass is academic legitimation. The field of criminal justice is presently in this stage of striving for acceptance within the academic community. Recently, criticism of the field as well as legitimizing activities seem to have increased. In the course of the debate about the appropriate location and identity of criminal justice, it can be expected that the issue of disciplinary status for criminal justice will gain prominence.The issue of disciplinary status for the field of criminal justice is considered in terms of the advantages and disadvantages of disciplines. Also, assets of a multidisciplinary status are presented and “cost” comparisons are made between disciplines and multidisciplinary fields.While there seem to be points in favor of disciplines, an analysis of some of the weaknesses of disciplines suggests that continuance of a more synthetic and open approach is preferable for the field.     

Commentary on Seagrave and Grisso: Impressions of the State of the Art

Seagrave and Grisso (2001) questioned the clinical-forensic utility of tests designed to assess juvenile psychopathy. They discussed potential problems with such tests and some avenues for future research. We agree with the points made by Seagrave and Grisso, but believe their critique did not go far enough. The state of the art with respect to the assessment of juvenile psychopathy is like an Impressionist painting: fine from a distance;but the closer you get, the messier it looks. We conclude that although tests of juvenile psychopathy measure something, it is impossible to be sure at this time they are actually measuring psychopathy.     

Racial disparities in access to long-term care: the illusive pursuit of equity

While nursing homes were insulated from civil-rights enforcement at the time of the implementation of the Medicare program and lagged behind other parts of the health sector in providing comparable access to minorities, they are the only providers for which current reporting requirements make it possible to fully assess racial disparities in use and quality of care. We find that African Americans' use of nursing homes in 2000 in the United States was 14 percent higher than Caucasians' use. The largest relative African American use of nursing homes in 2000 took place in the South and West. Average nursing-home case-mix acuity for African Americans and Caucasians were essentially identical, suggesting that shifts in payment incentives have eliminated the selective admission of easy-care private-pay (predominantly Caucasian) patients and helped fuel the growth of private pay home care and assisted living for this segment of the population. While these shifts in incentives helped increase the use of nursing homes by African Americans, a high degree of segregation and disparity in the quality of the nursing homes used by African Americans persists. Parity in use is an illusive benchmark for measuring progress in assuring equity in treatment.