Physical restraint in a therapeutic setting; a necessary evil?

Physical restraint of people experiencing mental health problems is a coercive and traumatic procedure which is only legally permitted if it is proportionate to the risk presented. This study sought to examine the decision-making processes used by mental health staff involved in a series of restraint episodes in an acute care setting. Thirty nurses were interviewed either individually or in focus groups to elicit their views on restraint and experience in specific incidents. Four factors which influenced the decision to restrain were identified: contextual demands; lack of alternatives; the escalatory effects of restraint itself; and perceptions of risk. While some of these factors are amenable to change through improvements in practice, training and organisational culture, nurses viewed restraint as a necessary evil, justified on the basis of the unpredictable nature of mental illness and the environment in which they worked.     

Are Overlapping Local Governments Competing With Each Other When Issuing Debt?

Local public services are produced through various overlapping jurisdictions. This study examines how the issuance of municipal general obligation bonds is affected by the tax policies of overlapping local governments. The findings challenge the hypothesis that the shared tax base would be overused in a common-pool resource scenario. Instead, the empirical results show that the issuance of general obligation bonds is more likely in jurisdictions where counties and school districts make more intensive use of the property tax. These findings highlight the importance of the signals local governments receive from their overlapping neighbors regarding voters’ demand for additional public spending.     

Realising the Right to Health for Young People in South Africa—Some Reflections

Abstract

The right to health is enshrined in the South African Constitution as well as a range of international and regional human rights treaties which South Africa accepts. Yet empirical data reveals some of the challenges faced by South African youth—childhood diseases, HIV/AIDS and such like. There are evidently challenges realising the right to health in practice. Nevertheless, South African courts have led the international field in recognising the justiciability of economic and social rights such as the right to health. Having reviewed the applicable laws and jurisprudence, the paper will conclude that a more holistic human rights-based approach offers perhaps the best way forward.     

Youth restorative justice conferencing: facilitator’s language – help or hindrance?

Youth crime is an ongoing concern in Australia. Victims, offenders and the community are all affected by crime and the current criminal justice approach seems both ineffective and inefficient. Restorative justice proponents have posited that their approach to justice through dialogue and negotiation in the conferencing process may be more effective than the traditional retributive justice. Restorative justice conferencing for young offenders is not, however, unfaultable in its ability to reduce the harm caused by crime or to reduce recidivism. The main focus of conferencing has been on the outcomes with limited attention paid to the process and its impact on a young offender’s sense of wrongdoing and remorse. There has been limited research undertaken into the oral competencies of young offenders in relation to their performance in conferencing, and equally limited studies on the specific use of language by facilitators. Other research has shown a coexistence of youth offending and developmental language and learning disabilities. The secondary study discussed in this paper reveals the language difficulties encountered by young offenders in the conferencing process. It is recommended that in order for young offenders to understand what they have been asked, to reflect on it, to express their thoughts and feelings, and for behavioural change to occur, the communication, both verbal and non-verbal, must be unambiguous, comprehensible and pitched at their individual demographic. More research is required into language use by conference facilitators and its impact on young offenders.     

‘Things are not working now’: poverty,food insecurity and perceptions of corruption in urban Malawi

ABSTRACT

Malawi is one of the world's least urbanised countries, but its cities are growing rapidly and poverty in urban Malawi is becoming a prominent political issue. Food insecurity is a widespread manifestation of urban poverty in Africa, especially in informal settlements. This article is based on in-depth interviews with food insecure residents of Lilongwe’s informal settlements who, when asked why they were food insecure, overwhelmingly pointed to the Cashgate corruption scandal as a cause. There have been many political corruption scandals in Malawi, but the Cashgate scandal, which was revealed in September 2013 and reverberated throughout the political culture, has been among the most prominent and consequential of these scandals. The article seeks to contribute to literature on the political dimensions of urban food security in Africa while also presenting a way of understanding corruption from the point of view of vulnerable people whose lives have been directly and indirectly affected.     

Reflections on law and impact in the light of Brexit

ABSTRACT

The impact agenda in academic research affords rich opportunities – to inform the media, policymakers and the general public; to co-produce research with third sector organisations. In the context of Brexit, the prevailing ignorance of politicians and other stakeholders has been so profound, and the falsehoods that have had popular purchase so baseless, as to make the need for impact and public engagement all the more acute. This is not simply about fact-checking, but about making the case for the very worth of expertise, and reasserting the basic, core scientific values that drive academic work – values that have been trashed by the precepts of a postmodern nihilism, in which all positions are equally (in)valid and only your own gut can be trusted. But challenging these precepts in public arenas has personal and professional costs: significant workload implications, the acquisition of new skills and often a torrent of abuse. As such, this work needs institutional support. Departments need to value it appropriately, to promote equal access to impact opportunities and to confront the discriminatory barriers to (and consequences of) taking up the impact gauntlet. Throughout the Brexit process, expertise and experts have been dismissed and denigrated. The task now is to restore public faith in the value of the pursuit of truth.