Louisiana's Ethical Culture and Its Effect on the Administrative Failures Following Katrina

Louisiana's history of colorful politics and corruption in government is legendary, and within Louisiana, it is something celebrated—or at least warmly embraced—as part of the cultural richness of the state. An oft-repeated phrase is that Louisiana is no more corrupt than any place else, it's just that Louisianans are proud of it. Though such sentiment is certainly not true of everyone in Louisiana, it is a quality that permeates discussions of federal financial assistance to the state in the aftermath of Hurricane Katrina and helps explain the widespread misuse of assistance funds. Yet beyond concern for the loss of dollars are the very real and tragic consequences for the citizens who were most affected by Hurricane Katrina—who have received but a trickle of the flood of money that has poured into the state. For these people, who remain without adequate shelter, resources, educational opportunities, health care, and support networks, the recovery progress has remained basically unchanged over the last two years. An overview of the ethical culture of Louisiana and reflections on how that culture contributed to and exacerbated administrative failure in the wake of Katrina is presented here.     

Reconfiguration du réseau de la Patrick sabourté et et des services sociaux au Québec: la place des regroupements intéretablissements

Sommaire: Depuis le début des années 1990, le système de santé québécois, comme celui des autres provinces, subit de profonds changements. lis se concrétisent sous la forme d'une reconfiguration majeure du système lui-meme, des services qu'il dispense et des structures qui le composent. L'article s'interesse a ce dernier aspect, plus particulierement sous l' angle des regroupements interétablissements. II appert que la Loi sur les services de santé et les services sociaux (1991, chap. 42) a bouleversé la configuration structurelle du réseau en forcant l'unification horizontale de plusieurs types d'établissements, tels les centres d'hébergement de soins de longue durée et les centres de réadaptation. Plus récemment, la décentralisation fonctionnelle accrue au profit des régies régionales de la santé et des services sociaux (rrsss), jumelée à l'annonce de compressions budgétaires sans précédent, a donné un second souffle à cette reconfiguration de structures. Une enquete a été menée a l'hiver 1995. Elle révèle qu'à ce moment, en plus des regroupements deja prévus dans la loi, un peu plus de 110 établissements socio-sanitaires, dont 60 centres hospitaliers, étaient également impliqués dans divers projets de regroupements allant de l'entente de services a la fusion. Depuis le printemps 1995, certaines rrsss étudient l' option des intégrations ou des fusions verticales, qui impliquent des établissements de mission différente. Or, une revue de la littérature démontre que l' efficacité et l' efficience de ces options ne sont pas clairement démontrées dans le secteur des soins de santé et qu'il vaudrait mieux envisager des formes moins contraignantes (partenariats, ententes de services, etc.) permettant de s'apprivoiser avant de songer au mariage. Abstract: Since the early 1990s, the Quebec health-care system, as those in other provinces, has undergone major changes. These changes involved a major reconfiguration of the system itself - its services and its structures. This article describes this reconfiguration and focuses on one particular aspect: the integration of services. The Health and Social Services Act, 1991 (c. 42) created havoc in the configuration of the system by imposing horizontal integration of several types of services, such as those of long-term care facilities and rehabilitation centres. More recently, this growing delegation in favour of the Regional Health and Social Services Boards (rhssbs) together with the announcement of unprecedented budget cuts, has led to further restructuring. A survey carried out during the winter of 1995 showed that 120 health-care establishments, including 60 hospitals, were involved in inter-establishment relationship projects, ranging from service agreements to mergers. Since the spring of 1995, some rhssbs have been studying the option of integration or of vertical mergers, i.e., how to integrate facilities with different services. However, a review of the literature shows that the effectiveness and efficiency of these options has not yet been clearly proven in the health-care sector, and that it would be wiser to consider, as a first stage, less constraining relationships (e.g., partnerships, service agreements, etc.) as a way of testing compatibility before getting involved in permanent partnerships.     

Cities and people: Towards a gender-aware urban planning process?

Recognition of the deficiencies of traditional ‘blueprint’ approaches to land use and infrastructure planning has led to increased emphasis on management of the process of urban development. Such management should recognize the distributional impacts of decision-making and be responsive to the needs of residents. However, much urban planning activity has been and continues to be gender-blind. In order to redress this deficiency, it is argued that increased understanding is needed of women's economic and social roles in urban society, their exclusion from economic opportunities and decision-making processes, and the discriminatory nature of much legislation. Urban residents’ experience is shaped both by household strategies and by the way in which they are affected by or can affect planning, investment and management decisions made at the neighbourhood or city level. Differing experiences may be related to class and ethnicity, but are also likely to be gender-specific. The potential impact of policy and investment in a variety of sectors of urban development on residents, especially women, is explored. Recommendations are made for a more gender-aware approach to planning for economic activity, land and shelter, public transport and infrastructural and social services, and for specific actions to be taken by both planners and residents.     

The local state and urban local government in Zambia

It is argued, with reference to urban local government in Zambia, particularly in Lusaka, that recent debates on the form and functions of the national state in Africa may be used to illuminate the working of the urban local state. Available evidence on the class interests represented in the urban local state is reviewed, and these interests and their actions with respect to personal accumulation and political clientelism are found to be similar to those found at the national level. The urban local state in Zambia performs functions similar to those which have been revealed by analyses of other countries, although the nature of these functions, and the extent to which they are successfully performed, is influenced by the political and economic context, the institutional framework and especially the constraints imposed by central government on local autonomy. The changes proposed in the 1980 Local Administration Act are outlined, and a preliminary assessment made of the extent to which they are likely to change the form and functions of the urban local state.     

Emotional and temperamental correlates of Type A in children and adolescents

Emotional and behavioral correlates of Type A behavior in children and adolescents were examined in 184 fifth-, seventh-, and ninth-grade students, classified as high or low Type A, using self-report, teacher ratings (fifth grade only), and structured interview procedures. Measures included the Hunter-Wolf A-B Rating Scale, Behavioral Symptoms of Stress Inventory, Dimensions of Temperament Survey, Desire for Control Scale, Eysenck Personality Inventory, and the Multiple Affect Adjective Checklist. High Type A children reported significantly more stressed-related behaviors, higher levels of depression, anger, anxiety, and cognitive disorganization, and greater reactivity than Low Type A. No differences were found on measures of temperament (activity level, attention span, adaptibility, and rhythmicity), desire for control, or introversion-extroversion. Females, in general, reported significantly more behavioral stress symptoms. However, no other gender differences were found. Possible reasons for reported differences between Type A children and adults are discussed, along with gender differences in behavioral symptoms. Need for multiple measures of Type A across situation is considered along with need for controlled longitudinal studies of Type A components and the influence of contexts.Received Ph.D. from Stanford. Research interests: Adolescent problems, stress.Received Ph.D. from Stanford. Research interests: Type A, anger/hostility; AIDS prevention.Received Ph.D. from Stanford. Research interests: child & family problems, stress disorders.Received Ph.D. from Stanford. Research interests: psychoneuroimmunology.Received Ph.D. from Stanford. Research interests: pain disorders, stress.Received Ph.D. from Stanford.Received Ph.D. from Stanford. Research interests: anxiety and phobic disorders.