Pursuing performance and maintaining compliance: Balancing performance improvement and accountability in Ontario's public health system

This article examines the compatibility between performance improvement and compliance‐based accountability in the implementation of a new system of public health performance management in Ontario. Findings from this mixed‐method study show that only minor elements of performance improvement get incorporated into pre‐existing compliance‐based accountability structures, that reinforcement of accountability structures works to the detriment of performance improvement intentions, and that limiting managerial influence in developing performance measures and targets diminish the utility of information for improvement. The study concludes that achieving a better balance requires an alternative to top‐down decision making that goes beyond consultation to include partnership.     

Public Opinion, Political Communication and the Internet

In contemporary society public opinion is generally mediated by the mass media, which has come to encompass the Habermasian 'public sphere'. This arena is now characterised by the conflict between market and democratic principles, by competing interests of politicians and the media. The presentation of information for debate becomes distorted. The opinion of the 'public' is no longer created through deliberation, but is constructed through systems of communication, in conflict with political actors, who seek to retain control of the dissemination of information. The expansion of the internet as a new method of communication provides a potential challenge to the primacy of the traditional media and political parties as formers of public opinion.     

Feminist histories

Shirley Fitzgerald, Rising Damp: Sydney 1870–90 Oxford University Press) Melbourne, 1987; Marilyn Lake, The Limits of Hope: Soldier Settlement in Victoria 1915–38 (Oxford University Press) Melbourne, 1987.     

Forensic Mental Health Clinical Evaluation: An Analysis of Interstate and Intersystemic Differences

Forensic mental health evaluation systems have undergone major changes during the past two decades, and the variability of service delivery systems across states is significant. We compared assessments of competence to stand trial and criminal responsibility in three states with different systems for forensic mental health evaluations: Michigan, Ohio, and Virginia. Although all three states use comparable legal criteria to judge competence and criminal responsibility, we found large, statistically significant differences among the states in the proportion of defendants referred for evaluation who were assessed as incompetent or not criminally responsible. In addition, significant differences were found in the diagnostic and offense categories of defendants referred for evaluation. Our findings suggest that the structure of a system for providing forensic evaluation services may significantly affect both the group of individuals referred for evaluation as well as evaluation outcome.     

Facilitating Violence: A Comparison of Gang-Motivated, Gang-Affiliated, and Nongang Youth Homicides

It is well established that gangs facilitate violent offending by members,but the mechanisms by which that facilitation occurs remain unclear. Gangsmay promote violence indirectly by facilitating members' access to riskysituations such as drug markets or directly through gang functions such asturf defense. We explore alternative modes of facilitation in a comparisonof gang-affiliated homicides (which involve gang members but do not resultfrom gang activity), gang-motivated homicides (which result from gangactivity), and nongang youth homicides in St. Louis. We find importantdifferences as well as similarities in the time trends and eventcharacteristic of the two types of gang homicide; in key respects thegang-affiliated homicides more closely resemble the nongang events. Thegang-motivated events exhibit a somewhat distinctive spatial patterning,as might be expected from their connection to turf conflicts. However, allthree homicide types are highly concentrated in racially isolated,disadvantaged neighborhoods, which remain the fundamental socialfacilitators of both gang and nongang violence.     

Childhood sexual abuse and multiple dimensions of self-concept

The purpose of this investigation was to examine the relationship between child sexual abuse (CSA) and self-concept in a nonclinical sample of female college students. Participants with a history of CSA had lower scores than participants without a history of CSA on four domains of self-concept: familial, affect, competence, and physical. History of CSA was not associated with lower self-concept in the social and academic domains. The primary conclusions to be drawn from this study are that CSA may be differentially associated with various domains of self-concept, and thus multidimensional assessment of self-concept can yield useful information that cannot be gathered from global measures which yield a single composite score.     

Connecting the dots: Crime rates and criminal justice evaluation research

The National Research Council’s report on evaluating anticrime programs contains sensible suggestions for improving evaluation research in criminal justice but neglects the important role of substantive theory in linking evaluations of anticrime initiatives to variation in crime rates across time and place. A working knowledge of crime rates is essential for designing and evaluating anticrime programs. This essay calls for the development of a policy evaluation infrastructure that would support the continuous monitoring of crime rates, generate knowledge of crime-producing conditions, and link evaluation research findings to one another and to expected policy outcomes, notably crime reduction.

DNA analysis of ingested tomato and pepper seeds

Ingested food is one of the important types of forensic evidence obtained during a medicolegal autopsy. Many materials containing seeds pass through the human digestive system and are still recognizable; thus, they can be valuable for providing investigative leads. Currently, the identification of seeds relies on microscopic and morphologic examination. However this method sometimes can be problematic. For example, the microscopic appearance of the ingested tomato and pepper seeds is very similar; thus, it is not always easy to distinguish these seeds by comparing their physical characteristics. Tomato and pepper seeds were selected as a model system to assess the value of performing DNA analysis as an alternate and/or complimentary means of seed identification. Results of blind testing indicate that the deoxyribonucleic acid-amplified fragment length polymorphism (DNA-AFLP) results were able to discriminate between pepper and tomato seed samples after they passed through the digestive system.     

A randomized experimental study of sharing crime data with citizens: Do maps produce more fear?

The larger roles of the community in crime prevention and improvements in technology have increased police–citizen communication and the distribution of information from police departments to private citizens. Combined, these changes have led to the current movement among law enforcement agencies toward sharing both summary reports and maps of crime with community groups. Although the dissemination of crime information is intended to benefit community members, there is a lack of empirical evidence demonstrating the effects of crime mapping on citizen perceptions and fear of crime. This experiment compared three formats for disseminating crime data; two popular types of crime maps (i.e., graduated symbol and density) and the traditional tabular format of crime statistics. A randomized experimental design was used to measure residents fear of crime and their perception of the safety of different areas of Redlands, CA. Overall, residents who viewed either type of map reported less fear than those who viewed tabular statistics. Respondents who viewed graduated symbol maps consistently reported less fear than either density maps or tabular statistics. However, there were differences depending on the type of map. While graduated symbol maps were associated with the lowest levels of fear of robbery, theft or assault; density maps produced different reactions depending on the area of the city. Finally, the maps did not stigmatize high crime areas of Redlands. Where statistically significant differences existed, respondents who were given maps were more likely to recommend someone move into an area than those who were given tabular statistics.