Marching to the Left? Programmatic Competition and the 2017 Party Manifestos

This article analyses the content of the 2017 general election manifestos, and introduces the latest estimates from the Manifesto Project to explore recent ideological movements in the British party system. It reports the changing policy emphases in Conservative and Labour manifestos and the ideological positions of the major political parties in 2017. It finds that Theresa May's party produced its most left‐wing manifesto since 1964, and that Jeremy Corbyn's party produced its most left‐wing manifesto since 1992 and the election before the advent of New Labour. The article also finds that the ideological space between the Conservatives and Labour opened up in 2017, and that Northern Ireland's Democratic Unionists published the most right‐wing manifesto.     

Sexual offenders with serious mental illness: prevention, risk, and clinical concerns

Individuals with serious and persistent mental illness who have also engaged in illegal sexual behavior present a unique challenge for our legal and clinical systems. Frequently, these individuals may engage in problematic sexual behaviors which result in hospitalization rather than incarceration, and an overburdened and resource-deficient public community mental health system is ill-equipped to address the seriousness of these sexual behaviors. We have a rather limited understanding of how prevention programs, intervention strategies, and risk assessment would work with this population. Here we evaluate data from a sample of 245 inpatient psychiatric sexual offenders in a forensic mental health setting and compare these with what information has already been presented in some of the literature. Through an examination of seriously mentally ill sexual offenders and their clinical presentation, legal history, and risk management concerns, we illustrate a variety of tertiary prevention needs. Future directions in the area of prevention and risk management for seriously mentally ill sexual offenders are also discussed.     

Contracting for Indigenous Health Care: Towards Mutual Accountability

In Australia and other industrialised countries, governments contract with the non‐government sector for the provision of primary health care to indigenous peoples. Australian governments have developed policies and funding programs to support this health sector, but the current arrangements are unduly complex and fragmented. The results of our study show that the complex contractual environment for Aboriginal Community‐Controlled Health Services (ACCHSs) and their funders is an unintended but inevitable result of a quasi‐classical approach to contracts applied by multiple funders. The analysis in this article highlights potential policy and program changes that could improve the effectiveness of funding and accountability arrangements, based on the use of an alliance contracting model, better performance indicators and greater clarity in the relative roles of national and jurisdictional governments.     

Interpersonal Competence Configurations,Attachment to Community,and Residential Aspirations of Rural Adolescents

Adolescents who grow-up in rural areas often experience a tension between their attachment to the rural lifestyle afforded by their home community and a competing desire to gain educational, social, and occupational experiences that are only available in metropolitan areas. While these diverging pressures are well-documented, there is little information about linkages between rural high school students’ views of their communities, their postsecondary aspirations, and their school adjustment. To address this issue, this study examined perceptions of community and residential aspirations in an ethnically diverse sample of 8,754 rural adolescents (51.5% female) in relationship to their competence and risk status in high school. Participants were from 73 rural high schools across 34 states. In addition, ratings on participants’ school adjustment were provided by teachers (n = 667). High competence students (i.e., those in configurations of high positive and low negative teacher-rated characteristics) expressed positive perceptions of their rural lifestyle and many, particularly girls, indicated an interest in staying in or returning to their home community. Low competence youth (i.e., those in configurations of low positive and high negative teacher-rated characteristics) appeared to be less connected to their community and were more likely to express their intent to leave and not return. These results appear to qualify current concerns about “rural brain drain” and also suggest that the lack of attachment to the community may be a compounding risk factor for rural adolescents who have significant school adjustment problems.     

Is it lawful to use Medicaid to pay for circumcision?

Since 1965, tens of millions of boys have been circumcised under the Medicaid program, most at birth, at a cost to the United States Federal Government, the States and taxpayers of billions of dollars. Although 18 States have ended coverage since 1982, the United States Government and 32 States continue to pay for non-therapeutic circumcision, even though no medical association in the world recommends it. Many cite American medical association policy that the procedure has potential medical benefits as well as disadvantages, and that the circumcision decision should be left to parents. This article shows that Medicaid coverage of circumcision is not a policy issue because it is prohibited by federal and State law. As American medical associations concede, non-therapeutic circumcision is unnecessary, elective, cosmetic surgery on healthy boys, usually performed for cultural, personal or religious reasons. The fundamental principle of Medicaid law is that Medicaid only covers necessary medical treatments after the diagnosis of a current medical condition. Physicians and hospitals face severe penalties for charging Medicaid for circumcisions. Medicaid officials and the Federal and State Governments are also required to end coverage. It is unlawful to circumcise and to allow the circumcision of healthy boys at the expense of the government and taxpayers.     

DIVORCE IN THE NURSERY: ON INFANTS AND OVERNIGHT CARE

Infants, parental separation, custody, and overnight care: a vexed combination of issues and needs that has long perplexed the family law field. Carol George and Judith Solomon have conducted the only published observational study of infant attachment in light of postseparation overnight care arrangements. Here they revisit that study and bring more than three decades of experience to bear on questions concerning very young children implicated in family law disputes. Currently a professor of psychology at Mills College, California, George is an author and coauthor of several notable attachment measures and has over 50 research publications in the area of attachment. Judith Solomon is both a clinical psychologist and a researcher in the attachment field, specializing in the study of early attachment relationships and representations, most recently in the Department of Pediatrics, Bridgeport Hospital. George and Solomon are associate editors of the journal, Attachment and Human Development, reviewers on multiple developmental journals, and both consult and teach internationally.