The will to win: Determinants of public support for the drug war in Belize

The premise of this paper is that the drug war cannot be won without the public's full commitment. Based on a random sample of households (n=532) in Belize City, public attitudes are analyzed to assess the degree of support for drug enforcement. The findings show strong support for drug education as well as for increasing criminal sanctions and the size of the police force. Support fades, however, as drug enforcement is militarized. The significant determinants of public support are education, gender, attitudes toward the police, fear of property crime, and neighborhood crime prevalence. The paper closes by offering two concrete ways to build public support for drug enforcement.An earlier version of this paper was presented at the Academy of Criminal Justice Sciences Conference in Nashville, Tennessee, March 1991.     

An Ecological Study of Nonresidential Services for Battered Women Within a Comprehensive Community Protocol for Domestic Violence

This paper is an ecological study of services provided to 392 battered women under a comprehensive domestic violence protocol. It focuses on microsystemic interactions between battered women and battered women's services and legal systems. We examine the relationships between women's receipt of services from a battered women's agency, receipt of protective orders, and completion of prosecution of batterers. We also explore the associations between women's receipt of services and protective orders and their partners' subsequent arrests and police contacts. We use open-ended interviews with battered women and with staff of the battered women's agency to expand and illustrate the quantitative data. The analysis shows that when a woman received battered women's services or had a protective order, a completed court case was more likely and numbers of arrests rose. We found that these associations were strongest when women received both battered women's services and at least one protective order.     

Genetic technologies and the regulation of reproductive decision-making in Australia

This article provides a critical analysis of the current Australian regulatory landscape at the interface between genetics and reproductive decision-making. The authors argue that a comparative analysis with other countries and international law and a contextual examination of the way law regulates concepts such as disease and health, abnormality and normality is necessary before we can develop appropriate policy and legislative responses in this area. Specific genetic testing technologies are considered including prenatal genetic testing, preimplantation genetic diagnosis and inheritable genetic modification. An increasing number of members of the Australian community are using genetic testing technologies when they decide to have a baby. The authors argue that as concepts of disease and health vary among members of the community and the potential to test for traits other than illness increases, a new tension arises between an ethic of individual choice and a role for government in regulating reproductive decision-making.     

Does neighborhood watch reduce crime? A systematic review and meta-analysis

Neighborhood watch grew out of a movement in the USA during the late 1960s that promoted greater involvement of citizens in the prevention of crime. Recent estimates suggest that over a quarter of the UK population and over 40% of the US population live in areas covered by neighborhood watch schemes. The current paper presents the results of a recent systematic review of evaluations of neighborhood watch. The main findings of the narrative review were that about half of the schemes evaluated showed that neighborhood watch was effective in reducing crime, with most of the other evaluations having uncertain effects. The main findings of the meta-analysis were that 15 of the 18 studies provided evidence that neighborhood watch reduced crime. While the results of the review are encouraging, it was concluded that more high-quality research needs to be done to help explain why study variations exist.

The tools to understand: community as co-researcher on culture-specific protective factors for Alaska Natives

A collaborative research process engaging Alaska Native communities in the study of protective factors in Alaska Native sobriety and the design of a preventative intervention using its findings is described. Study 1 was discovery oriented qualitative research whose objectives were identification of protective factors and development of a heuristic model. Study 2 involved quantitative survey methods to develop and test ameasure of protective factors identified by the qualitative study. Empirical data from these studies is presented, and the role of Alaska Native co-researchers who did not possess specialist research training is described in the design and implementation of the study, interpretation of findings, and design of the intervention model and tools. Benefits that emerged from co-researcher involvement in this process, to the community and to the co-researchers themselves, are described.     

Complex Causal Relations and Case Study Methods: The Example of Path Dependence

Colin Elman Department of Political Science, Arizona State University, Box 873902, Tempe, AZ 85287-3902 e-mail: bennetta{at}georgetown.edu e-mail: colin.elman{at}asu.edu (corresponding author) This article discusses the application of qualitative methodsin analyzing causal complexity. In particular, the essay reviewshow process tracing and systematic case comparisons can addresspath-dependent explanations. The article unpacks the conceptof path dependence and its component elements of causal possibility,contingency, closure of alternatives, and constraints to thecurrent path. The article then reviews four strengths that casestudies bring to the study of path dependence: offering a detailedand holistic analysis of sequences in historical cases, beingsuitable for the study of rare events, facilitating the searchfor omitted variables that might lie behind contingent events,and allowing for the study of interaction effects within oneor a few cases.     

UK policy coordination during the 1990-91 intergovernmental conference

Despite the importance of European Union negotiations, the majority of scholarly attention has not been directed towards the means by which policy is coordinated in member states. This article addresses one aspect of this gap by focusing upon the structures which existed for UK policy making during the 1990-91 IGC negotiations. Particular emphasis is attached to the key role of officials, who often proved crucial to the extraction of compromises at the European level, and the manner by which policy was constrained by the inability of the Prime Minister to dominate Cabinet.     

Abuse and neglect: a ten-year review of mortality and morbidity in our elders in a large metropolitan area

Elder abuse and neglect refers to an act or omission resulting in harm, including death, or threatened harm to the health or welfare of an elderly person. Between one and two million elderly Americans experience some form of mistreatment annually. A ten-year (1992-2001) retrospective case review of morbidity and mortality among elders (age > 60 years) was conducted at a State Medical Examiner's Office serving a major metropolitan region in Kentucky and Indiana. This study addresses cases of two categories: 1) medicolegal autopsies and 2) examinations of living subjects pursuant to a Clinical Forensic Medicine Program. The authors present 74 postmortem cases, in which 52 deaths were attributed to a homicidal act and 22 deaths were suspicious for neglect. Of the 22 living victims of elder abuse and neglect, 19 cases constituted physical and/or sexual assault and three individuals suffered from neglect. This study summarizes the characteristic features of elder abuse in both postmortem and living cases and underscores the necessity for multi-agency collaboration in order to reach an accurate conclusion in case work. Policies established by a well-established elder abuse task force promote the collaborative interaction necessary to formulate criteria for prevention of abuse and death within this vulnerable population.     

The doctor will e-mail you now: physicians' use of telemedicine to treat patients over the Internet

This article examines the problems currently associated with the practice of telemedicine and suggests that the best solution for this particular field of medicine is a national standard of care. This article also suggests that the Food and Drug Administration's (FDA) current functions are easily expandable to the telemedicine context; therefore, the agency should regulate the implementation of such a standard in the telemedicine field. This article proposes that the FDA use medical practice guidelines in developing the applicable standard. Other agencies, such as the American Medical Association (AMA) and other website alliances, could also aid the FDA in implementing this standard because of their experience in setting such guidelines for the traditional medical context. Finally, this article suggests that in implementing the national standard of care, the FDA should increase the standard of care that telephysicians, as compared to traditional physicians, owe their patients because of the risks associated with treating patients in the absence of hands-on consultations. By implementing a national standard of care, problems currently associated with telemedicine will be resolved, and physicians and patients will have more confidence in telemedicine.