Policy entrepreneurship in the development of public sector strategy: the case of London health reform

The development of health policy is recognized as complex; however, there has been little development of the role of agency in this process. Kingdon developed the concept of policy entrepreneur (PE) within his ‘windows’ model. He argued inter-related ‘policy streams' must coincide for important issues to become addressed. The conjoining of these streams may be aided by a policy entrepreneur. We contribute by clarifying the role of the policy entrepreneur and highlighting the translational processes of key actors in creating and aligning policy windows. We analyse the work in London of Professor Sir Ara Darzi as a policy entrepreneur. An important aspect of Darzi's approach was to align a number of important institutional networks to conjoin related problems. Our findings highlight how a policy entrepreneur not only opens policy windows but also yokes together a network to make policy agendas happen. Our contribution reveals the role of clinical leadership in health reform.     

Motivation in humanitarian health workers: a self-determination theory perspective

This paper emerged from the authors' interest in why humanitarian health workers initially engage and remain in humanitarian work, often in the face of threats to safety and personal well-being. Semi-structured qualitative interviews assessed the consciously available reasons why individuals engaged in humanitarian health work. Interview data was unpacked through a thematic analysis. Using self-determination theory as a guiding framework, data suggested introjected and identified motivations are applicable to this occupational domain. Introjected motivation is implicated in initial reasons to engage the work, while identified motivation is implicated in reasons to continue. Theoretical and practical implications of these findings are discussed.

Motivation parmi les travailleurs humanitaires dans le domaine de la santé : un point de vue basé sur la théorie de l'autodétermination

Cet article a émané de l'intérêt de l'auteur concernant les raisons pour lesquelles les travailleurs humanitaires dans le domaine de la santé s'engagent initialement et continuent de travailler dans l'humanitaire, souvent malgré les menaces qui pèsent sur leur sécurité et sur leur bien-être personnel. Des entretiens qualitatifs semi-structurés ont permis d'évaluer les raisons consciemment disponibles qui expliquent que certaines personnes se soient engagées dans le travail humanitaire dans le domaine de la santé. Les données obtenues grâce aux entretiens ont été examinées au moyen d'une analyse thématique. En prenant la théorie d'autodétermination comme cadre d'orientation, les données ont suggéré que des motivations introjectées et identifiées sont applicables à ce domaine professionnel. La motivation introjectée intervient dans les raisons initiales de s'engager dans ce type de travail, tandis que la motivation identifiée intervient dans les raisons de continuer. Les implications théoriques et pratiques de ces conclusions font l'objet d'une discussion.

Motivação para Trabalhadores Humanitários da Área da Saúde: Uma Perspectiva da Teoria da Auto-Determinação

Este artigo surgiu do interesse dos autores em saber por que os trabalhadores humanitários da área da saúde engajam-se inicialmente e depois permanecem no trabalho humanitário, frequentemente enfrentando ameaças à segurança e bem-estar pessoal. Entrevistas qualitativas semiestruturadas avaliaram as razões dos indivíduos engajarem-se no trabalho humanitário na área da saúde, razões estas conscientemente apresentadas. Dados da entrevista foram processados através de uma análise temática. Utilizando a teoria da auto-determinação como estrutura de orientação, os dados sugeriram que as motivações introjetadas e identificadas são aplicáveis a este domínio ocupacional. A motivação introjetada está associada às razões iniciais de se engajar no trabalho, enquanto a motivação identificada está associada às razões de se permanecer no trabalho. As implicações teóricas e práticas destes resultados são discutidas.

La motivación en los trabajadores humanitarios de salud: una perspectiva de la teoría de la autodeterminación

Este ensayo surgió del interés de los autores en cómo los trabajadores humanitarios de salud inician su trabajo y permanecen en él a pesar de las frecuentes amenazas a su seguridad y bienestar personal. Las entrevistas cualitativas semiestructuradas realizadas revelaron las razones enunciadas conscientemente de porqué los individuos participan en el trabajo humanitario en salud. Se evaluaron las entrevistas a través de un análisis temático. Utilizando la teoría de la autodeterminación como marco, las entrevistas sugieren la existencia de motivaciones tanto introyectadas como identificadas en este ámbito de trabajo. La motivación introyectada se refiere a las razones para iniciar el trabajo y la motivación identificada a las razones para seguir en él. El ensayo examina las implicaciones teóricas y prácticas de estos resultados.     

The dynamic character of disguise behavior for text-based, mixed, and stylized signatures

The aims of this study were to determine if dynamic parameters (duration, size, velocity, jerk, and pen pressure) differed for signing style (text-based, stylized, and mixed) and if signing style influences handwriting dynamics equally across three signature conditions (genuine, disguised, and auto-simulation). Ninety writers provided 10 genuine signatures, five disguised signatures, and five auto-simulated signatures. All 1800 signatures were collected using a digitizing tablet resulting in a database of each signature's dynamic characteristics. With genuine signatures, there were significant differences between styles for size, velocity, and pen pressure, and there were significant differences between genuine signatures and at least one of the un-natural signature conditions for all parameters. For velocity and size, these changes with condition were dependent on style. Changes with condition for the other parameters were similar for the three styles. This study shows that there are differences among natural signature styles and disguise behaviors that may be relevant in forensic signature examinations.     

Politics,Prisons, and Law Enforcement: An Examination of the Emergence of “Law and Order” Politics in Texas

This article examines the rise of “law and order” politics in Texas, providing an in‐depth archival case study of changes in prison policy in a Southern state during the pivotal period when many U.S. states turned to mass incarceration. It brings attention to the important role an insurgent Republican governor and law enforcement officials played in shaping crime policy. Law enforcement's role is considered within a broader examination of political strategy during a period of intense socioeconomic volatility. The findings suggest that within particular political contexts, especially those with low levels of political participation, law enforcement agents might play a key role in shaping punishment.     

Moving beyond the socialization hypothesis: The effects of maternal smoking during pregnancy on the development of self-control

Purpose

Gottfredson and Hirschi, in A General Theory of Crime, argue that the primary source of self-control is parental socialization. Specifically, parents who fail to supervise their children, to recognize their child's deviant behavior, and to punish such behavior are more likely to raise children with lower levels of self-control. Recent empirical research, however, has broadened the explanatory factors to include sources within schools, neighborhoods, and individual factors as significant contributors to the development of self-control. This study proposes that maternal smoking during pregnancy places additional limits on the development of self-control.

Methods

Using a subsample of the National Longitudinal Study of Youth (N = 542), we provide a comprehensive investigation of the variety of sources of self-control to include both individual and environmental covariates.

Results

Results indicate that maternal smoking during pregnancy significantly impacts the development of self-control net of parental, neighborhood, and school socialization. We also found that individual sources of self-control significantly vary across race and neighborhood context.

Conclusions

The sources of self-control are more complex than socialization from parents, schools, and within neighborhoods occurring in childhood and adolescence.     

Citizenship, mental illness, and the criminal justice system

The concept of citizenship in regard to persons with mental illness has gained increasing attention in recent years, but little empirical research has been conducted on this topic. In addition, little research or conceptual writing has been done on the topic of criminal justice in regard to citizenship for people with mental illness, in spite of the high incidence of criminal charges and incarceration among this group. We review our work on an applied theoretical framework of citizenship, including its origins in mental health outreach work to people who are homeless and in a jail diversion program. We then suggest the contribution the framework can make to the intersecting issues of mental illness, its criminalization in the U.S., and the goal of community integration for people with mental illness.     

Assessing the Violent Offending and Violent Victimization Overlap Among Discharged Psychiatric Patients

Prior studies have documented linkages between mental disorder and both offending and victimization. However, few studies have examined the violent offending–violent victimization overlap among mentally disordered individuals and none have examined the factors that are jointly related to their covariation. Here, we assess this overlap during the first ten weeks following hospital discharge among a large sample of psychiatric patients from three large cities. Findings indicate that: (1) violent offending and violent victimization show substantial covariation; (2) although each of the two outcomes were predicted by a few unique risk factors, several risk factors were similarly predictive of both outcomes; and (3) even after adjusting for demographic, clinical, and social risk factors, the correlation between violent offending and violent victimization remained robust. Implications for theory, research, and policy are highlighted.     

The Value of Remorse: How Drivers’ Responses to Police Predict Fines for Speeding

After they stop drivers for exceeding the speed limit, police often have the discretion to alter the penalty. We investigated the degree to which extra-legal factors (apologies and other verbal responses), in addition to speed over the limit, predict ticket costs for speeding. Surveys of speeders were conducted in the U.S. and Canada. The data suggest that what people say to police matters. Participants who reported statements of remorse, e.g., “I’m sorry,” received lower fines for speeding. The relation of speeders’ responses to ticket costs is discussed from legal and psychological perspectives.