Evaluating the Potential for Unintentional Occupational Exposure to Fentanyl and Fentanyl Analogues Among Medicolegal Death Investigators and Autopsy Technicians

Recent increases in deaths in the United States from synthetic opioids such as fentanyl and fentanyl analogues (fentanyls) have raised concerns about possible occupational exposures to these potent agents. Medicolegal death investigators and autopsy suite staff might perform job tasks involving exposure to fentanyls. The potential for exposure to fentanyls among medicolegal death investigators and autopsy technicians at a state medical examiner's office was evaluated through review of caseload characteristics, injury and illness logs, and procedures and policies and discussions with management and employee representatives. The evaluation showed that this medical examiner's office had low potential for work-related exposure to fentanyls; its standard operating procedures and personal protective equipment requirements should reduce the potential for occupational exposure. Medicolegal death investigation agencies can develop and implement guidance to control exposures and provide workforce education and training to reduce the potential for work-related exposure to fentanyls.     

Feedback on Forensic Mental Health Assessments in a Juvenile Court Clinic Certification Program

Public-sector mental health systems have set forth specialized practice competencies for forensic mental health clinicians conducting court-ordered examinations. This study examined a sample of feedback letters to clinicians who submitted mid-training and final reports for review as part of the requirements for certification as a juvenile court clinician. The most common feedback points were insufficient/irrelevant historical data, problems with clarity/organization of the report, problems with interview/mental status examination, and problems with competency to stand trial data/opinions. Clinicians had fewer deficiencies in their final report compared to their mid-training report, supporting the perspective that forensic training and supervision is associated with better quality reports.     

Parental Alienation in U.S. Courts, 1985 to 2018

Courts have been dealing with alienating behaviors in high conflict family litigation for hundreds of years. Experts in the behavioral sciences have been writing about mothers and fathers manipulating their children to disparage the other parent for more than seventy years. But in the last two decades some social scientists and legal professionals have questioned the legitimacy of parental alienation as a concept and its admissibility in child abuse and child custody litigation. This study was designed to examine the extent to which courts in the United States have found the concept of parental alienation material, probative, relevant and admissible. Thirty‐four years of cases were found with a WESTLAW query and analyzed. Cases were selected for study only if the record reflected that a judge or an independent expert found the concept of parental alienation to be of value in the litigation. Results illustrate increasing awareness of the concept and document its admissibility in every one of the United States. The numbers, sex of the alienating parent and prevalence of significant custody changes are discussed. Limitations inherent in this form of quantitative analysis are also discussed with recommendations for future research.     

Brexit and the British Constitution: Reflections on the Last Three years and the Next Fifty

The decision to leave the EU provoked the biggest constitutional crisis of recent British history. The referendum—a device for circumventing the parliamentary process—was followed by conflict between a minority government and a majority of MPs unwilling to leave the EU without satisfactory alternative arrangements. The courts, drawn into this conflict, upheld conventions that sustain the authority of Parliament and restrain the despotic power of ministers. The reaction of members of the current government was to take disreputable and anti-democratic positions against both the Speaker of the House of Commons and the courts. They now have a sufficient majority in Parliament to resume adherence to constitutional conventions and restore a political culture of debate and tolerance, but they show little sign of doing so, and there is a risk that they will do irreparable damage to the political culture that underpins democracy.     

Public administration reform for Aboriginal affairs: An institutionalist analysis

Persistent underperformance of public policy and program implementation in Aboriginal affairs is widely recognised. We analysed the results of two case studies of attempted reforms in public administration of Aboriginal primary health care in the Northern Territory, using a framework based on the institutionalist and systemic racism literatures, with the aim of better understanding the sources of implementation failure. Implementation of the agreed reforms was unsuccessful. Contributing factors were as follows: strong recognition of the need for change was not sustained; the seeds of change, present in the form of alternative practices, were not built on; there was a notable absence of sustained political/bureaucratic authorisation; and, interacting with all of these, systemic racism had important consequences and implications. Our framework was useful for making sense of the results. It is clear that reforms in Aboriginal affairs will require government authorities to engage with organisations and communities. We conclude that there are four requirements for improved implementation success: clear recognition of the need for change in ‘business as usual’; sustainable commitment and authorisation; the building of alternative structures and methods to enable effective power sharing (consistent with the requirements of parliamentary democracy); and addressing the impact of systemic racism on decision-making, relationships, and risk management.     

A health management research on the insured group who participate in medical insurance

Taking the insured group who participate in medical insurance as the main subject, Wendeng city carries out the health management and establishes health files for the insured. Through the free health checkup for the high-risk group, the targeted health interventions are conducted according to the physical examination results of those people, and relative health education has achieved satisfying effects. The health education in different western countries has been carried out for more than 20 years, which accumulates a wealth of experiences. However, health education in China has not yet gained sufficient attentions, and to develop the domestic health education becomes an imperative task at present.     

大学校园心理健康文化创建探讨

大学校园文化建设是学生教育工作的重要组成部分,校园文化活动是学生教育的重要载体,创建校园心理健康文化对学生心理健康教育工作有巨大的推动作用。通过对广大高校校园心理健康活动情况的调查,心理健康活动的主要方式具有不同的功能和特点,应该根据实际情况合理运用不同活动方式,创建品牌化的校园心理健康文化。     

公安院校大学生心理健康教育新探

公安院校是培养警察的摇篮,公安院校大学毕业生是警察的主要来源,因此,公安院校大学生的素质直接影响到警察队伍的整体素质.心理健康对公安院校大学生成才具有重要意义,警察职业的特殊性要求公安院校大学生必须具有健康的心理.但是当前,公安院校大学生的心理健康状况并不令人乐观.因此,全面提高公安院校大学生的心理素质,加强心理健康教育,努力提高公安院校大学生的心理健康水平,已成为我国公安院校刻不容缓的重要任务.     

Co-Production and Health System Reform – From Re-Imagining To Re-Making

There is growing interest in the application of citizen participation within all areas of public sector service development, where it is increasingly promoted as a significant strand of post-neoliberal policy concerned with re-imagining citizenship and more participatory forms of citizen/consumer engagement. The application of such a perspective within health services, via co-production, has both beneficial, but also problematic implications for the organisation of such services, for professional practice and education. Given the disappointing results in increasing consumer involvement in health services via 'choice' and 'voice' participation strategies, the question of how the more challenging approach of co-production will fare needs to be addressed. The article discusses the possibilities and challenges of system-wide co-production for health. It identifies the discourse and practice contours of co-production, differentiating co-production from other health consumer-led approaches. Finally, it identifies issues critically related to the successful implementation of co-production where additional theorisation and research are required.     

运用卡特尔16PF对边疆少数民族大学生心理健康状况调查

本文采用问卷调查和田野调查相结合的方法。首先从边疆9省中随机抽取了1000名生源地在边疆的少数民族在校大学生,运用卡特尔16PF对他们进行心理测验,结果发现边疆少数民族大学生心理健康水平显著低于全国一般水平,男生与女生之间的健康水平也存在显著差异。在影响心理健康水平的4个因素中,忧虑性对男女生的心理健康都有显著影响,而紧张性因素只对女生的心理健康有显著影响。同时,通过田野调查探讨了影响少数民族大学生心理健康的原因。