Antipsychotic Use and Foster Care Placement Stability Among Youth With Attention-Deficit Hyperactivity/ Disruptive Behavior Disorders

The objective of this study was to investigate the association between antipsychotic initiation and placement transitions among youth in foster care with attention-deficit/hyperactivity disorder and other disruptive behavior disorders (ADHD/DBD). Data were obtained from child welfare administrative records and Medicaid claims in one Mid-Atlantic state from January 1, 2010, through March 31, 2014. Cox proportional hazard model was conducted to estimate the risk of time to first placement transition during the 180-day follow-up among new antipsychotic users and propensity score matched nonusers. Results showed youth initiating antipsychotics had no significant reduction in foster placement transitions within the 180-day follow up (Hazard Ratio = 1.1; 95% CI = 0.7–1.6). Although antipsychotics are widely used for aggressive behaviors, a better understanding of clinical management of youth in foster care is needed to promote stable foster placement.     

Learn,Frame and Deploy? Cross-National Policy Ideas and Comparisons in Turkey’s Health Reform

Comparative analysis in health policy not only helps us learn about the organization of health care systems and reforms in other countries but also addresses the difficulties of drawing cross-national policy lessons. This case study on the Turkish health reform of 2003 focuses on the national policy discourse to identify how cross-national ideas and comparative analyses are used by policymakers and other key stakeholders. Building on the ideational perspectives and Kingdon’s streams approach, it explores agenda setting and ideological framing activities. The results provide evidence for the political nature of the process whereby cross-national ideas were deployed in domestic policy battles.     

Family Drug Treatment Courts As Comprehensive Service Models: Cost Considerations

Literature on family drug treatment courts (FDTCs) suggests that parental participation in these courts is associated with improved substance abuse treatment and child welfare system outcomes. Despite these beneficial outcomes, FDTCs serve only 7‐10% of eligible child welfare involved families. As part of a FDTC evaluation, this FDTC site sought to provide stakeholders with information about costs and benefits. Considering the program costs alongside the cost avoidance from reduced time in foster care, this analysis determined that FDTC participation resulted in a net savings per child of $9,710. The cost component of the evaluation proved valuable, challenging, and informative.     

中国西部农民工返乡创业的现状和对策

本文对西部地区近年来的农民返乡创业问题,从现状特点、实践效果、主要经验和存在问题等方面,进行了深入讨论,提出了要实施“西部农民工返乡创业工程”等许多实用性对策建议。     

Consent to Treatment for Transgender Youth: The Next Chapter – Bell & Anor v The Tavistock and Portman NHS Foundation Trust & Ors

In September 2021, the Court of Appeal reversed the controversial decision of Quincy Bell v Tavistock and Portman NHS Trust in a victory for transgender rights. At first instance, the Divisional Court had set a high legal threshold for transgender children to attain Gillick competence to consent to treatment with puberty blockers – effectively restricting access to treatment for many. On appeal, the Court of Appeal held that children are capable in law of giving valid consent to treatment for gender dysphoria, and court authorisation would not be routinely required before children could access such treatment. This note considers the implications of the Court of Appeal decision for the law on minors and consent to medical treatment in the transgender health context.     

Who needs Daddy Warbucks: The Kinship Guardianship Assistance Program should apply to children of those who surrender their parental rights

Families who find themselves in the middle of child protective proceedings have three possible outcomes: (1) the family can reunify; (2) parents voluntarily surrender their parental rights; or (3) the parents have their rights terminated. While it seems we should support children in the second and third scenarios equally, having funding sources such as the Kinship Guardianship Assistance Program (KinGAP) only available to children of parents whose rights are terminated, does the opposite. This Note proposes amending the eligibility requirements of KinGAP to include children of parents who surrender their parental rights which would encourage positive safe placements for children.     

All hat and no cattle: How house bill 2926 paves the way for progress in the reinstatement of parental rights,but falls short of providing parents with an accessible resource

Texas' foster care system is overpopulated, underfunded, and doing a grave disservice to the children in its care. Specifically, the foster care system is violating the constitutional rights of children regarding how they must be taken care of while in the State's custody. Parents whose custodial rights were involuntarily terminated now have a clear path for petitioning to regain their rights thanks to Texas House Bill 2926. Much of House Bill 2926's value is lost in the legalese used to write it, which is the problem my proposed solution, The 2926 Project, aims to remedy.     

Unmarried Fathers and Parental Responsibility: A Case for Reform?

Following a Consultation exercise conducted by the Lord Chancellor's Department, the U.K. Government has announced its intention to amend the Children Act 1989 so that the unmarried father who jointly registers the birth with the mother will acquire parental responsibility automatically. In this paper, I draw on the responses made to the L.C.D. Consultation, in order critically to evaluate the arguments for and against reform. A poverty of relevant empirical research makes it impossible to reach a properly informed view on the positive or negative impacts of implementing the proposal. However, the principled arguments: that unmarried fathers and their children are subject to discrimination, or that it is unfair for men to pay child support, yet have no automatic rights with regard to their children, are ultimately unconvincing. I also attempt a more explicitly sociological exploration of the Consultation and reform process, focusing on what it can tell us about evolving social attitudes towards the statuses of `father' and `family' and how they should be valued and protected.     

'Caparo Under Fire': a Study into the Effects upon the Fire Service of Liability in Negligence

This article discusses a research project which aimed to analyse the relationship between judicial pronouncements over the likely effects upon a defendant of the imposition of a duty of care in negligence, and any effects in practice. Empirical research was carried out to ascertain the effect upon the fire service of the Court of Appeal decision in Capital and Counties and Digital Equipment v Hampshire County Council [1997] QB 1004. This decision imposed a duty of care upon fire services to avoid making mistakes whilst fighting fires which might cause the fire to become more serious. The findings of the project are drawn upon to make observations regarding how the courts presently apply the third limb of the three stage test of duty of care derived from Caparo v Dickman, which asks whether it would be fair, just and reasonable to impose a duty of care.