Prisoners with psychosis in England and Wales: diversion to psychiatric inpatient services?

The prevalence of psychosis among prisoners in England and Wales is ten times that in the household population and UK government policy is that prisoners should receive equivalent care to those in the community. This study investigated the implications of policy to divert more from the criminal justice system for psychiatric treatment. Psychotic prisoners were compared with psychotic persons in households and with other prisoners in two surveys of psychiatric morbidity in representative samples of the UK population. Psychotic prisoners were younger, more from ethnic minorities, with comorbid anxiety, substance misuse, ASPD, and childhood behavioural problems compared to psychotic persons in households. Less than a third had received previous inpatient treatment. Psychotic prisoners had similar criminal histories and higher psychopathy scores than non-psychopathic prisoners. Diversion is unfeasible without improved screening for psychosis and increasing bed numbers at higher levels of security to accommodate more patients who would pose high risk to the public. Future research should investigate why UK psychiatric services fail to identify psychotic prisoners and provide aftercare.     

ATTORNEYS' BELIEFS AND OPINIONS ABOUT CHILD CUSTODY EVALUATIONS

We surveyed a national sample of family law attorneys (N = 192) regarding their beliefs and opinions about child custody evaluations, particularly those performed by independent/private practitioners. Findings revealed participants' strongly preferred court‐ordered evaluations performed by doctoral‐level psychologists who assumed a neutral position. The participants expressed concern regarding procedures used by evaluators, the application of evaluation data to the Best Interests of the Child Standard, and certain report components. A clear majority supported evaluators making recommendations about custody and parenting time, but their satisfaction with these evaluations varied widely. Specific concerns and suggestions noted by the participants are highlighted; we conclude with recommendations.     

市场背景下公共医疗卫生服务的法律规制——以普遍服务理念为视角的分析

＂普遍服务＂理念的实现——向社会成员普适性地提供量与质相结合的服务,需要借助国家公权力的干预。公共医疗卫生具有公益性,需要政府的主导,但并不意味着对市场化机制和竞争的排斥。目前老百姓对医疗卫生服务很是不满,几番医改也屡遭失败,但法学界对这个问题的研究几乎空白。我国医疗卫生服务领域存在的诸多问题,在价值层面正是＂普遍服务＂理念的缺失,在机制层面则是政府与市场＂双重失灵＂所致。新一轮医改应重塑并贯彻＂普遍服务＂理念,强化政府在实现健康公平中的义务和责任,建立和完善相关的法律制度体系,通过法律规制从根本上解决政府与市场失灵的问题,保障并实现社会成员的健康权。     

完善我国商业健康保险法制的若干思考

本文分三个方面,就我国刚刚确立起来的三大社会基本医疗保险（城镇职工基本医疗保险、城镇居民基本医疗保险和新型农村合作医疗保险）之外的商业健康保险作了一个比较系统的阐述,对商业健康保险法制的形成、发展中遇到的问题、完善商业健康保险法制的一些措施做了分析,对我国保险法理论和实务的发展阐述了自己的思考。     

Where does learning take place? The role of intergovernmental cooperation in policy diffusion

Although it is widely accepted that a decentralised system can enhance policy learning and the spread of best practices, an under‐researched question is where that learning process takes place. Using data on the diffusion of health care policies in Switzerland, this article analyses the role of institutionalised intergovernmental cooperation and its impact on the spread of successful policies. The results show that joint membership of policy makers in health policy specific intergovernmental bodies is related to the diffusion of best practices.     

近20年中国妇女健康研究的本土化探索

近20年中国大陆的妇女健康研究经历了从全盘接受西方女性主义立场、方法到结合本国实际不断反思、批判与构建的过程,形成了具有中国特色的妇女健康理论、核心概念和多种类型的妇女健康促进模式。文章通过对20年中国女性主义健康研究理念、方法论、主要议题及阶段性贡献与特点的梳理分析,呈现妇女健康研究本土化、主流化、学科化的发展脉络。说明20年来中国的妇女健康研究与实践拓展了现代医学和医学社会学的研究视阈,丰富发展了女性学学科建设,为国际妇女健康运动提供了经验与借鉴。     

Cutting Edge Thinking

The Credit Crunch ushered in an era of austerity with massive cuts and job losses. It highlighted the gulf between the world of real people and the abstraction of high finance. Put simply, to prevent the melt‐down of the global economy, the needs, hopes and ambitions of millions are being sacrificed. Who controls and issues money is key. To be viable any system must be big enough for people to have faith it won't fail, and it has to be administered soundly. Local government is accountable to its electorate and, as such, should put their welfare first. It is essentially an administrative machine and certainly isn't going to go away. A truly local economy could emerge with authorities initially paying part of their staff's wages in local currency and accepting it in payment of rates. At a stroke, job cuts could be reversed and people's skills and experience valued again.     

体育运动影响大学生心理健康的正效应探析

体育运动对培养大学生意志品质,勇敢顽强的精神,树立高尚情操,发展健康良好的个性和智力,强化竞争意识,提高社会适应能力,净化心灵,去除杂念,缓解精神压力和治疗心理疾病,促进心理健康发展,都具有积极影响和良好效应。     

行政指导与公共卫生安全

本文针对近年来我国公共卫生安全的现状进行深入思考,围绕行政指导在维护公共卫生安全,尤其是应对突发性公共卫生事件中所起的作用,以及行政主体在实施行政指导行为的过程中所应遵循的原则展开论述,以求对行政指导在构建我国完善的公共卫生安全体系中所发挥的作用能有所裨益。