When do people accept government paternalism? Theory and experimental evidence

Under what conditions are people willing to accept paternalistic government policies? The use of libertarian paternalism (“nudges”) has gained popularity and captured the attention of scholars and policy-makers alike. A central underlying assumption in advancing governmental nudges is that the public prefers them over classic paternalistic policies, which, unlike nudges, are coercive. This paper studies the extent and circumstances under which this assumption is justified, arguing that the claim for the preeminence of nudges is overstated. I develop a theoretical framework to account for the conditions under which people prefer coercive and non-coercive paternalism, and test it experimentally among a national U.S. sample. I find that in certain theoretically predictable contexts, individuals not only tolerate, but even prefer coercive paternalism over nudges. These attitudes are systematically explained through the interaction between the coercion level and policy domain in question.     

Youth Mental Health First-Aid: Juvenile Justice Staff Training to Assist Youth with Mental Health Concerns

Many youth in juvenile justice settings meet criteria for a mental health condition. Front line staff need to be able to recognize and respond to their needs, but training is often lacking. Youth Mental Health First Aid (YMHFA) is an 8-hour training for adults without mental health education to recognize and assist distressed youth. This study surveyed 1,279 [State blinded] DJS front-line staff trained in YMHFA. Of 338 returned surveys (26% response), 44% reported using YMHFA skills at work, 56% in preventing a crisis, 25% during crises. Respondents rated YMHFA as significantly improving their responsiveness to distressed young people.