Accountability in Public Service Quasi‐markets: The Case of the Australian National Disability Insurance Scheme

Australia's National Disability Insurance Scheme (NDIS) represents the latest in a worldwide shift towards individualised funding models for the delivery of care services. However, market‐based models for care deliveries bring new considerations and dilemmas for accountability. Drawing on previous work by Dickinson et al. (2014), we examine a range of accountability dilemmas developing within the early implementation of the NDIS. These relate to accountability for the following: care outcomes, the spending of public money, care workers, and advocacy and market function. Examining these accountability dilemmas reveals differences in underpinning assumptions within the design and on‐going implementation of the NDIS, suggesting a plurality of logics within the scheme, which are in tension with one another. The contribution of this paper is to set out the accountability dilemmas, analyse them according to their underpinning logics, and present the NDIS as having potential to be a hybrid institution (Skelcher and Smith 2015). How these dilemmas will be settled is crucial to the implementation and ultimate operation of the scheme.     

Preventing Dysfunction and Improving Policy Advice: The Role of Intra‐Departmental Boundary Spanners

It is well established in the public management literature that boundary spanners – people or groups that work across departments or sectors – are critical to the success of whole of government and joined‐up working. In studying recent unprecedented change to central government agencies in the Australian context, our research identified that intra‐departmental boundary spanners also play a critical role in the functioning of government departments, particularly during restructuring. Although most contemporary literature in public management concentrates on boundaries across formal organisational entities (departments, agencies, sectors), boundaries also exist within departments. Our research has found that without dedicated intra‐departmental boundary spanners, significant role confusion and dysfunctional practices arise. In turn, this has serious implications for the quality of policy advice given to Cabinet. Further research needs to be undertaken into both the role of intra‐departmental boundary spanners and how to nurture and manage the practice of intra‐departmental boundary spanners. This is especially the case if changes in Australia represent a fundamental shift more broadly in the way central government agencies operate.     

Do multilingual androids dream of a better life in Australia? Effectiveness of information technology for government translation to support refugees and migrants in Australia

Without high‐quality translation of online information about government support and services, refugees and migrants from culturally and linguistically diverse backgrounds in Australia experience a major barrier to improved health, employment, education and social outcomes. Recent advances in the ability of Google Translate, Skype Translator and other forms of machine translation that use artificial intelligence can help translate government information to better support refugees and migrants but they bring the risk of ineffective communication, and exclusion from services that could positively impact on settlement experiences and daily life. Evidence suggests that government agencies are likely to be using human translators for most translation work, but the degree to which any form of information technology is used, how it may be best applied and the associated effects are not known. This study systematically reviewed the peer‐reviewed and grey literature to determine effective ways of using information technology for translating government information to refugees and migrants from culturally and linguistically diverse backgrounds in Australia. Included studies were analysed to identify techniques and other characteristics of translation, information technology and language support more broadly, and outcomes on education, health, social and other refugee and migrant experiences relating to translated information. Our review found a small evidence base featuring studies with strong evaluation demonstrating effective forms of ‘language support’ for refugees and migrants from culturally and linguistically diverse backgrounds in Australia in a broad sense. However, there is a major gap in knowledge that is contributing to barriers in the use of online government information in Australia. In particular, there is an absence of evidence demonstrating what is effective in the use of machine translation with artificial intelligence, websites and other kinds of information technology for translating government information with refugees and migrants from culturally and linguistically diverse backgrounds. The oversight risks further excluding already marginalised groups from services and support. This paper makes a number of suggestions practitioners can take to address the issue and guidelines for future research.     

The impact of CCTV on fundamental rights and crime prevention strategies: The case of the Catalan Control Commission of Video surveillance Devices

Many authors have written about issues related to privacy, legitimacy and efficiency in relation to CCTV systems in public space as a crime prevention strategy. Some have approached them separately; others have tried to come up with more comprehensive approaches. Few, however, have dealt with how such concerns have been put into practice by those who have to decide on the uptake of CCTV. This article considers some reflections on efficacy, legitimacy and privacy in relation to CCTV, as an introduction to the case of how the members of the Control Commission of Video surveillance Devices in Catalonia took these issues into consideration and interpreted the Law when deciding whether to approve a petition submitted by the City Council to install three cameras in Barcelona’s public space in 2003. It concludes by drawing some conclusions from the process, as a way to highlight the complexity of the policy process around surveillance in open, public spaces.     

Marine bacterial succession as a potential indicator of postmortem submersion interval

The process of decomposition of bodies in the marine environment is poorly understood and almost nothing is currently known about the microorganisms involved. This study aimed to investigate the microbes involved in decomposition in the sea and to evaluate the potential use of marine bacterial succession for postmortem submersion interval (PMSI) estimation, for which there is currently no reliable method. Partial pig remains were completely submerged during autumn and winter and were regularly sampled to document marine bacterial colonisation and the changes in community composition over time. Five stages of decomposition were recognised, some of which exhibited characters specific for partial carrion. Marine bacteria rapidly colonised the submerged remains in a successional manner. Seasonal differences were observed for the rate of decomposition and also for several groups of colonising bacteria. Marine bacteria specific for particular PMSIs were identified. This study provides an insight into the involvement of saprophytic marine bacteria in the decomposition of mammalian remains in the sea and is the first to explore the use of marine bacterial colonisation and succession as a novel tool for PMSI estimation. We propose that with further study, marine bacterial succession will prove useful for determination of the length of time a body may have been immersed in a marine environment.     

Becoming ‘European’ through police reform: a successful strategy in Bosnia and Herzegovina?

Police reform plays a key role in Bosnia and Herzegovina’s internationally-supervised statebuilding process. It is one of the four key conditions to move the country closer to its European future. Against this background the article analyses the role that the European Union Police Mission (EUPM) plays in preparing Bosnian police agencies for this challenge. Using as guiding tools some of the key elements of the Mission’s leitmotif—local ownership, European police standards—the article comes to the conclusion that EUPM has introduced much needed reforms but these have been overshadowed, among other things, by the police restructuring process and its unnecessary politicisation of “European police standards/practices” to fit a model of statehood not shared by all local stakeholders.

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Development and validation of a liquid chromatography-tandem mass spectrometry assay for hair analysis of atomoxetine and its metabolites: Application in clinical practice

Atomoxetine (ATX) is a potent inhibitor of the noradrenaline reuptake transporter approved since 2002 for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults as alternative treatment to methylphenidate. A procedure based on liquid chromatography-tandem mass spectrometry (LC-MS/MS) has been developed for the determination of ATX and its main metabolites (4-hydroxyatomoxetine - 4 hydroxyATX - and N-desmethylatomoxetine - des-methylATX) in hair of one treated child and five treated adolescents. Since hair samples can be easily collected without the need for specials skills and exposing a patient to discomfort, hair testing of ATX and eventually of its metabolites should be useful, especially in case of pediatric patients, to check compliance in a wider time-window. After addition of duloxetine as internal standard, hair samples were overnight digested with 2ml 1M NaOH at 45°C. Then, analytes were extracted from alkaline solution with two different 2ml aliquots of tert-butyl methyl ether. Chromatographic separation was achieved at ambient temperature using a reverse-phase column and a mobile phase of 40% of water-60% 5mM ammonium acetate, 50mM formic acid, 4mM trifluoroacetic acid in acetonitrile-water (85:15, v/v). The mass spectrometer was operated in positive ion mode using multiple reaction monitoring. The method was linear over the concentration range 0.2-50ng/mg hair for the all analytes under investigation, with an intra- and inter-assay imprecision and inaccuracy always less than 20% and an analytical recovery between 33.1% and 76.1%, depending on the considered analyte. Only ATX and 4-hydroxyATX were detected in hair samples with concentrations varying from 0.2 to 2.0ng/mg hair and from 0.3 to 1.0ng/mg, respectively. Notwithstanding the absence of any dose-hair concentration relationship, hair monitoring of ATX and concomitant medications commonly administrated in ADHD children and adolescents can be crucial in verifying long-term compliance to prescribed medication in individuals displaying a non negligible tendency to refuse drugs and to lie on the adherence to therapy as a specific symptom of the disease.