Views on alternatives to imprisonment: a citizens jury approach

Abstract Alarming over-representation of Aboriginal and Torres Strait Islander people in Australian prisons, combined with high recidivism rates and poor health and social outcomes among those released from prison, has led many to claim that incarceration is a social policy failure. An important obstacle to a reform agenda in the criminal justice area is public opinion. The public are often perceived to hold punitive attitudes towards offenders, a situation often exploited by politicians to perpetuate punitive penal policies at the expense of developing decarceration initiatives. However, alternatives to public opinion surveys/polls are needed to assess the public’s views, as survey/poll-based methods typically present shallow, unconsidered public opinion and thwart good policy development and reform. Citizens Juries offer an alternative method to assess the public’s views, views that are critically informed and thus better aid policy development. This project aimed to explore, through Citizens Juries, the views of a critically informed public in three states/territories towards how we, as a community, should address offenders in terms of incarceration and incarceration alternatives. The research focused on a range of incarceration alternatives including Justice Reinvestment. The study also aimed to examine the thoughts of senior policymakers on the outcomes of Citizens Juries. This research provides important information and evidence in the offender health area and contributes to the Justice Reinvestment debate among offender health, criminal justice, political and community stakeholders.&nbsp

The Juxtaposition of Our Future Electrification Solutions:A View into the Unsustainable Life Cycle of the Permanent Magnet Electrical Machine

Electrification is increasing in prevalence due to the importance placed on it for achieving global net zero targets. This has led to the proliferation of electrical mobility, including the wide-scale production of passenger vehicles, personal mobility devices and recent announcements regarding electrically powered aircraft, as well as in energy production. Electrical machines provide a cleaner source of energy during operation in comparison to their traditional fossil-based alternatives. The uncertainty and lack of transparency hanging over these green credentials can be attributed to how these products are manufactured and then disposed of at the end of their life. For them to be a truly sustainable solution, improvements need to be made across their entire life cycle. With the projected increase in their numbers due to the advancement of electrification, this current life cycle is not sustainable, directly opposing the intention of these products. This paper will introduce the current demand and challenges. It will also present these motors broken down into their constituent parts and follow each through their typical lifecycle. This paper presents the typical current life cycle of permanent magnet electrical machines, demonstrating the environmental issues associated with the current linear life cycle, and proposing alternative practices, to ease the environmental burden

Can abuse deterrent formulations make a difference? Expectation and speculation

It is critical that issues surrounding the abuse and misuse of prescription opioids be balanced with the need for these medications for the treatment of pain. One way to decrease the abuse of prescription opioid medications is to develop abuse deterrent formulations (or ADFs) that in some way prevent drug abusers from extracting out the active ingredient in order to employ alternate routes of administration, such as injection, snorting, and smoking. Several factors including the pharmacokinetic profile of the drug, the features of the drug formulation that make it attractive or unattractive for abuse, the type of drug abuser, the progression of one's addiction pathway, and one's social environment may all play a role in the abuse of prescription opioids and what methods are used to abuse these drugs. This paper will examine these factors in order to understand how they affect the abuse of prescription opioids and routes of administration, and how the development of ADFs may alter these patterns

Putting people at the centre:facilitating Making Safeguarding Personal approaches in the context of the Care Act 2014

Purpose – The purpose of this paper is to describe and discuss the pilot Making Safeguarding Personal (MSP) project that ran in three London boroughs in England in 2014-2015. The project aimed to help local authority social work practitioners better engage with adults at risk at the beginning, middle and end of safeguarding work and to develop a more outcomes focused approach to safeguarding. Design/methodology/approach – Three adult social care teams volunteered to take part in the MSP pilot for four months, November 2014-February 2015. They were closely supported through telephone conferencing, bespoke training and individual mentoring. Evaluative data were collected from the participating teams about their work and the MSP change processes to assist in further implementation. Findings – The findings suggested that staff felt that the open discussions with adults at risk that were encouraged by the MSP initiative enabled safeguarding to be more effective and provided a better basis of support for adults at risk. The support from the project team was appreciated. Staff reported their own increased confidence as a result of involving adults at risk in decisions about their situations and risks of harm. They also reported their increased awareness of cross-cutting subjects related to adult safeguarding, such as domestic abuse and working with coercive and controlling behaviours. Permission to exercise greater professional discretion to make responses more considered, rather than the need to adhere to time-limited imperatives, was received positively. Staff felt that this enhanced discussions about resolution and recovery with adults at risk although it required greater expertise, more extensive managerial support, and more time. These were available in the pilot. Research limitations/implications – The MSP pilot was confined to three teams and took place over four months. The numerical data reported in this paper are provided for illustrative purposes and are not statistically significant. As with other evaluations of implementation, the data provided need to be set in the local contexts of population profiles, care settings and the reporting source. The pilot also took place during the early implementation of the Care Act 2014 which affected the context of practice and training. The views of adults at risk were not collected. There is a risk of bias in that participants may have wished to convey positive views of MSP to their colleagues. Practical implications – The paper indicates a need for the roll out of MSP philosophy and MSP approaches to be communicated with other agencies supporting adults at risk and for project support of some form to continue. It will be important to see if the overall enthusiasm, support and motivation reported by the pilot teams when taking a MSP approach in practice extend beyond a pilot period during which the staff received substantial support from a dedicated Professional Standards Safeguarding Team. Many of those staff participating in the pilot perceived the MSP approach as a return to core social work principles and welcomed putting these into practice. Originality/value – The paper provides details of one pilot in which the feasibility of the MSP approach was tested by supporting three frontline teams working in different contexts. The pilot suggests that the level and type of support offered to the pilot teams were effective in a variety of practice settings. It draws attention to the need for the MSP concept and approach to be shared with other agencies and for implementation support to continue beyond initial pilot period. </jats:sec

How Have the Procedural Aspects of the Telecommunications Act of 1996 Worked?

Good morning. I am Clinton Miller. I\u27m one of the three members of the Virginia State Corporation Commission and charged with moderating this next panel. I will give you a brief overview before they begin because there may be some people in the room who are not deeply familiar with the procedural aspects of the Telecommunication Act of 1996

Development of an animal-assisted activity program on a pediatric behavioral health unit

Animal-assisted activities (AAA), a form of animal-assisted interaction, have the potential to improve positive coping for youth with significant psychiatric symptoms admitted to acute behavioral health units. However, little is known regarding the appropriateness of an AAA program in short-term mental health hospital settings. The goal of this investigation is to describe and report on the feasibility and acceptability of embedding a canine-AAA program within the therapeutic programming of a pediatric behavioral health unit. Both patient participants and unit staff completed quantitative and qualitative measures. Outcomes yielded preliminary data suggesting AAA was feasible and acceptable to patients and unit staff. Initial efficacy outcomes demonstrated decreases in subjective distress. Qualitative data provided areas for further refinement of the AAA program

The juxtaposition of our future electrification solutions : a view into the unsustainable life cycle of a permanent magnet electrical machine

Electrification is increasing in prevalence due to the importance placed on it for achieving global net zero targets. This has led to the proliferation of electrical mobility, including the wide-scale production of passenger vehicles, personal mobility devices and recent announcements regarding electrically powered aircraft, as well as in energy production. Electrical machines provide a cleaner source of energy during operation in comparison to their traditional fossil-based alternatives. The uncertainty and lack of transparency hanging over these green credentials can be attributed to how these products are manufactured and then disposed of at the end of their life. For them to be a truly sustainable solution, improvements need to be made across their entire life cycle. With the projected increase in their numbers due to the advancement of electrification, this current life cycle is not sustainable, directly opposing the intention of these products. This paper will introduce the current demand and challenges. It will also present these motors broken down into their constituent parts and follow each through their typical lifecycle. This paper presents the typical current life cycle of permanent magnet electrical machines, demonstrating the environmental issues associated with the current linear life cycle, and proposing alternative practices, to ease the environmental burden

A cost effectiveness study of integrated care in health services delivery: a diabetes program in Australia

BACKGROUND: Type 2 diabetes is rapidly growing as a proportion of the disease burden in Australia as elsewhere. This study addresses the cost effectiveness of an integrated approach to assisting general practitioners (GPs) with diabetes management. This approach uses a centralized database of clinical data of an Australian Division of General Practice (a network of GPs) to co-ordinate care according to national guidelines. METHODS: Long term outcomes for patients in the program were derived using clinical parameters after 5 years of program participation, and the United Kingdom Prospective Diabetes Study (UKPDS) Outcomes Model, to project outcomes for 40 years from the time of diagnosis and from 5 years postdiagnosis. Cost information was obtained from a range of sources. While program costs are directly available, and costs of complications can be estimated from the UKPDS model, other costs are estimated by comparing costs in the Division with average costs across the state or the nation. The outcome and cost measures are used derive incremental cost-effectiveness ratios. RESULTS: The clinical data show that the program is effective in the short term, with improvement or no statistical difference in most clinical measures over 5 years. Average HbA1c levels increased by less than expected over the 5 year period. While the program is estimated to generate treatment cost savings, overall net costs are positive. However, the program led to projected improvements in expected life years and Quality Adjusted Life Expectancy (QALE), with incremental cost effectiveness ratios of $A8,106 per life-year saved and$A9,730 per year of QALE gained. CONCLUSIONS: The combination of an established model of diabetes progression and generally available data has provided an opportunity to establish robust methods of testing the cost effectiveness of a program for which a formal control group was not available. Based on this methodology, integrated health care delivery provided by a network of GPs improved health outcomes of type 2 diabetics with acceptable cost effectiveness, which suggests that similar outcomes may be obtained elsewhere

Ensure Everyone Succeeds

Students in the post-baccalaureate certificate and graduate programs on the Health Science Campus (MS, PhD, and first professional programs including DDS, PharmD, and MD) are highly motivated to succeed in their chosen career paths. Needless to say, these courses are very heavy on didactics and challenge the best of the students. Typically, these programs have rigid curricular designs and offer little to no flexibility to students in choosing the courses. It is fast-paced, high in curricular hours and the students cannot afford to have mishaps without jeopardizing their careers. While this stringent curriculum is necessary for VCU to maintain its accreditation standards and global standing, it does take a toll on students’ performance and well-being. The Division of Academic Success (DAS) on the Health Science campus provides an excellent support net for these students in terms of identifying and supporting students needing accommodations, teaching time management and study habits, and test taking strategies. Conversations among team members, students and program directors representing different units in the Health Science Campus, as well as discussions with DAS staff, revealed lack of awareness of the comprehensive services provided by the DAS and no standard policy/ guideline across different schools as to when to engage the DAS to help students in need. To improve utilization, this project proposes that DAS focus on three key areas: education and training, promotion and marketing, and redesign and elevation of existing resources