Alcohol Use during Pregnancy: Considerations for Australian Policy

Although there is an extensive recorded history of concerns related to alcohol exposed pregnancies and possible outcomes of fetal alcohol spectrum disorder in recent scientific literature, Australia has only recently begun to accurately or systematically diagnose and record these conditions, or to provide comprehensive, coordinated, policy-guided funding, prevention, and treatment. This article discusses some considerations that can guide policy development within the Australian context including the social context and determinates of alcohol consumption during pregnancy and the need to consider the issue as one that goes beyond the decision making of individual women. The article also identifies the contribution of research to guide evidence-based policy development, including emerging evidence of epigenetics, and systematic reviews for prevention. Other policy considerations include costs, and the possibility of the prevention paradox applying to this field, with its associated impact on costs and focus of prevention

Has the Food Stamp program become more accessible? Impacts of recent changes in reporting requirements and asset eligibility limits

This paper uses data from the 1996 and 2001 panels of the Survey of Income and Program Participation to assess the impact of recent policy initiatives intended to increase access to Food Stamps. It finds that reductions in state certification requirements increased Food Stamp participation rates of income-eligible families with children by one to two percentage points from 2001 to 2003, a change that is comparable to the impact of changes in economic conditions over this period. It did not find consistent evidence of an impact of relaxing vehicle asset limits, or of offering continuous eligibility through the Semi-Annual|Simplified Reporting option. © 2006 by the Association for Public Policy Analysis and Management