Guilty By Reason of Insanity: Unforeseen Consequences of California\u27s Deinstitutionalization Policy

Beginning with the passage of the Lanterman-Petris- Short Act in 1969, deinstitutionalization in California has had a devastating effect on the mentally ill. Instead of affording the mentally ill with more rights and protections, the process of shutting down state psychiatric hospitals and impeding psychiatric care for those in need caused a cascade effect leading to an increase of homelessness and incarceration. Over the past four decades, prisons and jails in California have become the de facto state mental hospitals, with severely mentally ill individuals having nearly a four-to-one chance of ending up in jail or prison over a psychiatric facility of some variety. This restructuring of mental health services has contributed to the ever-increasing problem of mass incarceration – a problem that has reached epidemic levels in recent years. To that end, solutions to this problem include: community-based mental health services, reopening some state psychiatric hospitals with greater oversight, funding medical research into improved treatment options, and community education aimed at fostering a greater understanding of mental health issues

Ethics and the Use of Coercion in the Treatment of Psychiatric Patients

Involuntary psychiatric treatment occurs under such conditions as the medicating or placing in treatment facilities of patients without their consent. Such involuntary treatment has been litigated in the Supreme Court; however, the Court’s rulings have been applied to incarcerated persons, with the notable exception of the 1975 ruling in O’Connor v. Donaldson, a case argued as a civil rights violation. Using O’Connor v. Donaldson as a framework, this paper argues that forcing non- violent psychiatric patients to take medication, or be otherwise treated against their will, is an unethical practice and must be discontinued. This practice of forcible treatment violates the due process rights of patients, and is a violation of accepted medical ethics

Private tutoring at transition points in the English education system: its nature, extent and purpose

International surveys indicate that the prevalence of private tutoring in England is relatively low but as few national surveys have been undertaken, there is little detailed evidence available. The aim of this research is to provide a systematic description of the nature and extent of private tutoring at three points of transition in the English education system and to explore students’ views of the reasons for its use. Over 3000 students completed a questionnaire survey providing information on the extent of private tutoring in school curriculum subjects,reasons for the employment of tutors and demographic information. Over 1100 parents supplied information on their motivation for employing tutors. At the time of the survey, 7.6% of year 6 pupils were in receipt of tutoring in mathematics, 8.1% English and 3.2% science. Comparable figures for year 11 pupils were 7.9% mathematics, 2.6% English and 2.8% science. Overall, 27% of students reported that they had received tutoring at some stage during their school career and there were clear associations with family socio-economic status and cultural background. Parents employed tutors to increase their child’s confidence, improve their understanding of the subject and to help them do well in tests and examinations. Most primary age children indicated that tutors were not needed as their teachers and families provided sufficient educational support. Some families appear to be making strategic use of tutors to help their children make successful transitions in the education system

Developing the mental health workforce capacity in primary care: implementing the role of graduate primary care mental health workers in England

The scale of current demand on primary care services from people seeking help with common mental health problems places enormous pressure on the existing front line workers in general practice. The paucity of training opportunities and competing pressures to deliver improved services across a range of general practice targets remains a major challenge for primary care professionals. The impact of government policy, to improve both access to and choice of treatments, has raised public expectations. The commissioning of the graduate workforce, the graduate worker in primary care mental health(GWPCMH), commenced in 2002, in response to the publication of target numbers detailed in the Priorities and Planning Framework, (DoH, 2002). It signalled a determination to expand the workforce provision and improve the quality of care for service users with common mental health problems. This paper examines the scale of common mental health problems, the policy response and the commissioning process. Particular attention is given to examining the barriers that have been shown to affect implementation, identifying the key influencers and the resources required to train these workers

Accounting for impact? How the impact factor is shaping research and what this means for knowledge production

Why does the impact factor continue to play such a consequential role in academia? Alex Rushforth and Sarah de Rijcke look at how considerations of the metric enter in from early stages of research planning to the later stages of publication. Even with initiatives against the use of impact factors, scientists themselves will likely err on the side of caution and continue to provide their scores on applications for funding and promotion

Tuning a binary ferromagnet into a multi-state synapse with spin-orbit torque induced plasticity

Inspired by ion-dominated synaptic plasticity in human brain, artificial synapses for neuromorphic computing adopt charge-related quantities as their weights. Despite the existing charge derived synaptic emulations, schemes of controlling electron spins in ferromagnetic devices have also attracted considerable interest due to their advantages of low energy consumption, unlimited endurance, and favorable CMOS compatibility. However, a generally applicable method of tuning a binary ferromagnet into a multi-state memory with pure spin-dominated synaptic plasticity in the absence of an external magnetic field is still missing. Here, we show how synaptic plasticity of a perpendicular ferromagnetic FM1 layer can be obtained when it is interlayer-exchange-coupled by another in-plane ferromagnetic FM2 layer, where a magnetic-field-free current-driven multi-state magnetization switching of FM1 in the Pt/FM1/Ta/FM2 structure is induced by spin-orbit torque. We use current pulses to set the perpendicular magnetization state which acts as the synapse weight, and demonstrate spintronic implementation of the excitatory/inhibitory postsynaptic potentials and spike timing-dependent plasticity. This functionality is made possible by the action of the in-plane interlayer exchange coupling field which leads to broadened, multi-state magnetic reversal characteristics. Numerical simulations, combined with investigations of a reference sample with a single perpendicular magnetized Pt/FM1/Ta structure, reveal that the broadening is due to the in-plane field component tuning the efficiency of the spin-orbit-torque to drive domain walls across a landscape of varying pinning potentials. The conventionally binary FM1 inside our Pt/FM1/Ta/FM2 structure with inherent in-plane coupling field is therefore tuned into a multi-state perpendicular ferromagnet and represents a synaptic emulator for neuromorphic computing.Comment: 37 pages with 11 figures, including 20 pages for manuscript and 17 pages for supplementary informatio

Anisotropic magnetoresistance in a 2DEG in a quasi-random magnetic field

We present magnetotransport results for a 2D electron gas (2DEG) subject to the quasi-random magnetic field produced by randomly positioned sub-micron Co dots deposited onto the surface of a GaAs/AlGaAs heterostructure. We observe strong local and non-local anisotropic magnetoresistance for external magnetic fields in the plane of the 2DEG. Monte-Carlo calculations confirm that this is due to the changing topology of the quasi-random magnetic field in which electrons are guided predominantly along contours of zero magnetic field.Comment: 4 pages, 6 figures, submitted to Phys. Rev.