scholarly journals Transforming Rehabilitation: The micro-physics of (market) power

2019 ◽  
Vol 22 (1) ◽  
pp. 108-126
Author(s):  
Matt Tidmarsh
Keyword(s):  
Market Power ◽  
Unintended Consequences ◽  
Disciplinary Power ◽  
Market Mechanisms ◽  
England And Wales ◽  
Probation Service ◽  
The Impact

This paper explores the impact of the introduction of competition and profit to the probation service in England and Wales following the implementation of the Transforming Rehabilitation reforms. The paper adapts the ideas advanced in Foucault’s Discipline and Punish to draw similarities between the characteristics of ‘disciplinary institutions’ and a micro-physics of (market) power in probation under Transforming Rehabilitation. It utilises Foucault’s ‘instruments’ of disciplinary power – hierarchical observation, normalising judgement, and the examination – as lenses through which to highlight the unintended consequences of the installation of market techniques within the service. The paper argues that the constraints peculiar to instilling decentralising market mechanisms that were presented as a means to liberate practitioners and reduce reoffending have entrenched further the centralising tendencies associated with managerialism.

scholarly journals Violence and Surveillance: Some Unintended Consequences of CCTV Monitoring within Mental Health Hospital Wards

2010 ◽  
Vol 8 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Suki Desai
Keyword(s):  
Mental Health ◽  
Vulnerable Populations ◽  
Unintended Consequences ◽  
England And Wales ◽  
The Gaze ◽  
Hospital Wards ◽  
The Impact ◽  
Mental Health Hospital ◽  
Health Hospital

Since 2005, CCTV cameras have featured as a tool for managing safety within mental health hospital wards in England and Wales. However this piece argues that the efficacy of cameras to control and manage violence within psychiatric wards remains inconclusive due to a lack of research, and there has been very little discussion of the impact that they might have on the vulnerable populations under the gaze of the camera.

scholarly journals Probation migration(s): Examining occupational culture in a turbulent field

2016 ◽  
Vol 17 (2) ◽  
pp. 192-208 ◽  
Author(s):  
Lol Burke ◽  
Matthew Millings ◽  
Gwen Robinson
Keyword(s):  
Private Sector ◽  
Ethnographic Study ◽  
Private Ownership ◽  
Occupational Culture ◽  
England And Wales ◽  
The Public ◽  
Turbulent Field ◽  
Community Rehabilitation ◽  
Probation Service ◽  
The Impact

In June 2014 approximately 54 per cent of the total probation service workforce in England and Wales were transferred to the newly created Community Rehabilitation Companies (CRCs) as part of the government’s plans to establish a market for offender management services. This marked the beginning of one of the largest and most significant migrations of criminal justice staff from the public to the private sector in England and Wales. This article presents findings from an ethnographic study of the formation of one of these CRCs through to the period immediately following the transfer into private ownership. The authors discuss the key features of this migration which are identified as ‘splitting and fracturing’, ‘adapting and forming’ and ‘exiting or accommodation’. It is contended that this development not only has significant implications for the future of probation services but also provides a unique example of the impact on an occupational culture of migration from the public to the private sector.

scholarly journals Target, Audit and Risk Assessment Cultures in the Probation Service

2011 ◽  
Vol 3 (3) ◽  
pp. 108-122 ◽  
Author(s):  
Jake Phillips
Keyword(s):  
Risk Assessment ◽  
National Standards ◽  
Assessment Tools ◽  
Coalition Government ◽  
England And Wales ◽  
Risk Assessment Tools ◽  
Probation Service ◽  
The Impact ◽  
Near Future

This article traces the rise of managerialism in the probation service in England and Wales before exploring the impact of these changes through reference to in-depth observation and interviews in probation. The article considers how national standards affect practice; how audits feature and their impact on accountability; and how the use of risk assessment tools are perceived and resisted in two probation teams in England Wales. The article then turns to changes implemented by the Coalition Government and highlights some tensions between managerialist occupational cultures in probation and what might occur in the near future.

Aviation and the Microbiome

2020 ◽  
Vol 91 (8) ◽  
pp. 651-661
Author(s):  
Joshua T. Davis ◽  
Hilary A. Uyhelji
Keyword(s):  
Psychological Health ◽  
Aviation Safety ◽  
Autism Spectrum ◽  
Unintended Consequences ◽  
Microbial Colonization ◽  
Future Research ◽  
Aerospace Medicine ◽  
Medical Certification ◽  
Physical Disorders ◽  
The Impact

INTRODUCTION: Although the impact of microorganisms on their hosts has been investigated for decades, recent technological advances have permitted high-throughput studies of the collective microbial genomes colonizing a host or habitat, also known as the microbiome. This literature review presents an overview of microbiome research, with an emphasis on topics that have the potential for future applications to aviation safety. In humans, research is beginning to suggest relationships of the microbiome with physical disorders, including type 1 and type 2 diabetes mellitus, cardiovascular disease, and respiratory disease. The microbiome also has been associated with psychological health, including depression, anxiety, and the social complications that arise in autism spectrum disorders. Pharmaceuticals can alter microbiome diversity, and may lead to unintended consequences both short and long-term. As research strengthens understanding of the connections between the microbiota and human health, several potential applications for aerospace medicine and aviation safety emerge. For example, information derived from tests of the microbiota has potential future relevance for medical certification of pilots, accident investigation, and evaluation of fitness for duty in aerospace operations. Moreover, air travel may impact the microbiome of passengers and crew, including potential impacts on the spread of disease nationally and internationally. Construction, maintenance, and cleaning regimens that consider the potential for microbial colonization in airports and cabin environments may promote the health of travelers. Altogether, the mounting knowledge of microbiome effects on health presents several opportunities for future research into how and whether microbiome-based insights could be used to improve aviation safety.Davis JT, Uyhelji HA. Aviation and the microbiome. Aerosp Med Hum Perform. 2020; 91(8):651–661.

Some Practical Implications for Policy and Practice

2018 ◽  
Author(s):  
Ralph Henham
Keyword(s):  
Public Opinion ◽  
Working Relationship ◽  
Policy And Practice ◽  
Community Based ◽  
England And Wales ◽  
National Regulation ◽  
Probation Service ◽  
Practical Implications

This chapter explains the practical consequences of what has been proposed. It begins by evaluating current models and suggested approaches for incorporating public opinion into sentencing, explaining how the proposed changes would differ. It then sets out some practical reforms to sentencing in England and Wales, including greater coordination between the national regulation of sentencing discretion through the Sentencing Council and regional or community-based sentencing practices. Regional branches of the Sentencing Council are also advocated. In addition to further practical reforms, a greater role for the Sentencing Council in the ethical surveillance of sentencing, the development of new procedural rules, and enhanced training for judges and magistrates are proposed. Finally, a closer working relationship between the Sentencing Council, the courts, the CPS, defence lawyers, and the Probation Service is advocated to develop guidance clarifying their role within the new sentencing framework.

scholarly journals How Risky Is That Risk Sharing Agreement? Mean-Variance Tradeoffs and Unintended Consequences of Six Common Risk Sharing Agreements

2021 ◽  
Vol 6 (1) ◽  
pp. 238146832199040
Author(s):  
Gregory S. Zaric
Keyword(s):  
Risk Sharing ◽  
Financial Risk ◽  
Unintended Consequences ◽  
Drug Costs ◽  
New Drugs ◽  
Total Drug ◽  
Number Of Patients ◽  
Clinical Benefits ◽  
The Impact ◽  
Mean Variance

Background. Pharmaceutical risk sharing agreements (RSAs) are commonly used to manage uncertainties in costs and/or clinical benefits when new drugs are added to a formulary. However, existing mathematical models of RSAs ignore the impact of RSAs on clinical and financial risk. Methods. We develop a model in which the number of patients, total drug consumption per patient, and incremental health benefits per patient are uncertain at the time of the introduction of a new drug. We use the model to evaluate the impact of six common RSAs on total drug costs and total net monetary benefit (NMB). Results. We show that, relative to not having an RSA in place, each RSA reduces expected total drug costs and increases expected total NMB. Each RSA also improves two measures of risk by reducing the probability that total drug costs exceed any threshold and reducing the probability of obtaining negative NMB. However, the effects on variance in both NMB and total drug costs are mixed. In some cases, relative to not having an RSA in place, implementing an RSA can increase variability in total drug costs or total NMB. We also show that, for some RSAs, when their parameters are adjusted so that they have the same impact on expected total drug cost, they can be rank-ordered in terms of their impact on variance in drug costs. Conclusions. Although all RSAs reduce expected total drug costs and increase expected total NMB, some RSAs may actually have the undesirable effect of increasing risk. Payers and formulary managers should be aware of these mean-variance tradeoffs and the potentially unintended results of RSAs when designing and negotiating RSAs.

EXPRESS: Investigating the Effects of Excise Taxes, Public Usage Restrictions, and Anti-Smoking Ads across Cigarette Brands

2021 ◽  
pp. 002224292199456
Author(s):  
Yanwen Wang ◽  
Michael Lewis ◽  
Vishal Singh
Keyword(s):  
Market Power ◽  
Market Share ◽  
Brand Choice ◽  
Continuous Model ◽  
Marketing Strategies ◽  
Brand Strength ◽  
Excise Taxes ◽  
Cigarette Tax ◽  
Pass Through ◽  
The Impact

The prevalence of strong brands such as Coca-Cola, McDonald’s, Budweiser, and Marlboro in “vice” categories has important implications for regulators and consumers. While researchers in multiple disciplines have studied the effectiveness of anti-tobacco counter-marketing strategies, little attention has been given to how brand strength may moderate the efficacy of tactics such as excise taxes, usage restrictions, and educational advertising campaigns. In this research, we use a multiple discrete-continuous model to study the impact of anti-smoking techniques on smokers’ choices of brands and quantities. Our results suggest that while cigarette excise taxes decrease smoking rates, these taxes also result in a shift in market share towards stronger brands. Market leaders may be less affected by tax policies because their market power allows strong brands such as Marlboro to absorb rather than pass through increased taxes. In contrast, smoke-free restrictions cause a shift away from stronger brands. In terms of anti-smoking advertising we find minimal effects on brand choice and consumption. The findings highlight the importance of considering brand asymmetries when designing a policy portfolio cigarette tax hikes, smoke-free restrictions, and anti-smoking advertising campaigns.

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