Developing Psychogeriatric Services in England: A Turning Point in the 1960s?

Attitudes towards autonomy and personal freedom changed in the 1960s in England, but hardly touched the needs of dependent older people. In particular, deeply embedded public and professional attitudes and priorities linked to little change in ‘psychogeriatric’ treatment for those who were mentally unwell. Total beds in psychiatric hospitals decreased, but those remaining were increasingly and disproportionately occupied by older people receiving custodial care, often long term, despite evidence that appropriate treatment could prevent admission and facilitate discharge. Widely publicised scandals of inhumane care of older people in psychiatric hospitals prompted a more responsive government approach to improving services.     

Strangers and estrangement: young people’s renegotiations of birth and foster family relationships as they transition out of care and the implications for the state as parent*

ABSTRACT

Many young people ageing out of state care continue to experience very poor life outcomes. Based on research following 21 care leavers aged 15–18 over three years, this article charts how children’s experiences in troubled birth families are often compounded in care by multiple placement moves, the gradual disintegration of sibling units over time and troubling relationships with the adults charged with their care. It considers the effects of living with strangers and of transient relationships with carers and professionals, and explores young people’s feelings of rejection by, and responsibility for, their birth families. The capacity of the ‘corporate parent’ model to ensure adequate attention is paid to relationships in young people’s lives is questioned. Hollingsworth’s theory of foundational rights, incorporating considerations of relational autonomy, is utilised to reconsider the state’s obligations towards children for whom it has taken on the parental role, both during and beyond their legal minority.     

The Integration of Mental Health Care in Rural Iran

Iran’s rural mental health care system emerged in a context that included experiments in health care prior to the 1979 Revolution and the establishment of a primary health care (PHC) system after the Revolution. Beginning in the 1980s, Iran integrated mental health care into the existing PHC system by treating mental illness much like a communicable disease. Iran advanced treatment options compatible with the existing system, added new training for existing care providers, and incorporated specialists. The integration of mental health care led to the rapid improvement of health outcomes. The integration also created the unintended consequence of privileging pharmaceutical treatments and overlooking mental illnesses affected by somatization.     

Political Science and U.S. Health Policy in the Era of the Affordable Care Act

Few laws have a profound and lasting impact on an entire political system. The Affordable Care Act (ACA), despite its incremental nature and bipartisan heritage, has been one of those remarkable landmarks. Even a decade after its passage, the political struggle is far from over, as the ACA is still facing near constant threats from the incumbent president, Congress, the courts, statehouses, attorneys general, and governors across the nation. How have political scientists responded to the continued struggle? This article provides an overview of the effects of health reform and the ACA on political science research since 2008. While political scientists have written much about the subject, coverage has been distinctly uneven within the discipline. Indeed, it has almost been entirely confined to scholars of public and health policy. Nonetheless, there have been important contributions across disciplinary fields. This article provides an overview of contributions embedded within the study of federalism, policy feedback effects, and political framing. It concludes by emphasizing the need for more engaged scholarship on health policy issues from across the entire discipline, and by highlighting other areas of study that could benefit from broader attention by political scientists.     

From humanitarian exceptionalism to contingent care: Care and enforcement at the humanitarian border

Throughout the world, increasingly securitized and militarized border enforcement efforts have made transnational migration an increasingly deadly endeavor for unauthorized migrants. The deadly consequences of unauthorized migration has compelled the emergence of what William Walters refers to as the humanitarian border—the concentration of humanitarian aid and services along the edges of the global North. This paper expands on Walters work through an in-depth analysis of the emergence and transformation of the humanitarian border in southern Arizona, USA. Through an examination of transformations in how migrant care is provisioned, overseen, and regulated in southern Arizona, this paper traces a shift from humanitarian exceptionalism to contingent care whereby care is increasingly linked with enforcement efforts. In doing so, this analysis illustrates how care functions as a technology of border enforcement, increasing the reach of the state to govern more bodies and more spaces.