Consideration of Background Exposures in the Management of Hazardous Waste Sites: A New Approach to Risk Assessment

The current approach to health risk assessment of toxic waste sites in the U.S. may lead to considerable expenditure of resources without any meaningful reduction in population exposure. Risk assessment methods used generally ignore background exposures and consider only incremental risk estimates for maximally exposed individuals. Such risk estimates do not address true public health risks to which background exposures also contribute. The purpose of this paper is to recommend a new approach to risk assessment and risk management concerning toxic waste sites. Under this new approach, which we have called public health risk assessment, chemical substances would be classified into a level of concern based on the potential health risks associated with typical national and regional background exposures. Site assessment would then be based on the level of concern for the particular pollutants involved and the potential contribution of site contaminants to typical background human exposures. While various problems can be foreseen with this approach, the key advantage is that resources would be allocated to reduce the most important sources of human exposure, and site remediation decisions could be simplified by focussing on exposure assessment rather than questionable risk extrapolations.     

Interrelationships between fertility and marital dissolution: Results of a simultaneous logit model

Previous studies have failed to examine (a) the simultaneity of decisions to bear children and to dissolve a marriage and (b) the effects of the childbearing in the period just before dissolution on the likelihood of disruption. We attempted to resolve both problems by developing a simultaneous logit model of the interrelationship between the probability of separation and of having a birth during this period (when dissolution presumably is being considered). The model was estimated at successive durations of first marriage, using data for white women in the 1970 National Fertility Survey. The results indicate that childbearing patterns— number of children and age of youngest child at the beginning of the marital interval being studied and fertility during the interval—did not influence the likelihood of separation in simple or consistent ways over the marital life course, nor did marital strife (as indicated by separation) seem to affect childbearing throughout marriage.     

School-based interventions with depressed minority adolescents

School-based approaches to intervention with depressed minority adolescents is discussed within a preventive framework. The symptomatology and epidemiology of depression is presented as it pertains to minority group adolescents. Specific suggestions for school-based services, the uses of school-based mental health professionals, and for coordination with mental health agencies are provided.     

Fathers in child welfare: caseworkers' perspectives

Five focus groups substantially agreed about the lack of paternal participation in child welfare services and the reasons for low paternal involvement. The groups had considerable disagreement about whether child welfare professionals should address this issue. Some caseworkers believed that all fathers and mothers should be treated identically with respect to services to be offered and time frames for services; other caseworkers thought that the special circumstances of some fathers, such as lack of child care experience, called for service approaches that differ from those for mothers. Another disagreement was whether more fathers would be more involved if services were gender sensitive, that is, if agencies provided male caseworkers for fathers and had father-only services. Much of the debate focused on pragmatic considerations (would gender-sensitive services improve paternal participation and outcomes?), although some participants were concerned about equity (would such services give fathers an advantage in disputed custody cases?).     

Cost containment in complex social security systems: The limitations of targeting

Two aspects of the structure of existing social security systems limit the scope for containing costs by increasing targeting: the insurance principle, and the use of category membership to establish eligibility for benefits. The first aspect is antithetical to targeting because the most needy people are also the most likely to fail to establish an adequate contributions record. Some countries appear committed to maintaining the insurance principle because it is part of the fabric of the relationship between employers, employees and the State. The second aspect can be seen as an effective way of identifying groups whose income is likely to fall short of their needs. However, the primary function of category definition is to establish the legitimacy of claims—to examine why a shortfall of income in relation to needs has arisen, what personal responsibility the claimant bears, and what alternative mechanisms might be available. Several countries have revised category definitions in response to issues about the motivation and "deservingness" of claimants. We designate as "pseudo-targeting" reforms of this type, which are not likely to result in the allocation of a higher share of social expenditure to the worst-off. The scope for increasing targeting in existing systems is very restricted, reflecting the limitations of the concept. Non-categorical social assistance is the archetypal targeted benefit, and it has serious limitations. The obstacles to targeting are integral to the legitimation of social security. If targeting reforms undermine this legitimating structure, they risk undermining the claim on resources exercised by the social security system.     

New Public Management Is Dead--Long Live Digital-Era Governance

The "new public management" (NPM) wave in public sector organizationalchange was founded on themes of disaggregation, competition,and incentivization. Although its effects are still workingthrough in countries new to NPM, this wave has now largely stalledor been reversed in some key "leading-edge" countries. Thisebbing chiefly reflects the cumulation of adverse indirect effectson citizens' capacities for solving social problems becauseNPM has radically increased institutional and policy complexity.The character of the post-NPM regime is currently being formed.We set out the case that a range of connected and informationtechnology–centered changes will be critical for the currentand next wave of change, and we focus on themes of reintegration,needs-based holism, and digitization changes. The overall movementincorporating these new shifts is toward "digital-era governance"(DEG), which involves reintegrating functions into the governmentalsphere, adopting holistic and needs-oriented structures, andprogressing digitalization of administrative processes. DEGoffers a perhaps unique opportunity to create self-sustainingchange, in a broad range of closely connected technological,organizational, cultural, and social effects. But there arealternative scenarios as to how far DEG will be recognized asa coherent phenomenon and implemented successfully.