Posts in Policy and governance
The un-intended consequences of the bizarre incentives catalysing the referral of mental health patients as radicalisation threats

One has to stretch the imagination to conceive that a new policy might result in health professionals in Britain considering whether to refer patients with mental health needs as radicalisation threats in order to gain quicker access to necessary support and services. In this post, Dr Chris Allen examines the un-intended consequences of the bizarre incentives catalysing the referral of mental health patients as radicalisation threats.

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New counter-terror rules give UK GPs bizarre incentives to refer mental health patients as radicalisation threat

Mental health trusts in England are now to play a vital role in processing the huge number of citizens referred under the government’s counter-terrorism strategy, known as Prevent. A new policy announced in November by the Home Office means urgent psychiatric care will now be provided by mental health trusts to those people with psychological problems who are referred to Prevent. But this will remove them from a pipeline of support under a programme called Channel, aimed at those suspected of radicalising. In this blog re-posted from The Conversation, Charlotte Heath-Kelly and Erzsebet Strausz debate GPs bizarre incentives to refer mental health patients as radicalisation threat.

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My experiences of the Cashless Debit Card

Nothing illuminates policy in the same way that individual stories of lived experience can. The Cashless Debit Card Symposium was held at both the University of Melbourne and the Alfred Deakin Institute on Thursday, the 1st of February 2018, and the Power to Persuade is running a series of blogs drawn from the presentations made on the day. In this piece, Jocelyn Wighton, a citizen of Ceduna and one of the many who were forced onto the Cashless Debit Card, shares some of her experiences and frustrations with the CDC.

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Improving Mental Health Support for Children in the Care of the UK State

There are complex policy and practice issues as well as tensions in where responsibility lies in relation to mental health needs of children in the care of the state in the UK.  Collaboration across many organisations and leadership from key individuals in the system are essential for the needs of these most vulnerable children to be better met. There is a moral imperative and a financial incentive to getting this right. Alison O’Sullivan explores the role of corporate parenting at a time of increased focus on meeting the mental health needs of children in the UK, making the case for improved mental health support for children in the care of the state as an important part of the solution. 

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Straightjacketing evaluation outcomes to conform with political agendas – an examination of the Cashless Debit Card Trial

The Cashless Debit Card Symposium was held at both the University of Melbourne and the Alfred Deakin Institute on Thursday, the 1st of February 2018. The Power to Persuade is running a series of blogs drawn from the presentations made on the day. In this piece, Susan Tilley of Uniting Communities shares the findings of a discourse analysis of the ORIMA evaluations of the Cashless Debit Card Trials (CDCT), reporting that the evaluations are deeply imbued with government ideology.     

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We are creating new inequities around PrEP HIV Prevention

When the debate about public funding for PrEP started up, I was concerned that it would go down the same path as PEP — with a set pool of funding, left to state/territory governments to administer, with de facto rationing based on sexual risk, and only available from a set number of locations. So my own position on PrEP was that it needed to be funded via the Pharmaceutical Benefits Scheme (PBS) and not rationed.

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Human Rights and the Cashless Debit Card: Examining the Limitation Requirement of Proportionality

The Cashless Debit Card Symposium was held at both the University of Melbourne and the Alfred Deakin Institute on Thursday, the 1st of February 2018. The Power to Persuade is running a series of blogs drawn from the presentations made on the day. In this piece, Shelley Bielefeld from Australia National University analyses the Cashless Debit Card initiative to ascertain whether the concept of proportionality can justify the curtailing of certain human rights for communities subjected to the CDC.

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The hidden costs of research assessment exercises: the curious case of Australia

Research assessment exercises provide the government and wider public with assurance of the quality of university research, with the guiding principles being accountability, transparency, and openness. But is there the same accountability and openness when it comes to the public cost of these large-scale exercises? 

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The mounting human costs of the Cashless Debit Card

The Cashless Debit Card Symposium was held at both the University of Melbourne and the Alfred Deakin Institute on Thursday, the 1st of February 2018. The Symposium attracted attendees from a range of backgrounds, including card-holders, representatives from community organisations, academics based at a number of Australian universities, Labor and Greens senators, and various other interested parties. A mix of presentations and panel discussions generated productive conversations around issues including the experience of being subject to the Cashless Debit Card (CDC), settler-colonial relations and the CDC, a rights-based perspective on income management, the consumer and banking implications of the CDC, income management and the social determinants of health, and perspectives on moving beyond current framings of welfare in Australia. Additionally, the Symposium featured a panel discussion on behavioural approaches in policy making. This is the first of several blogs that the Power to Persuade will publish based on the papers presented on the day. We kick off with an overview by Elise Klein, the organiser of the Symposium and a leading researcher into its harmful effects on communities and individuals. This paper is drawn in part from an article that ran in The Conversation; you can read it in its original form here.

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Withdrawing funding for hospitals’ mistakes probably won’t lead to better patient care

The Commonwealth Government announced late last year that they are changing the way they fund hospitals. While the initiative aims to improve the quality of hospital care and reduce overall costs, the new policy may result in some negative impacts. Helen Dickinson, Associate Professor of UNSW Canberra's Public Service Research Group explains why the pay-for-performance scheme may lead to unintended consequences. This article was originally published on The Conversation.

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Probation: An Underutilised Tool For Achieving High Performance

Performance management is key to achieving employee effectiveness and efficiency, but are organisations using probation as a tool to achieve high performance? Deborah Blackman, Fiona Buick, Samantha Johnson, and Michael O’Donnell of UNSW Canberra's Public Service Research Group believe that employers should use probation to help define high performance and encourage desired employee behaviour. 

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The vexed question of market stewardship in the NDIS

Research from UNSW Canberra's Gemma Carey, Helen Dickinson, Eleanor Malbon and Daniel Reeders shows that government must take an active role in ensuring that the important policy goals of the National Disability Insurance Scheme (NDIS) are met through market stewardship, employing more than just light-touch measures. Eleanor Malbon and Gemma Carey explain their research findings in this article from The Mandarin

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The Issue of Equity in the Market

Market approaches have been used in a range of areas in Australia, an example of which is the National Disability Insurance Scheme (NDIS). While market approaches may lead to efficiencies in some areas, Gemma Carey of UNSW Canberra and the Centre for Social Impact argues that the Scheme should not sacrifice equity in the name of efficiency. This post was originally published in Pro Bono Australia.

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Let’s ‘leave loudly’ this International Women’s Day

Laptops, mobile phones and other technological advances have created a workplace culture where employers and employees work around the clock. But more and more workplaces, and a few governments, have stepped in to ensure that work-life balance is protected to maintain productivity and employee wellbeing. UNSW Canberra's Dr Sue Williamson and Dr Meraiah Foley explain why 'leav[ing] early' should be modeled by public sector leaders to encourage healthier work behaviours. This piece was originally published in The Mandarin.

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Reigniting conversations about gender equality in the APS

How has the Australian Public Service (APS) been progressing and embedding gender equality, and are its efforts working? In the report Embedding Gender Equality in the Australian Public Service: Changing practices, changing cultures, UNSW Canberra's Dr Sue Williamson explains how the Australian Public Service Gender Equality Strategy has started an important conversation about the nature of equality, and where the APS may improve to achieve its goals. This piece was originally published in The Mandarin.

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The politics of the problem: How to use Carol Bacchi's work

In 1991 Carol Bacchi comprehensively introduced poststructuralism and social constructionism to policy studies with her book Women, Policy and Politics: The Construction of Policy Problems. It detailed an approach called ‘What’s the problem represented to be?’ and offers a different way of conceptualizing and understanding policy. Whilst usual approaches tend to treat policy as axiomatic or self-evident, Bacchi’s challenges the privileging of all forms of expertise and knowledge. For Bacchi, approaches to policy studies are ‘inherently political’ and  need to be treated as such.

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‘You don’t know what you’ve got ‘til it’s gone’: The implications of expanding the use of robots in care services

An ANZSOG-funded research project is exploring the increasing use of robots in care services to replace or complement the roles of humans. In this article, researchers Helen Dickinson, Nicole Carey, Catherine Smith and Gemma Carey explore some of the long-term implications for governments from the rise of robots.

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Gender segregated work and women’s rights: A history of Aboriginal oppression (part 2)

On 2 September, the Women’s Policy Action Tank presented Putting Women at the Centre: A Policy Forum. We were delighted to have Celeste Liddle (@Utopiana), public commentator, blogger (Rantings of an Aboriginal Feminist), Arrernte woman, Unionist, and recent inductee onto the Victorian Honour Roll of Women as one of our keynote speakers. Here we present part 2 of her talk, in which she traces low numbers of Aboriginal students at the tertiary level with systemic injustices that Aboriginal and Torres Strait Islander communities experience. Specifically, Celeste discusses how lack of facilities and sanitary supplies keep young women from attending school, and the historic and current practice of non-payment to Aboriginal and Torres Strait Islanders for their work – which continues today in the guise of the government’s mis-named Community Development Program. Part 1 can be found here.

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