Journal Article by Howard Palley
Pain Medicine, Vol. 10, no. 3, pp. 506-520, 2009
Background. The undertreatment of pain in older adults who reside in long-term care (LTC) facili... more Background. The undertreatment of pain in older adults who reside in long-term care (LTC) facilities has been well documented, leading to clinical guideline development and professional educational programs designed to foster better pain assessment and management in this population. Despite these efforts, little improvement has occurred, and we postulate that focused attention to public policy and cost implications of systemic change is required to create positive pain-related outcomes.Objective. Our goal was to outline feasible and cost-effective clinical and public policy recommendations designed to address the undermanagement of pain in LTC facilities.Methods. We arranged a 2-day consensus meeting of prominent United States and Canadian pain and public policy experts. An initial document describing the problem of pain undermanagement in LTC was developed and circulated prior to the meeting. Participants were also asked to respond to a list of relevant questions before arriving. Following formal presentations of a variety of proposals and extensive discussion among clinicians and policy experts, a set of recommendations was developed.Results and Conclusions. We outline key elements of a transformational model of pain management in LTC for the United States and Canada. Consistent with previously formulated clinical guidelines but with attention to readily implementable public policy change in both countries, this transformational model of LTC has important implications for LTC managers and policy makers as well as major quality of life implications for LTC residents.
Papers by Howard Palley
Journal of social welfare and human rights, 2017
When and how law enforcement is able to gather, store, and analyze DNA is a current social justic... more When and how law enforcement is able to gather, store, and analyze DNA is a current social justice issue. This article considers the question of DNA analysis in terms of social justice and privacy concerns. Of particular interest are the issues of federalism and the role of the states in legislating the use of DNA; mitochondrial or familial DNA matching; expectations of privacy as documented in Supreme Court decisions and opinions; and the potential to collect and use DNA from individuals not convicted of a crime. We describe the unique situation of Maryland as the only state to legislate a ban on familial DNA but also as the impetus for a 5-4 Supreme Court decision affirming broad rights of states to collect and use DNA evidence. We consider the multiple stakeholders, including advocacy groups and policymakers, who contributed to the familial DNA ban, in the context of social justice questions and disproportionate minority contact with the criminal justice system.
The Use of Traditional Chinese Culture and Values in Social Work Health Care Related Interventions in Hong Kong
Health & Social Work, Feb 1, 2005
The Use of Traditional Chinese Culture and Values in Social Work Health Care Related Intervention... more The Use of Traditional Chinese Culture and Values in Social Work Health Care Related Interventions in Hong Kong. by Cecilia Lai-Wan Chan , Howard A. Palley This column presents information about traditional Chinese values and.
Social Policy & Administration, Sep 1, 1995
The Republic of Korea (South Korea) and Japan are highly industrialized and modern nations which ... more The Republic of Korea (South Korea) and Japan are highly industrialized and modern nations which are both influenced by the Confucian tradition of respect for the elderly and family responsibility f o r the care of aging parents. In both countries the proportion of the elderly population is increasing. Japan, since the end of World War II, has utilized its government bureaucracy to help develop the social wetfare system and to formulate social policies and programs f o r the elderly. Japan's tradition of samurai Confucianism is congruent with the commitment of the Japanesegovernment to such social development as a matter of national policy. The Republic of Korea has not assigned a comprehensive planning role to its government bureaucracy. Lacking the mix of industrial/postindustrial infrastructure of Japan and notyet faced with the immediacy of a very large elderly population, the Republic of Korea's government has developed its social policies f o r the elderly in a more incremental manner, usually emphasizing small scale and piecemeal initiatives. With respect to social support, it has emphasized voluntary family efforts as congruent with the Korean (and Chinese) variant of Confucianism. This paper will compare and contrast these different approaches.
International Journal of Health Services, Oct 1, 1995
The central issue facing federal regulation of breast implants is that while such devices are not... more The central issue facing federal regulation of breast implants is that while such devices are not functionally necessary or needed for survival, the side effects may be harmful and have not been proven unharmful. The Medical Device Amendments of 1976 appear to require such evidence prior to the FDA permitting the unrestricted marketing of these devices. However, only recently have such requirements been imposed by the FDA. The author examines the FDA's decision-making process, particularly as applied to silicone breast implants, and the factors that appear to have affected such decisions. In pursuing this study, the activities of a number of interest-group actors, as well as congressional responses and the role of federal bureaucratic actors, were examined. In 1992 the FDA established a regulatory protocol that effectively withdrew most silicone breast implants from the market for the purpose of breast augmentation and allows for the monitoring of the impact of new implants on women's health. This increased concern for determining the safety of breast implants is due to a number of factors, which are examined in this article. The development of U.S. Food and Drug Administration (FDA) policy on silicone breast implants and/or saline breast implants (with silicone liners) allows us to examine how decisions are made in this area of public regulatory policy. This article examines the policy development process in the medical devices areaespecially as such policy pertains to implementation of the Medical Device Amendments of 1976. I will describe the failure of industry to adequately consider the need for and availability of data on a wide range of risks in its efforts to market silicone breast implants. I will also note the FDA's failure to recognize the potential dangers presented to women by the marketing of breast implants for
Old Age and the Welfare State Edited by Anne-Marie Guillemard. Beverly Hills, Calif.: Sage Publications, 1983. 266 pp. $28.00 cloth, $14.00 paper
Health & Social Work, 1985
Urban America and public policies
An academic directory and search engine.
Community-Based Programs and Policies
Routledge eBooks, Jan 2, 2014
* Introduction Howard Palley * PACE: Has it changed the chronic care paradigm? Marty Lynch, Mauro... more * Introduction Howard Palley * PACE: Has it changed the chronic care paradigm? Marty Lynch, Mauro Hernandez and Carroll Estes * Integrated care: Incentives, approaches, and future considerations Gail L. Dobell and Robert Newcomer * When the private sphere goes public: Exploring the issues facing family caregiver organizations in the development of long-term care policies Philip Rozario and Elizabeth Palley * Examining fiscal federalism, regionalization and community-based initiatives in Canada's health care delivery system Pierre-Gerlier Forest and Howard Palley * CLSCs in Quebec: Thirty years of community action Benoit Gaumer and Marie-Josee Fleury * Feminist health care in a hostile environment: A case study of the Womancare Health Center Cheryl Hyde * The voice of advocates in health care policymaking for the poor Colleen Grogan and Michael Gusmano
Open Political Science, 2021
The Declaration of Independence asserts that "All men are created equal, and that they are endowe... more The Declaration of Independence asserts that "All men are created equal, and that they are endowed by their Creator with certain inalienable Rights, that among these are Life, Liberty and the pursuit of Happiness." Nevertheless, the United States, at its foundation has been faced with the contradiction of initially supporting chattel slavery ---a form of slavery that treated black slaves from Africa purely as a commercial commodity. George Washington and Thomas Jefferson, both of whom had some discomfort with slavery, were slaveholders who both utilized slaves as a commodity. Article 1 of our Constitution initially treated black slaves as three-fifths of a person for the purposes of apportioning representation in order to increase Southern representation in Congress. So initially the Constitution's commitment to "secure the blessings of liberty to ourselves and our posterity" did not include the enslaved black population. This essay contends that the residue of this initial dilemma still affects our politics ---in a significant manner.
Restorative Justice and Criminal Justice: Competing or Reconcilable Paradigms?
International Criminal Justice Review, May 1, 2004
1. Principles of Restorative Justice John Braithwaite 2. Specifying Aims and Limits for Restorati... more 1. Principles of Restorative Justice John Braithwaite 2. Specifying Aims and Limits for Restorative Justice: A 'Making Amends' Model? Andrew von Hirsch,Andrew Ashworth and Clifford Shearing 3. Restoration and Retribution Antony Duff 4. Imposing Restoration Instead of Inflicting Pain Lode Walgrave 5. Some Sociological Reflections on Restorative Justice Anthony Bottoms 6. Restoration and Retribution in International Criminal Justice: An Exploratory Analysis Paul Roberts 7. Towards a Systemic Model of Restorative Justice Jim Dignan 8. Proposed Basic Principles on the Use of Restorative Justice: Recognising the Aims and Limits of Restorative Justice Daniel Van Ness 9. Victims and Offenders Barbara Hudson 10. Restorative Justice and Criminal Justice: Just Responses to Crime? Joanna Shapland 11. Mind the Gap: Restorative Justice in Theory and Practice Kathleen Daly 12. Restorative Justice in Canada: From Sentencing Circles to Sentencing Principles Julian V Roberts and Kent Roach 13. Restorative Justice in New Zealand Allison Morris and Gabrielle Maxwell 14. New, Improved Police-Led Restorative Justice? Richard Young and Carolyn Hoyle 15. Evaluating Restorative Justice Practices Leena Kurki 16. Models, Challenges and The Promise of Restorative Conferencing Strategies Mara Schiff Index
The Politics of Social Solidarity: Class Bases of the European Welfare State, 1875–1975. By Peter Baldwin. New York: Cambridge University Press, 1990. 353p. $44.50.The Welfare State in Capitalist Society: Policies of Retrenchment and Maintenance in Europe, North America, and Australia. By Ramesh ...
American Political Science Review, Jun 1, 1992
A Call for a "War On Hunger
Asia Pacific Journal of Human Resources, 1972
Politics and Policy, Oct 1, 2009
Policy Studies Journal, Mar 1, 1974
Rethinking a women's health care agenda
Journal of Women, Politics & Policy, 2000
The baby boom population has entered middle age. In addition many people, especially women, are l... more The baby boom population has entered middle age. In addition many people, especially women, are living into old age. These are large population cohorts that are politically engaged. Also there is money to be made by commercial stakeholders in responding to the health risks of these women. The definition of women's health care needs has changed in the past decade. Traditionally the defining characteristics of women's health policy were reproduction, childbearing and a woman's role as a sexual partner. Today it also includes the way that different diseases affect women and the best way to reach women at risk for a wide range of conditions, e.g., heart disease, cancer and depression.
Adult day care centers and the treatment of Alzheimer's disease patients: A critical analysis
American journal of Alzheimer's care and related disorders & research, Sep 1, 1994
Increasingly adult day care services will provide transitional care for Alzheimer's d... more Increasingly adult day care services will provide transitional care for Alzheimer's disease patients in mild or moderate stages of the disease. The following small scale studyfinds that adult day care services as transitional care allows patients with Alzheimer's disease to remain in the community for a longer period of care, than would otherwise be possible. The quality of life of patients appears to be highest in private (mostly voluntary) adult day care centers. The most comprehensive case management is found in private (voluntary and proprietary) adult day care centers rather than in public adult day care centers. Such private centers seem to have a more positive impact on behavioralfunctioning than the less comprehensive approach utilized by the public centers. Also, even where adult day care services are provided, informal caregivers are better able to function when they have an informal system of support offamily members and/or neighbors. In addition to adult day care service, family caregivers also need respite care and other supportive social services. Also, the study reveals some discrepancy between formal and informal caregiver perceptions of patient condition.
The Regulatory Process, the Food and Drug Administration, and the Silicone Breast Implant Controversy
Journal of health and social policy, May 26, 1999
Journal of Health and Social Policy. ISSN: 0897-7186. Index. Volume 11 Number 1. 1999. Contents. ...
Long-Term Care Policy for Older Americans
Journal of health and social policy, 2003
This paper deals primarily with social policy considerations relevant to the development of long-... more This paper deals primarily with social policy considerations relevant to the development of long-term care policy for the frail elderly in the United States. However, it also includes some commentary on meeting the acute care needs of the frail elderly. It defines chronic care treatment as a mix of "short-term" and "long-term" modes of care. Furthermore, it explores the need for treatment of such long-term illnesses to recognize the importance of alternative modes of caring which include strategies, both medical and nonmedical, delivered within and outside of hospitals and nursing homes. The paper includes an analysis of public and private sector priorities based in data published by the U.S. Health Care Financing Administration. It also includes some discussion of the PACE program in the United States and some other efforts to stimulate more in-home and community-based alternatives to nursing home care. Furthermore, it includes a discussion of the policy goal of "appropriateness" in developing long-term care (as well as general health priorities) and provides a critical discussion of problems with utilizing "cost/benefit analysis." The study concludes that too exclusive a focus on nursing home care for the elderly in the United States is unfortunate-both in terms of the desires of the elderly, their families and friends and in terms of focusing on "appropriateness" as a legitimate policy goal in the development of long-term care policy for the elderly in the United States.
The Overturning of Roe v. Wade: A Theocratic and Anti-Democratic Decision
SSRN Electronic Journal
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Journal Article by Howard Palley
Papers by Howard Palley