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Medical legal partnerships address individual legal needs that can create impediments to health. Little is known about outcomes from medical legal partnerships and their relationship to access to justice. This paper reports outcomes from one medical legal partnership from the perspective of the client, with specific emphasis on impact on health and concepts related to access to justice. We suggest a conceptual model for incorporating medical legal partnerships into a broader framework about access to justice. [ABSTRACT FROM AUTHOR]

This Paper argues that to protect at-risk communities — and all Americans — from the deadly effects of environmental racism, Congress must pass the Environmental Justice for All Act. The Act is intended to "restore, reaffirm, and reconcile environmental justice and civil rights." It does so by restoring an individual's right to sue in federal court for discrimination based on race, ethnicity, or national origin regardless of intent under the Civil Rights Act of 1964, strengthening the National Environmental Policy Act, and providing economic incentives focused on environmental justice. [ABSTRACT FROM AUTHOR]

Précis: Despite significant scholarship, research, and funding dedicated to implementing criminal diversion programs over the past two decades, persons with serious mental illness and substance use disorders remain substantially overrepresented in United States jails and prisons. Why are so many U.S. adults with behavioral health problems incarcerated instead of receiving treatment and other support to recover in the community? In this paper, we explore this persistent problem within the context of "relentless unmet need" in U.S. behavioral health (Alegría et al., 2021). [ABSTRACT FROM AUTHOR]

Thousands of Latin Americans migrate to the United States every year. This article seeks to understand how immigrants' premigration political experiences influence the acquisition of party identification upon arrival in the United States. This research proposes that premigration political experiences influence the acquisition of party identification among Latino immigrants in the United States. Utilizing data from the 2016 Collaborative Multiracial Post-Election Survey (CMPS) and Proyecto Élites Parlamentarias Latinoamericanas (Latin American Parliamentary Elites Project), this paper analyzes how the ideology of the government in power in the immigrants' country of origin influences party identification among Latino immigrants in the United States. Employing multinomial regression analysis, I demonstrate that the ideology of governments in power in Latin American countries when Latinos migrate influences the party identification of those immigrants in the United States. The results of this study contribute to the conversations on premigration experiences and challenge the applicability of classical theories of party identification for immigrants. [ABSTRACT FROM AUTHOR]

South-East Asian refugees have lived in the United States of America for nearly four decades, with early refugee immigrants experiencing ageing and later life within the refugee context. As refugees age, health concerns of this older population grow, highlighting the need for ongoing assessment of refugee health and health-seeking behaviours. This study builds on previous literature that assessed the health and health-seeking patterns of South-East Asian refugees in the early years following resettlement, exploring how health and health-seeking is understood among older refugees 40 years after immigration. This paper includes a subset of 37 older refugees from a larger, community-based participatory, mixed-methods intergenerational study of Cambodian and Laotian refugee families conducted over four years (quantitative N = 433; qualitative N = 183). Thematic analysis of 34 semi-structured interviews with these older refugees in coastal Alabama revealed trends in health and health-seeking practices. Older refugees reported high rates of diabetes and hypertension within their generational cohort, and indicated a shift in health-seeking behaviours, whereby Western biomedicine is sought first for such chronic concerns, followed by traditional medicines for mild ailments such as headaches or colds. Older refugees underscored barriers of language, finances and transportation as limiting access to Western health care. Implications for engaging in community health practices and incorporating services to specifically meet the needs of the ageing refugee population are discussed. [ABSTRACT FROM AUTHOR]

This paper will ask whether the legal status presently afforded to nonhuman animals ought to influence regulatory debates concerning human cerebral organoids. The New York Courts recently refused to grant a writ of habeas corpus to Happy the Elephant as she was property rather than a legal person while at the same time accepting that she is a moral patient deserving of rights protection. An undesirable situation has therefore arisen in which the law holds a being with moral status to be incapable of benefitting from legal redress due to their legal status as property. The author argues that this is something that we ought to avoid when designing the regulatory framework which will govern the use of human cerebral organoids. Yet, a difference exists in that, whereas the judges already accept Happy is a moral patient, there is presently no consensus around the moral status of organoids. This paper will consider whether human cerebral organoids have passed the moral threshold of sentience. If they have, or are close to doing so, regulators ought to consider their legal status in advance so as to ensure that adequate limitations are placed on this usage so as to avoid unethical practices. [ABSTRACT FROM AUTHOR]

This article discusses the misalignment of the drug innovation model in the US with broader societal goals. The paper calls for a reconfiguration of this model to prioritize the common good and ensure equitable access to health innovations. The article stresses the importance of adopting a mission-oriented approach to shape the drug market, including reforming intellectual property rights. [ABSTRACT FROM AUTHOR]

Consumer credit is a crucial source of financial support for most Americans—part of what scholars dub the "credit-welfare state." Yet, borrowers have been reluctant to take political action to demand better consumer financial protection, even as subprime lending proliferates. This paper articulates a broad theory of regulatory feedback effects, proposing specific mechanisms through which regulatory policy making shapes consumers' politics. Drawing on the case of consumer financial protection, I argue that consumer credit regulations produce feedback effects that diminish political engagement by encouraging borrowers to blame and subsequently target market actors—including financial institutions and consumers themselves—for both systemic and individual problems with predatory lending. I analyze an original policy dataset, original survey of 1,500 borrowers, and two survey experiments to test this hypothesis. I find that borrowers' experiences with credit regulation diminish their political engagement, even for reforms they support, limiting the prospects for safeguarding Americans' financial security. [ABSTRACT FROM AUTHOR]

In this paper, I will examine the Supreme Court of the United States' (SCOTUS) arguments in the majority decision in Dobbs v. Jackson Women's Health Organization, and I will show how some of those arguments are flawed. Primarily, I will show that the right to bodily autonomy is a well-established right, both in the courts and in societal practices, and that the right to an abortion should be understood as an example of the right to bodily autonomy or bodily integrity. Second, I will examine the justices' arguments that viability is not a reasonable place to restrict abortion access, in contrast to both Roe v. Wade and Planned Parenthood v. Casey , and will offer arguments that defend viability as a valid point to limit abortion access. Third, I will highlight some politicians' goals to enact a federal ban on abortion, and show how the attempt to pass Personhood Amendments is a pathway for doing so. The upshot of this essay to is show how the SCOTUS decision is flawed, and how granting personhood to "potential life" has consequences that extend beyond abortion access. [ABSTRACT FROM AUTHOR]

Studies in the sociopolitics of archaeology have shown patterns of inequality in publishing. Because this inequality affects the richness of perspectives on the past, the extent of unevenness requires continual documentation. This article explores gendered and institutionally based patterns of authorship in prominent archaeology journals, archaeology papers in general science journals, and Sapiens, a public-facing web magazine, from 2016 to 2021. We find that the representation of women is similar across these two types of journals, for authors both in the United States and abroad. Men still publish significantly more than women though the gap is narrowing due to the publication activity of recent PhDs. Using a large database of PhDs as a baseline for comparison, we find that women publish less in these venues than expected, resulting in an imbalance. Some archaeology programs have a larger presence in journal publishing than others, but this imbalance is not as pervasive as what has been observed in hiring practices. Archaeology journals exhibit healthier measures of diversity, compared to Science, in terms of the institutional affiliation of authors. [ABSTRACT FROM AUTHOR]

How do White Americans evaluate the politics of belonging in the United States across different ethnoreligious identity categories? This paper examines this question through two competing frameworks. On the one hand, given the salience of anti-Muslim attitudes in the United States, we consider whether White Americans penalize Muslim immigrants to the United States regardless of their ethnoracial background. On the other hand, Muslim identity is often conflated by the general public with Middle Eastern and North African (MENA) ethnoracial identity. We argue MENA-Muslim identity should be understood through the lens of intersectionality. In this case, White Americans may penalize MENA-Muslims immigrants to the United States more than Muslims from other ethnoracial groups. We test these two frameworks through a conjoint experimental design wherein respondents are asked to evaluate immigrants and indicate to whom the United States should give a green card—signaling legal belonging—and how likely the immigrant is to assimilate into America—signaling cultural belonging. Although White Americans believe White Muslims may assimilate better to the United States relative to MENA-Muslims, race does not moderate how White Americans evaluate who should be allowed to belong in the United States. [ABSTRACT FROM AUTHOR]

Civil religion has been described as the "common elements of religious orientation that the great majority of Americans share". In an age of partisan division, there have been calls for a revitalized civil religion, but the idea that civil religion can be unifying has been debated. In this paper, we investigate whether civil religion can be unifying, or is it fractured by partisanship? To address this, we use two strategies. First, we created a civil religion battery and deployed it on two different cross-sectional surveys. The results indicate that there are two dimensions to civil religion. These dimensions are distinct from Christian nationalism and structured along partisan lines. Second, we developed two survey experiments to understand the dimensions of civil religion and improve on the causal mechanisms that link civil religion to political behavior. Results indicate that, rather than promoting unity, civil religion is interpreted through partisan lenses. [ABSTRACT FROM AUTHOR]

The contemporary Religious Left (RL) in the United States has proven to be somewhat of an enigma, both for academics and for the activists and voters who desire such a movement to thrive. In this paper, I look at one piece of the puzzle: is the RL able to mobilize supporters to political activity? Combining data from both the individual and movement level, this paper tests whether activity at the movement level of the RL can translate into individual supporters' political activity. Using existing data for 2008 and newly collected data on the RL in the 2016 election cycle, I find that the movement was successful in mobilizing constituents in 2008, but not in 2016. This can be linked to the Democrats' effort to engage religious voters in 2008, and its inability to do so in 2016. [ABSTRACT FROM AUTHOR]

This paper evaluates the existing research on Stand Your Ground (SYG) laws in terms of the extent to which it has accounted for gender. In particular, we address (a) what the available evidence suggests are the gender-based impacts of SYG laws and (b) where, how, and why considerations of gender may be missing in available studies. [ABSTRACT FROM AUTHOR]

This paper highlights the impact of religious oppositions in Muslim-majority states towards security cooperation with the U.S. Such cooperation provides security but is risky as the U.S. can coerce its weaker allies and push for regime change. To protect against this possibility, this paper suggests that incumbents in recipient states strategically extend or limit cooperation based on the strength of Islamist opposition parties. Weaker Islamist oppositions pose a threat to incumbents in recipient states as the U.S. can coerce and replace them without fear of bringing anti-U.S. elements to power, which results in lower cooperation. In case of a stronger Islamist opposition, the regime's replacement cannot offer better policy concessions to the U.S.; hence, a strong Islamist opposition leads to more extensive cooperation. This mechanism is demonstrated through U.S. military aid acceptance in 40 Muslim-majority states during 2002–2015, and a comparison of U.S. security relations with Algeria and Tunisia. [ABSTRACT FROM AUTHOR]

The sweep of the coronavirus pandemic across the world and the United States offers an almost unparalleled opportunity to study how social systems cope with the threat and opportunities for collective action. In this paper, we draw on survey data collected as the United States flailed in response and before a general consensus among executive officeholders developed in the following weeks. In particular, we assess how holding prosperity gospel views strongly shaped perceptions of the virus and reactions to state responses to the virus. Research on the prosperity gospel is slowly expanding and this paper helps to highlight some missing dimensions. At a time when concerted action for the social good could be uniting the country, prosperity gospel beliefs systematically undermine that possibility by augmenting threat, raising outgroup barriers, and decreasing social trust. [ABSTRACT FROM AUTHOR]

This paper provides an overview of the societal impact of a rising dementia population and examines the legal and ethical implications posed by voluntary registries as a community-oriented solution to improve interactions between law enforcement and individuals with dementia. It provides a survey of active voluntary registries across the United States, with a focus on Arizona, which has the highest projected growth for individuals living with dementia in the country. [ABSTRACT FROM AUTHOR]

Objective: Neuropsychological assessment is the cornerstone of concussion management, and the nature of its delivery can vary widely. While literature concerning post-concussion care typically revolves around in-person evaluation, the proliferation of computerized neuropsychological tests (CNTs) has allowed for some distance between concussion patients and the neuropsychologist. In the wake of a global pandemic, several papers describing the use of telehealth for concussion care have emerged; however, the small samples found in these studies may suggest that access to care remains an issue. Additionally, telehealth may not be a sustainable fee-for-service approach as CMS aims to curtail telehealth reimbursement for behavioral health clinicians. The objective of the present study is to describe a remote neuropsychological consultation model of concussion management and evaluate its productivity and impact in a rural setting. Participants and Methods: In this model, a neuropsychologist based at an academic medical center in the northeastern United States consulted to middle school, high school, and collegiate concussion management programs. Students typically were administered baseline ImPACT tests prior to participation in sports, and all students in the current sample completed post-injury ImPACT tests as part of return to play protocols. The neuropsychologist read test results through the test's online portal, then communicated interpretation and recommendations via email or phone to the school's representative (e.g., athletic trainer, athletic director, or school nurse). 837 unique concussions were recorded between 2019 and 2022. After removing abnormal cases (e.g., COVID-19 school closures, extended college breaks, non-concussions, and non-return to play decisions), 790 unique concussions (51.4% male) were included for analysis, with a mean age of 16.84 years (SD=2.17). Descriptive statistics were used to characterize the sample. Results: Across 790 unique concussions, 7 were middle school, 571 were high school, and 212 were college students. 1,750 total postinjury ImPACT tests were administered over the three-year period. Per concussion, an average of 2.22 (SD=0.90) tests were used. Average time to the last ImPACT given was 18.47 days (SD=16.59), with a median of 15 days. Ten concussions (1.27% of total concussions) occurred within 3 months of a previous injury. The distance between schools and the medical center ranged from 2.4 to 102 miles (M=60.29; SD=34.34). Conclusions: The current study suggests that there is value in a remote model of neuropsychological consultation for concussion management. While telehealth offers a promising method of evaluation for concussion, it may be inaccessible and present reimbursement challenges. The remote consultation model described here increases access to care by eliminating in-person visits, which decreases demand for physical space at medical centers and increases access to rural populations with seemingly no negative effect on care. This consultation model also allows neuropsychologists working in concussion management more flexibility, potentially increasing the volume of cases they can assess. This program evaluation suggests remote models have merit, but replication studies in different regions of the country are needed. [ABSTRACT FROM AUTHOR]

This article casts a critical eye over the development of American psychiatry from 1980 to the present. It notes the rapid decline of psychoanalysis that followed the publication of DSM III; the rising influence of genetics and neuroscience; the re-emphasis on the biology of mental illness; and the collapse of public psychiatry that accompanied deinstitutionalization. It argues that while genetics and neuroscience have made scientific progress, the clinical utility of their findings to date has been very limited. The fifth edition of the DSM was supposed to base itself on this new science but that proved impossible. Diagnosis remains purely phenomenological and controversial. One of the ironies of research on psychiatric genetics is that has failed to find either a Mendelian origin of schizophrenia and depression or to validate the importance of hypothesized candidate genes. Genome-wide association studies have instead uncovered risk factors for major mental illnesses, but these overlap considerably, and the genetic associations are not dispositive. Most of those who carry these genetic variants do not develop mental illness. The status of psychopharmacology since the mid-1950s is scrutinized, as is the influence of the pharmaceutical industry on contemporary psychiatry, and the implications of its recent decision to abandon work in this arena. The paper concludes with an assessment of the crisis that it contends confronts contemporary American psychiatry: its overemphasis on biology; the urgent questions that persist about diagnosis and therapeutics; concerns about the directions of future research; and its inability to reduce the excess mortality that plagues the mentally ill. [ABSTRACT FROM AUTHOR]

In the 1870s, microscopy societies began to proliferate in the United States. Most of these societies attracted microscopists from surrounding cities, but the American Postal Microscopical Club, modelled on the British Postal Microscopical Society, used the postal system to connect microscopists scattered across the country. Club members exchanged microscope slides and notes following a chain-letter system. The main objective of the club was to teach its members how to make permanent slides. Preparation and mounting methods required technical skill, which was, as even club members had to admit, difficult to learn without personal instruction. Yet members developed ways to share craft knowledge through the post. Drawing on the private notes of a member and published reports on the slides circulated, this paper challenges the widespread assumption that the generation of craft knowledge depended on the co-location of artisans. It argues that microscopists' knowledge of preparation methods was intertwined with their skill in building and navigating information infrastructures, and that by tracing these infrastructures we gain a better understanding of how craft knowledge travelled in the late nineteenth century. [ABSTRACT FROM AUTHOR]

This paper discusses the possible use of functional magnetic-resonance imaging as potentially useful in jury selection. The author suggests that neuro-voir could provide greater impartiality of trials than the standard voir, while also preserving existing privacy protections for jurors. He predicts that ability to image and understand a wide range of brain activities, most notably bias-apprehension and lie detection, will render neuro-voir dire invaluable. However currently, such neuro-solutions remain preliminary. [ABSTRACT FROM AUTHOR]

Neuroimaging offers great potential to clinicians and researchers for a host of mental and physical conditions. The use of imaging has been trumpeted for forensic psychiatric and psychological evaluations to allow greater insight into the relationship between the brain and behavior. The results of imaging certainly can be used to inform clinical diagnoses; however, there continue to be limitations in using neuroimaging for insanity cases due to limited scientific backing for how neuroimaging can inform retrospective evaluations of mental state. In making this case, this paper reviews the history of the insanity defense and explains how the use of neuroimaging is not an effective way of improving the reliability of insanity defense evaluations. [ABSTRACT FROM AUTHOR]

This paper highlights factors that need to be considered for improving the National Flood Insurance Program in the USA to address the biases that lead individuals to not protect themselves against low-probability, high-consequence flood events. The errors that individuals exhibit in deciding not to purchase insurance or invest in loss reduction measures prior to a disaster can be traced to the effects of six biases: myopia, amnesia, optimism, inertia, simplification and herding. Along with two guiding principles for insurance, a behavioral risk audit can assist in designing a strategy using concepts from choice architecture coupled with economic incentives to encourage property owners in hazard-prone areas to purchase insurance and invest in cost-effective adaptation measures to protect themselves against future disaster losses. [ABSTRACT FROM AUTHOR]

This article examines the motivations of young Ukrainian immigrants to support the Euromaidan from abroad. Existing research has documented social movements within their national boundaries and the participation of young people in them. However, it has rarely examined the expansion of social movements beyond their national boundaries and the engagement of young immigrants in such movements. Drawing on a larger qualitative study, this article presents the findings about what motivated 24 young Ukrainian immigrants residing in the USA to support the Euromaidan movement of 2013–2014 and compares their motivations to those of the protestors in Ukraine. We argue that motivations of young Ukrainian immigrants to support the Euromaidan from abroad manifest themselves in symbolic or psychological causes. Our findings demonstrate that the individual motivations were driven by an ideological commitment to systemic change in Ukraine, manifested through young Ukrainian immigrants' (1) desire to end injustice, (2) solidarity with fellow Ukrainians, (3) moral obligation to raise awareness among the US public, and, most prominently, (4) sense of agency to contribute to the long-awaited change in the homeland. Our findings also show that overall, the motivations of young Ukrainian immigrants to join the movement aligned with those of the protestors in Ukraine. [ABSTRACT FROM AUTHOR]

In the lead article of this symposium, Florian Bieber predicted that the Covid-19 pandemic would have limited long-term effects on the global rise in the level of nationalism because most governments were likely to revert to their prior nationalist trajectories following the pandemic. Nonetheless, I argue that we can learn something about the role of nationalism in the management of public health crises by looking at the variable state responses to the arrival of the virus within their borders. In the modern international system, state governments are tasked with safeguarding the health and well-being of their national populations. During national emergencies, sovereigntist movements form around competing images of the nation that deserves protection. This article uses political artwork to show how different images of the idealized sovereign community were employed to justify divergent pandemic policies of US President Donald Trump and New York Governor Andrew Cuomo. Over the course of the pandemic, both leaders came under fire for failing to protect their constituents, providing space for alternative leaders and models of national protection. [ABSTRACT FROM AUTHOR]

The article outlines the impact of the COVID-19 pandemic on nationalism around the world. Starting from the premise that nationalism is a global and ubiquitous idea in the contemporary world, it explores whether exclusionary tendencies have been reinforced by the pandemic. The pandemic and government responses will not necessarily trigger the increase in exclusionary nationalism that both far-right politicians and observers have noted. However, there are 4 aspects, examined in the article, that might be shaped by the pandemic. These include the recent trajectory of nationalism and its social relevance prior to the pandemic,the rise of authoritarianism as governments suspend or reduce democratic freedoms and civil liberties, the rise of biases against some groups associated with the pandemic, the rise of borders and deglobalization, and the politics of fear. Thus, while the rise of exclusionary nationalism might not be the inevitable consequence of the pandemic, it risks reinforcing preexisting nationalist dynamics. [ABSTRACT FROM AUTHOR]

This is the first comprehensive biography based on unique archival sources about Gregory Ignatius Zhatkovych, a Pittsburgh-based lawyer, who in 1918–1919 was instrumental in the creation of Czechoslovakia and the inclusion of its far eastern region, Subcarpathian Rus'/Ruthenia, into the new country. [ABSTRACT FROM AUTHOR]

An introduction to papers from the "Transgender Health Equity and the Law" symposium that were published in the issue is presented.