69 results match your criteria: "University of Pennsylvania Law School[Affiliation]"

Psychiatric polygenic risk scores: Experience, hope for utility, and concerns among child and adolescent psychiatrists.

Psychiatry Res

September 2024

Center for Bioethics, Harvard Medical School, Boston, MA 02115, United States; Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, United States. Electronic address:

Article Synopsis
  • * A study involving interviews with 29 child and adolescent psychiatrists revealed that most believe PRS currently have limited clinical usefulness and are not ready for implementation, despite some clinician interest driven by family requests.
  • * Concerns were raised by psychiatrists about the challenges of using PRS, including potential misinterpretation, misuse by third parties, and the risk of increased stigma or even eugenics-related issues, underscoring the need for careful consideration in the adoption of this technology.
View Article and Find Full Text PDF

Objectives: Evaluate the deterrent effect of a program that increases the certainty and celerity of sanction for arrestees ordered to abstain from alcohol and other drugs on substance-impaired driving arrests.

Methods: We examine participant compliance with orders to abstain from alcohol and other drug use via breathalyzer, body-worn continuous alcohol monitoring (CAM) devices, transdermal drug patches, and urinalyses. We then evaluate the impact of the 24/7 Sobriety program on substance-impaired driving arrests.

View Article and Find Full Text PDF

Objective: The aim of this study was to describe decisions about the escalation and withdrawal of treatment for patients on extracorporeal membrane oxygenation (ECMO).

Summary Background Data: Interventions premised on facilitating patient autonomy have proven problematic in guiding treatment decisions in intensive care units (ICUs). Calls have thus been made to better understand how decisions are made in critical care.

View Article and Find Full Text PDF

Data from 25 large U.S. cities is assembled to estimate the impact of the onset of the COVID-19 pandemic on crime.

View Article and Find Full Text PDF

More on "The Role and Responsibilities of Psychiatry in 21st Century Warfare".

J Am Acad Psychiatry Law

September 2020

Dr. Xenakis is a Member of the Executive Board, Center for Ethics and Rule of Law, University of Pennsylvania Law School, Philadelphia, PA.

View Article and Find Full Text PDF

More than a quarter of working-age households in the United States do not have sufficient savings to cover their expenditures after a month of unemployment. Recent proposals suggest giving workers early access to a small portion of their future Social Security benefits to finance their consumption during the COVID-19 pandemic. We empirically analyze their impact.

View Article and Find Full Text PDF

Infectious diseases professional societies, public health agencies, and healthcare regulatory agencies call for antibiotic stewardship programs (ASP) in many healthcare settings. However, medical legal implications of these programs remain largely uncharted territory. Although there is no legal precedent addressing issues of liability and standards of care on this subject, anticipating how the courts may assess questions of medical liability with respect to the various components of ASPs is important to define best practices in ASP operations, not only to manage the potential risk but also to improve patient care.

View Article and Find Full Text PDF

Missed opportunities to advance knowledge on traffic safety: Accessibility of driver licensing and crash data for scientific research.

Accid Anal Prev

May 2020

Center for Injury Research and Prevention, Children's Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA; Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd., Philadelphia, PA 19104, USA.

Objective: Identifiable individual-level driver licensing and motor vehicle crash data are essential to advancing transportation safety research. However, epidemiologic studies using such data are rare, which may reflect their inaccessibility. We conducted a legal mapping study to evaluate US state laws regulating access to driver licensing and motor vehicle crash data for use in scientific research.

View Article and Find Full Text PDF

The effect of California's paid family leave policy on parent health: A quasi-experimental study.

Soc Sci Med

April 2020

Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA; Department of Family & Community Medicine, University of California San Francisco, San Francisco, CA, USA. Electronic address:

The U.S. is the only high-income country without a national paid family leave (PFL) policy.

View Article and Find Full Text PDF

This article identifies and discusses on the ways in which biological influences to psychopathy are thematically portrayed in the eighth season of to describe Dexter's psychopathy, particularly focusing on fatalism and the inevitability of succumbing to one's "biological self." This paper, utilizing traditional content analysis, focuses on seven qualitative themes surrounding "biological fatalism" and psychopathy in this final season of As lay theories of psychopathy are thought to originate from the media's conceptualization of the disorder, such thematic portrayals serve to potential affect lay understandings of psychopathy and correspondingly, how the disorder is treated and perceived in the criminal justice process as a modern psychopathy-related "CSI Effect." The conclusion focuses on the messages that this final season of Dexter sends to the lay public about the biological influences to psychopathy and how this may create implications for the criminal justice system.

View Article and Find Full Text PDF

Discrimination Risks of Alzheimer's as Support for Social Insurance for Long-Term Care.

J Law Med Ethics

June 2018

Allison K. Hoffman, J.D., is Professor of Law at the University of Pennsylvania Law School and Senior Fellow, Leonard Davis Institute, University of Pennsylvania.

View Article and Find Full Text PDF

Informed Consent and the Role of the Treating Physician.

N Engl J Med

June 2018

From the Department of Medical Ethics and Health Policy, Perelman School of Medicine (H.F.L., S.J., E.A.F.), and the Leonard Davis Institute of Health Economics (H.F.L., S.J.), University of Pennsylvania, Children's Hospital of Philadelphia (S.J.), and University of Pennsylvania Law School (E.A.F.) - all in Philadelphia.

View Article and Find Full Text PDF

Background: The design of the Affordable Care Act's (ACA) health insurance marketplaces influences complex health plan choices.

Objective: To compare the choice environments of the public health insurance exchanges in the fourth (OEP4) versus third (OEP3) open enrollment period and to examine online marketplace run by private companies, including a total cost estimate comparison.

Design: In November-December 2016, we examined the public and private online health insurance exchanges.

View Article and Find Full Text PDF

Does filler database size influence identification accuracy?

Law Hum Behav

June 2018

Quattrone Center for the Fair Administration of Justice, University of Pennsylvania Law School.

Police departments increasingly use large photo databases to select lineup fillers using facial recognition software, but this technological shift's implications have been largely unexplored in eyewitness research. Database use, particularly if coupled with facial matching software, could enable lineup constructors to increase filler-suspect similarity and thus enhance eyewitness accuracy (Fitzgerald, Oriet, Price, & Charman, 2013). However, with a large pool of potential fillers, such technologies might theoretically produce lineup fillers too similar to the suspect (Fitzgerald, Oriet, & Price, 2015; Luus & Wells, 1991; Wells, Rydell, & Seelau, 1993).

View Article and Find Full Text PDF

Baby M Turns 30: The Law and Policy of Surrogate Motherhood.

Am J Law Med

March 2018

JD, PhD; Professor of Law and Professor of Health Policy and Medical Ethics at the University of Pennsylvania Law School. I would like to thank Arthur Caplan and two anonymous reviewers for their helpful comments on this article, as well as Shintaro Suzuki for encouraging me to work on this topic. Support was provided by a University of Pennsylvania Law School Summer Research Grant.

This article marks the 30 anniversary of the Supreme Court of New Jersey's Baby M decision by offering a critical analysis of surrogacy policy in the United States. Despite fundamental changes in both science and society since the case was decided, state courts and legislatures remain bitterly divided on the legality of surrogacy. In arguing for a more uniform, permissive legal posture toward surrogacy, the article addresses five central debates in the surrogacy literature.

View Article and Find Full Text PDF

A Healthy Public Cannot Abide Unhealthy And Unsafe Workplaces.

Am J Public Health

March 2018

Adam M. Finkel is with the University of Michigan School of Public Health, Ann Arbor, and the University of Pennsylvania Law School, Philadelphia.

View Article and Find Full Text PDF

The Science of Addiction and Criminal Law.

Harv Rev Psychiatry

June 2018

From the University of Pennsylvania Law School; Department of Psychiatry, Perelman School of Medicine.

Although there is debate in the scientific and clinical literature about how much choice addicts have concerning the use of drugs and related activities, this article demonstrates that Anglo-American criminal law is most consistent with the position that addicts have substantial choice about engaging in crimes involving their addiction. It suggests that the criminal law's approach is consistent with plausible and reasonable current scientific and clinical understanding of addiction and is therefore defensible, but it also suggests that the law is unduly harsh and far from optimum.

View Article and Find Full Text PDF

Food Labeling and Consumer Associations with Health, Safety, and Environment.

J Law Med Ethics

December 2016

Joanna K. Sax, J.D., Ph.D., is a Professor of Law at California Western School of Law (San Diego, CA). She received her Ph.D. in Cell and Molecular Biology from the University of Pennsylvania School of Medicine and her J.D. from the University of Pennsylvania Law School (Philadelphia, PA). Neal Doran, Ph.D., is an Associate Professor of Psychiatry at the University of California, San Diego (San Diego, CA) and Director of Clinical Improvement, Office of Mental Health at the Veteran's Affairs San Diego Healthcare System (San Diego, CA). He received his Ph.D. in Clinical Psychology from the University of Illinois at Chicago (Chicago, Il).

The food supply is complicated and consumers are increasingly calling for labeling on food to be more informative. In particular, consumers are asking for the labeling of food derived from genetically modified organisms (GMO) based on health, safety, and environmental concerns. At issue is whether the labels that are sought would accurately provide the information desired.

View Article and Find Full Text PDF

Every day, thousands of defendants, prosecutors, and defense attorneys must make guilty plea decisions, such as whether to accept a plea offer or proceed to trial. Most defendants opt to plead guilty; approximately 95% of state and federal convictions result from guilty pleas. In light of a newly emerging body of research and recent Supreme Court decisions on guilty pleas, this article asks and answers 2 questions: First, who pleads guilty and why? We describe the characteristics of those who are more or less likely to plead guilty, and examine the reasons why individuals plead guilty instead of proceeding to trial, exploring the cognitive, social influence, and developmental factors that underlie decision making.

View Article and Find Full Text PDF

Predicting the knowledge-recklessness distinction in the human brain.

Proc Natl Acad Sci U S A

March 2017

Wellcome Trust Centre for Neuroimaging, University College London, London WC1N 3BG, United Kingdom;

Criminal convictions require proof that a prohibited act was performed in a statutorily specified mental state. Different legal consequences, including greater punishments, are mandated for those who act in a state of knowledge, compared with a state of recklessness. Existing research, however, suggests people have trouble classifying defendants as knowing, rather than reckless, even when instructed on the relevant legal criteria.

View Article and Find Full Text PDF