Loaded Dice: Reformism and Constraint in Contemporary U.S. Mental Health Policy
Bibliographic record
Abstract
A number of important reforms are under way in contemporary U.S. mental health policy making. Innovations are occurring in such areas as parity for insurance coverage for mental health problems, children's mental health services, and the expansion of community support systems for individuals with severe and chronic mental illnesses. In each case, however, the scope and effectiveness of policy changes are limited by resource shortages, political ambivalence, and program structures that are decentralized, fragmented, and poorly co-ordinated. Thus, although innovation is a valuable engine of change in mental health systems, its impact depends largely on longstanding political, economic, and organizational forces that transcend the mental health sphere.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.015 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.011 | 0.038 |
| Scholarly communication | 0.016 | 0.010 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.006 | 0.009 |
| Insufficient payload (model declined to judge) | 0.007 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".