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Studies of involuntary outpatient commitment (OPC) among persons with severe mental illness have concluded that OPC is only effective in improving treatment outcomes when it is sustained for 6 months or longer and is combined with frequent outpatient services. This article explores factors that influence the delivery of outpatient services to subjects in a randomized trial of OPC and finds 2 general patterns. Outpatient visits were more frequent among all subjects with apparent clinical need, regardless of study assignment, and among subjects whose OPC was sustained beyond an initial court order. These results suggest that, in practice, sustained OPC represents a consensual agreement between clinicians and the court to more intensively address the complex needs of persons with severe and persistent mental illness.  相似文献   
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Two recent examinations of management practices in three federal departments provide contemporary evidence of the need to incorporate procedures like those of the Sarbanes-Oxley Act in the public sector. Although each department established what appeared to be well-designed internal controls, all lacked sufficient monitoring and assessment of the efficacy of those controls. By requiring senior management to attest to the strength of their control mechanisms, as required by the newly revised OMB Circular A-123, the quality of this monitoring should improve. Findings from a recent study of private-sector implementation of these reforms are described, along with suggestions for public administration research and practice at all levels of government.  相似文献   
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The marginality hypothesis is an attempt to relate the voting margins of members of Congress to their subsequent legislative behavior. A major corollary of the hypothesis is that members of Congress with small victory margins will be more responsive to constituents than those with large victory margins. This has been assumed to mean that electorally secure representatives can afford to be more loyal to their congressional parties, since they have less cause to worry about their chances for reelection. Previous empirical studies have produced mixed results. We ask the question in a different way: Do changes in marginality affect party voting within Congress? If so, major shifts in the electorate potentially can have a fundamental impact on the behavior of Congress itself. We find that this is not true. Electoral margin is simply not related to party loyalty.  相似文献   
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Although it is widely acknowledged that Chinese businesses are victims of extortion by Asian youth gangs, there is no reliable information to examine the patterns and social processes of the problem. This paper explores the structure of extortion and other forms of victimization based on surveys of (N=603) Chinese-owned businesses in three Chinatown neighborhoods in New York City. It focuses on the nature of Chinese crime groups, social contexts of gang extortion, social processes of victimization, and merchants' compliance or resistance to gang demands. Finally, the paper discusses the problems and prospects of Chinese criminality in America.Support for this research was provided by Grant 89-IJ-CX-0021 from the National Institute of Justice. The opinions are those of the authors and do not reflect the policies or views of the U.S. Department of Justice.  相似文献   
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