Community participation in the certificate-of-need process: a look at ten-taxpayer groups in Massachusetts

Certificate-of-need statutes give designated state agencies veto power over investment in health care facilities. Some states have sought to temper the arbitrary character of this power by expanding the opportunities for community input into the certificate-of-need process. Massachusetts, for example, has enacted a statute that allows groups of ten taxpayers to petition for a public hearing on any certificate-of-need application. Some observers question whether the benefits of taxpayer-group participation are substantial enough to compensate for the delays and abuses that the statute allegedly invites. To help resolve this question, this Comment examines historical data on Massachusetts taxpayer groups and on their activities and assesses the significance of their composition and tactics to the certificate-of-need process. Although flaws exist in the Massachusetts ten-taxpayer mechanism, in this writer's view it has succeeded partially in making the certificate-of-need process responsive to community opinion. Many groups lack the skills and qualities needed to make constructive use of the ten-taxpayer mechanism. Nevertheless, it serves a valuable purpose by creating a public forum for and by encouraging public participation in the certificate-of-need process, especially by those who might otherwise try to circumvent that process through use of special legislation, of private pressure, or of other similar means.     

Personality correlates of men who abuse their partners: A cross-validation study

The present study was designed to replicate a previous investigation of personality profiles of men who abused their partners. The initial study found personality profiles reflecting general categories related to schizoidal /borderline, narcissistic/anti-social, and dependent/compulsive personality disorders. Cross-validation revealed a nearly identical replication of the initial findings. Further, as with the initial study, only about 12% of the subjects in the present effort showed no discernable psychopathology. It was concluded that (1) there is no unitary “batterer profile”, (2) the vast majority of batterers examined evidenced personality disordered profiles, and (3) personality and psychopathological processes must be considered as part of the constellation of psychosocial factors related to spouse abuse.     

Implementation evaluation: A future direction in project evaluation

The problem of implementation failure is an important component in the evaluation of criminal justice projects. In general, the issue of project implementation has been neglected by organizational researchers and evaluation specialists as well as by policymakers and program developers. In direct contrast to the existing pattern, we stress the importance of organizational factors and the relationships between individuals and organizations for the successful implementation and institutionalization of criminal justice projects.     

Insurance,the negligent solicitor and the disappointed beneficiary

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