GENERAL MANAGEMENT IN THE NHS: THE INITIAL IMPACT 1983–88

The Griffiths report of 1983 resulted in radical changes (to which the label 'general management' has been applied) to the formalities of organization and management in the national health service. We report the findings of a major study (involving more than 300 interviews) of the impact of these changes up to 1988. Although general management has been widely accepted in the service, and seems to have resulted in some improvements to management processes, there has been no substantial change in organizational culture. We conclude that the impact of the Griffiths model of management has been limited in comparison with the continued influence of medical autonomy and financial limitations.     

Are Teen Courts An Answer to Our Juvenile Delinquency Problems?

Teen courts are being implemented across the country at a speed that surpasses the celerity with which research of program effectiveness can be performed. This study attempts to evaluate the effectiveness of the Dona Ana County, New Mexico, Teen Court by looking at the rate of recidivism for, program participants as well as possible influential factors upon the rate of recidivism. The subjects were 478 randomly selected participants who were traced though the Juvenile Probation and Parole Office to detect any referrals following teen court participation. The study found a recidivism rate of 25% between 1994 and 1998, which was affected by several factors, including gender, age, prior offenses, and program completion. The study was not a comprehensive evaluation, but it did reinforce the need for further research in the area.     

Detention Decision-Making in a Predominantly Hispanic Region: Rural and Non-Rural Differences

This study examines the implementation of juvenile detention policy by comparing decision making in two jurisdictions where Hispanics represent the numerical majority of the population. One jurisdiction is rural and the other is a jurisdiction with over 1000,000 population. Interviews with juvenile justice probation and parole officers and judges are combined with a quantitative analysis of official records from 1994. Detention decision making is different in these jurisdictions. There is more formal processing and detention of juveniles in the rural jurisdiction. This is attributable to a perception of the community as heterogeneous rather than homogeneous, and a lack of alternatives as compared to the non-rural jurisdiction.