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Over the past two decades states have significantly increased their use of competitive bidding to purchase health and social services from private agencies. Competitive contracting is thought to facilitate program administration, to reduce costs, and to increase the quality of delivered services. We evaluate these claims in light of Massachusetts' experience with competitive contracting for mental health care. We find that few of the expected benefits are achieved. In practice, supposedly competitive bidding systems often degenerate into administratively complicated negotiations between the state and private monopolies. This results in higher costs and lower quality of services. In light of this negative assessment, three strategies for reform are proposed and evaluated. 相似文献
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Schlesinger LB 《Journal of forensic sciences》2001,46(5):1119-1123
A case of an independent professional contract murderer, who killed over 100 people, is reported. After eluding law enforcement for 30 years, the subject killed several associates who he believed could implicate him in various crimes. These homicides eventually led to his arrest, since the victims were individuals who could be linked to him. This hit man had a background of poverty and childhood abuse but, as an adult, had pursued a middle-class lifestyle and kept his family totally separate from his criminal career. In addition, he had a number of characteristics that helped him carry out his crimes in a highly planned, methodical, and organized manner: he had adept social judgment; personality traits of orderliness, control, and paranoid vigilance; useful defense mechanisms of rationalization and reframing; and an exceptional ability to encapsulate emotions. This case is discussed within the context of contract murder, a crime that occurs relatively frequently and is probably increasing; yet it often goes undetected, the arrest rate is low, and the offender is rarely studied. 相似文献
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L B Schlesinger 《Journal of forensic sciences》1999,44(4):746-749
A case of a 16-year-old male who committed a sexual matricide following years of mother-son incest is reported. After murdering his mother by strangulation, which itself was sexually arousing, the youngster engaged in both vaginal and anal necrophilia. The homicide occurred while the perpetrator was in a dissociative state and experiencing what has been referred to as a catathymic crisis: the sudden release of emotionally charged psychic conflict and tension, resulting in extreme violence within an interpersonal bond. Discussion of maternal image and maternal sexual conduct in relationship to the psychosexual development of adolescent males offers insight into the motivation in this extremely rare case. 相似文献
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Schlesinger LB 《International journal of offender therapy and comparative criminology》2006,50(1):39-46
Despite the high-profile nature of many celebrity stalking cases, little is known about the offenders and even less is known about those who kill their celebrity victims. The case of an obsessed fan who attempted to kill a rock star and then committed suicide is presented. By analyzing his detailed diary, both insight into the motivational dynamics of this type of stalker and delineation of several warning signs, which help differentiate an enthusiastic fan from one who harbors a potentially dangerous obsession, is gained. 相似文献
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Schinke SP Schwinn TM Ozanian AJ 《Journal of prevention & intervention in the community》2005,29(1-2):117-130
SUMMARYThis study examined the feasibility of a CD-ROM intervention to prevent alcohol abuse among high-risk youths. Youths from 41 community-based agencies in greater New York City participated in a randomized trial of a skills-based interactive CD-ROM. Outcome data were collected on 489 early adolescents in these agencies before and after a randomized subset of youths interacted with a 10-session alcohol abuse prevention program on CD-ROM. Compared to control participants, youths in the intervention arm had a positive increase in perceived harm of alcohol use and increased assertiveness skills. At posttest, drinking rates for control and intervention participants were equal and unchanged from pretest. These findings suggest that CD-ROM technology offers a new and promising medium for engaging high-risk youth in an alcohol abuse prevention program. Study implications and future applications of the present approach are discussed. 相似文献
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Traci Burch 《Political Behavior》2012,34(1):1-26
This paper re-examines the impact of Florida’s disfranchisement law on the 2000 Presidential election. The analysis simulates
outcomes in Florida under scenarios consistent with the turnout rates of Georgia and North Carolina ex-felons in 2000 and
Florida ex-felons in 2008. Survey evidence on candidate preferences as well as data on ex-felon party registration in Florida
and North Carolina are used to produce estimates of support for Bush and Gore among ex-felons. Based on the simulations, the
ex-felon population in Florida would have favored Bush in 2000. Assuming that ex-felons supported Gore at rates similar to
GSS respondents with at most a high school diploma, Bush would have defeated Gore by 4,925 and 7,048 votes, assuming turnout
of 10 and 15%, respectively. 相似文献