Managerial audit and community mental health: a study of rationalising practices in Finnish psychiatric outpatient clinics

In many European welfare states the reform of mental health services has been accompanied by the implementation of new forms of governance, including the introduction of managerial audit systems. While such systems have been developed for ‘good causes’, such as quality assurance, financial management and monitoring staff performance, they may simultaneously produce diverse and contradictory effects on practice. The aim of this article is to examine the role of one managerial audit system, introduced in psychiatric outpatient clinics in central Finland, and assess its impact on practice. Reference is made to modernising mental health policy in the UK as that has producedsimilar practics outcomes. The research was an empirical study of practice using a mixed-method case study design involving documentary research and semi-structured interviews. Insights from Mitchell Dean's notion of governmentalisation of government were utilised in the analysis. It was found that, although the audit system primarily served administrative needs, it began to reshape practice by reinforcing certain modes of working and excluding others. The analysis of community mental health work in Finland, with similar trends in the UK, highlights the connection between documentation, resource allocation and managerial priorities that reinforce particular styles of practice. In community mental health services it would appear that the problems of professional practice have become the problems of administration.     

SUBSTANCE ABUSE AND SLOW-MOTION DISASTERS: The Case of Detroit

In this article, I focus on problem substance use as one outcome of an underlying, "slow-motion disaster" caused by the long-term collision between corrosive structural processes, counterproductive social policies, and vulnerable populations. Using the city of Detroit as an illustration, I offer an original conceptual model for linking the causes and cascading consequences of slow-motion disasters. This model highlights the embedded connections between structural factors, such as racial segregation and systemic unemployment, and multiple destructive outcomes, including health and crime disparities, as well as problem substance use. Finally, I conclude that sociological researchers must engage with broader publics and diverse coalitions if they are to contribute to an alternative social policy—a holistic, regional "disaster response"—that takes multiple layers of causality into account, and addresses the core of vulnerabilities that make such disasters possible.     

Solving the Economic Lot-Scheduling Problem Using the Method of Prime Subperiods

In recent years the reported successes of Japanese production systems, particularly the just-in-time approach to inventory control, has caused managers to focus more of their attention on efficient decision-making procedures for determining production schedules that minimize inventory costs. One such potential area of attention is the economic lot-scheduling problem (ELSP), which occurs in a variety of manufacturing environments where machining operations are prevalent. The economic lot-scheduling problem addresses the determination of lot sizes for N products with constant demand (and cycled through one machine with a given production rate) to minimize setup and inventory costs. The most successful solution approaches to the ELSP have been based on the concept of a basic period that is of sufficient length for the production of all items, even though each item might not be produced during each repetition of the basic period. This paper proposes a heuristic approach to the solution of the ELSP (referred to as the method of prime subperiods), which is an extension of the basic period approaches. The procedure is described and demonstrated via an example and then tested using a set of six example problems previously employed in the literature related to the ELSP. The results indicate as good or superior performance by the proposed method of prime subperiods.     

A Comparative Analysis of the Relative Effectiveness of Four Dynamic Lot-Sizing Techniques on Return on Investment

The relative performance of dynamic lot-sizing techniques has been of considerable interest to researchers in recent years. While research has addressed performance in terms of cost-effectiveness, researchers have not determined the impact of dynamic lot-sizing techniques on return on investment (ROI) as it applies to finished goods' schedules. The purpose of this research is to explore the relative performance of four dynamic lot-sizing techniques with regard to ROI, namely the Wagner-Whitin, Incremental Part Period, Silver-Meal, and Groff techniques. Computer graphics are employed to analyze the relative ROI effectiveness.     

The impact of specific occupation on mortality in the U.S. National Longitudinal Mortality Study

We compare mortality differences for specific and general categories of occupations using a national cohort of approximately 380,000 persons aged 25-64 from the U.S. National Longitudinal Mortality Study. Based on comparisons of relative risk obtained from Cox proportional-hazards model analyses, higher risk is observed in moving across the occupational spectrum from the technical, highly skilled occupations to less-skilled and generally more labor-intensive occupations. Mortality differences obtained for social status groups of specific occupations are almost completely accounted for by adjustments for income and education. Important differences are shown to exist for selected specific occupations beyond those accounted for by social status, income, and education. High-risk specific occupations include taxi drivers, cooks, longshoremen, and transportation operatives. Low-risk specific occupations include lawyers, natural scientists, teachers, farmers, and a variety of engineers.     

Jography: Exploring Meanings,Experiences and Spatialities of Recreational Road-running

Jogging is a relatively under-researched mobile practice with much existing literature focusing on ‘serious’ and competitive running. In this paper, we provide an account of some of the movements, meanings and experiences that together help produce the practice of jogging in the south-western English city of Plymouth. Drawing upon participant diaries and interviews, we uncover rich detail about how joggers ascribe not one but a number of meanings to their practice. Some of these are positive, some are negative; some complement each other and some compete with each other. We also consider how the experiences of joggers can be shaped by their ongoing need to develop tactics capable of enabling them to negotiate space with non-joggers. This is in some contrast to more competitive running that occurs in the separated space of an athletics track. Our sense is that better awareness of the meanings and experiences of jogging will be of value if the advertised health and sustainability benefits of the practice are to be more effectively encouraged and promoted.     

REORDER-POINT MODELS WITH DISCRETE PROBABILITY DISTRIBUTIONS

This paper is concerned with the determination of reorder points and safety-stock levels for situations where both the demand and lead-time distributions are discrete and independent. Formulas are developed for computing exact probabilities for the lead-time demand distribution on the basis of empirical distributions. Practitioners can use the model to obtain exact probabilities for situations where the computational burden is justified, while academicians can use the model to evaluate heuristic approaches to the reorder-point problem.     

Economic Development,Human Rights - and the Omelette Thesis

People Matter — Views on International Human Rights Policy. By Theo van Boven, collected and introduced by Hans Thoolen. Amsterdam: Meulenhoff, 1982. 186pp. Development, Human Rights and the Rule of Law: Report of a Conference held in The Hague, 27 April-1 May 1981, convened by the International Commission of Jurists. Oxford: Pergamon Press, 1982. 237pp.     

Concepts,Theory, and Techniques: FACTORS AFFECTING THE PERCEIVED UTILIZATION OF COMPUTER-BASED DECISION SUPPORT SYSTEMS IN THE OIL INDUSTRY

This study investigates factors that may affect the use of decision support systems. The independent variables investigated included: characteristics of the decision makers such as age, educational level, experience, and cognitive style; characteristics of the decision support system such as response time, accuracy, timeliness, relevancy of output, format, and the distance traveled to interact with the system; and characteristics of the implementation process such as user involvement, user training, and top management support. The study included 8 systems and 64 subjects from the oil industry. The results indicated that the most important variables affecting decision support system usage were accuracy of output, user training, relevancy of output, and the decision maker's experience. Subject Areas: Decision Support Systems, Information Management, and Organizational Behavior.     

REPLY TO: “ON THE SENSITIVITY OF BRAND-CHOICE SIMULATIONS TO ATTRIBUTE IMPORTANCE WEIGHTS”

Our reply to Curry, Louviere, and Augustine's critique of our earlier paper focuses on differences in motivation between our research and theirs. Our interest in the problem relates to the possible incorporation of self-explicated evaluations in conjoint data collection methods; subsequent to the appearance of our original paper, we have developed hybrid models that combine elements of self-explicated (compositional) and conjoint (decompositional) data collection procedures. As far as we can surmise from their critique, Curry, Louviere, and Augustine are concerned with much broader strategic issues relating share of choices in the consumer population to changes in the shape of attribute weight distributions, shape of the Pareto tradeoff boundary, and so on.