Less is More? Publicness, Management Strategy, and Organizational Performance in Mental Health Treatment Facilities

In this study, the authors seek to identify mechanisms of publicness present within mental health treatment facilities and, subsequently, explore the constraints these mechanisms impose on facilities’ capacities to achieve public outcomes. Through grounded insights from senior managers in this field, political authority, namely through governmental funding and regulation, is identified by 43 of 46 respondents as being an influence on publicness. Authors then uncover the conditions during which publicness, in the form of political authority, constrains organizational achievement of public outcomes. In leveraging managerial perspectives, two distinct constraints emerged: publicness often inhibits organizational efficiency and produces mission drift within these facilities. Findings suggest that managers, under certain conditions (and where legally feasible), may provide greater effectiveness in fulfilling organizational goals and objectives and in achieving public outcomes by maintaining or decreasing an organization’s publicness. Fundamental to effectively managing publicness is understanding the mechanisms germane to both public outcome attainment and failure—the latter of which is explored here

Developing Organizational Leaders to Manage Publicness: A Conceptual Framework

Students enrolled in programs accredited by the Network of Schools of Public Policy, Affairs, and Administration (NASPAA) are increasingly seeking careers outside of classic government organizations. Considering the diversity of job placements with respect to sector (i.e., government, private for-profit, nonprofit), public affairs students may benefit from in-course instruction that aims to develop management competencies that are applicable to any sector. Educating students on publicness theory, specifically managing to achieve public outcomes (i.e., managing publicness), may position these current and future organizational leaders to identify and effectively manage certain structures and institutions in their organization and the external environment. Accordingly, this study provides a conceptual framework in the form of a research-intensive assignment that will equip public affairs students with a working view of how publicness applies to their organizations. By engaging in this research, students acquire practical tools that allow them to consider publicness in their management strategies and decisions regardless of their sector of employment

The Civic Dimension of School Voucher Programs

America’s public schools have not been exempt from the movement to privatization and contracting out that has characterized government innovations over at least the past quarter century. A number of the issues raised by school voucher programs mirror the management and efficacy questions raised by privatization generally; however, because public education is often said to be “constitutive of the public,” using tax dollars to send the nation’s children to private schools implicates the distinctive role of public education in a democratic society in ways that more traditional contracting arrangements do not. Using a content analysis, the authors explore the extent to which school choice voucher programs are mandated by state statutes to integrate civics education into their curriculum. Findings reveal that across the fourteen states (and the District of Columbia) that have enacted school choice voucher programs, statutes exempt these programs from curriculum oversight, including civics requirements, and grant them considerable autonomy in designing their curricula. This study concludes by discussing the implications for ethical and accountable governance when primary and secondary schools fail to cultivate civic competence and civic literacy

The oxygen isotope effect in the ab-plane reflectance of underdoped YBa_2Cu_3O_{7-delta}

We have measured the effect of oxygen isotope substitution on the ab-plane reflectance of underdoped YBCO. The frequency shift of the transverse optic phonons due to the substitution of O-16 by O-18 yields an isotope effect of the expected magnitude for copper-oxygen stretching modes with alpha=0.5 +- 0.1. The reflectance shoulder at 400 - 500 cm^-1 shows a much smaller exponent of alpha=0.1 +- 0.1 in the normal state and alpha=0.23+- 0.1 in the superconducting state. These observations suggest that the shoulder is of electronic origin and not due to a phonon mode as has been suggested recently.Comment: 4 pages 2 figure

Representation through Lived Experience: Expanding Representative Bureaucracy Theory

This study draws on the insights of managers in the behavioral health treatment system to explore the value of persons who bring lived experience to their organizational positions. Within these organizations, persons with relevant lived experience occupy various nonclinical and clinical positions. When facilities incorporate workers with lived experience, managers observe increased levels of trust between clients and service providers, an enhanced client-centered perspective among service providers, and higher quality in the services provided. This study may guide managers in considering how (or whether) human service organizations might institutionalize lived experience as a mechanism to help create a representative bureaucracy

How is high quality research evidence used in everyday decisions about induction of labour between pregnant women and maternity care professionals? An exploratory study

Objective : To explore the use of high quality research evidence in women's and maternity care professionals’ decisions about induction of labour (IOL). Methods : a qualitative study underpinned by a social constructionist framework, using semi-structured interviews and generative thematic analysis. Setting : a large tertiary referral maternity unit in northern England in 2013/14. Participants : 22 randomly selected health care professionals involved in maternity care (midwives, obstetricians, maternity service managers), and 16 postnatal women, 3-8 weeks post-delivery, who were offered IOL in their most recent pregnancy. Findings : Three themes were identified in the data; (1) the value of different forms of knowledge, (2) accessing and sharing knowledge, and (3) constrained pathways and default choices. Findings echo other evidence in suggesting that women do not feel informed about IOL or that they have choices about the procedure. This study illuminates potential explanatory factors by considering the complex context within which IOL is discussed and offered (e.g. presentation of IOL as routine rather than a choice, care pathways that make declining IOL appear undesirable, blanket use of clinical guidelines without consideration of individual circumstances and preferences). Key conclusions : This study suggests that organisational, social, and professional factors conspire towards a culture where (a) IOL has become understood as a routine part of maternity care rather than an intervention to make an informed choice about, (b) several factors contribute to demotivate women and health care practitioners from seeking to understand the evidence base regarding induction, and (c) health care professionals can find themselves ill-equipped to discuss the relative risks and benefits of IOL and its alternatives. Implications for practice : It is important that IOL is recognised as an optional intervention and is not presented to women as a routine part of maternity care. When IOL is offered it should be accompanied by an evidence informed discussion about the options available to support informed decision making. Health care professionals should be supported to understand the evidence base and our findings suggest that any attempt to facilitate this needs to acknowledge and tackle complex organisational, social and professional influences that contribute to current care practices

Infrared and optical properties of pure and cobalt-doped LuNi_2B_2C

We present optical conductivity data for Lu(Ni$_{1-x}$Co$_x$)$_2$B$_2$C over a wide range of frequencies and temperatures for x=0 and x=0.09. Both materials show evidence of being good Drude metals with the infrared data in reasonable agreement with dc resistivity measurements at low frequencies. An absorption threshold is seen at approximately 700 cm-1. In the cobalt-doped material we see a superconducting gap in the conductivity spectrum with an absorption onset at 24 +/- 2 cm-1 = 3.9$ +/- 0.4 k_BT_c suggestive of weak to moderately strong coupling. The pure material is in the clean limit and no gap can be seen. We discuss the data in terms of the electron-phonon interaction and find that it can be fit below 600 cm-1 with a plasma frequency of 3.3 eV and an electron-phonon coupling constant lambda_{tr}=0.33 using an alpha^{2}F(omega) spectrum fit to the resistivity.Comment: 10 pages with 10 embedded figures, submitted to PR

Singularities in the optical response of cuprates

We argue that the detailed analysis of the optical response in cuprate superconductors allows one to verify the magnetic scenario of superconductivity in cuprates, as for strong coupling charge carriers to antiferromagnetic spin fluctuations, the second derivative of optical conductivity should contain detectable singularities at $2\Delta +\Delta_{\rm spin}$, $4\Delta$, and $2\Delta+2\Delta_{\rm spin}$, where $\Delta$ is the amplitude of the superconducting gap, and $\Delta_{s}$ is the resonance energy of spin fluctuations measured in neutron scattering. We argue that there is a good chance that these singularities have already been detected in the experiments on optimally doped $YBCO$.Comment: 6 pages, 4 figure