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This study uses resource dependence theory to examine how the concentration of client referrals into outpatient substance abuse treatment may affect treatment comprehensiveness. Data were from the 1995, 1999/2000, and 2005 waves of a national longitudinal survey. Results from generalized estimating equation models (sample sizes from 1,350 to 1,375) indicate that more concentrated referral sources were negatively associated with three of the four indicators of treatment comprehensiveness: the percentages of clients receiving routine medical care, mental health care, and financial counseling. Substance abuse treatment programs may be focusing their treatment practices to meet the demands of key referral sources. Given the importance of comprehensive treatment for substance abusing clients, however, these findings raise concerns about the potential implications of continued industry consolidation. The authors suggest strategies for organizations as well as policy makers to mitigate possible negative effects of very high reliance on one or two referral sources.

Despite a recent proliferation of interorganizational networks in health care, there is very little empirical guidance about how to facilitate their success over time. The current study tests a theory of cooperative evolution in the context of five matched pairs of successful versus "challenging" initiatives within six community health center-led networks. Researchers collected initial data in 2000/2001 and conducted follow-up interviews with key informants two years later. Analyses included semi-inductive coding of interview transcripts and systematic comparisons between successful and challenging cooperative efforts. As theory predicts, both initial conditions and subsequent adaptation affected project evolution, with successful and challenging projects following distinct trajectories. The external environment and momentum, however, played more salient roles in these health care safety net networks than they had in corporate ventures. These findings indicate the utility of qualitative techniques to adapt theories developed in other sectors to health care contexts.

Chapter 1 Introduction.Chapter 2:Food policy in the UK: from public health and nutrition to sustainable dietsChapter 3:Food Policy and nutrition: the triple burden of modern diets.Chapter 4: The growth of the food insecure: the new face of food poverty.Chapter 5: Sustainable diets: linking nutrition and environment. Chapter 6: Food Media, Marketing and AdvertisingChapter 7:The UK food industry.Chapter 8: Global Food trade and commodities: the financialisation of food.Chapter 9:Public sector food initiatives: the case of school food and early childhood provision.Chapter 10: Food scares, food safety and food fraud: from chalk in flour to "horsegate".Chapter 11 Examples of success in UK Food Policy.Chapter 12: Conclusions: current and future policy directions

"This text has become a classic, step-by-step walkthrough of the process for developing, implementing, and evaluating successful public health and health promotion programs. The aim of the text is to assist public health professionals to become not only competent health program planners and evaluators but also savvy consumers of evaluation reports and to be able to use evaluation consultants. The text includes a variety of practical tools and concepts necessary to develop and evaluate health programs, presenting them in language understandable to both the practicing and novice health program planner and evaluator. The book maintains a public health focus to demonstrate how health programs can target different levels of a population, different determinants of a health problem, and different strategies and interventions to address a health problem. The text also offers examples of health programs and references to pique the interests of the diverse students and practicing professionals who constitute multidisciplinary program teams - relevant to health administrators, medical social workers, nurses, nutritionists, pharmacists, public health professionals, and physicians"--

Substance abuse remains one of the most pressing health issues in the United States today, yet treatment supply continues to lag far behind need. Given the hostile environments treatment facilities face, their survival is a matter of pressing policy concern. Results from analyses of National Drug Abuse Treatment System Survey (NDATSS) data from 1988 through 2000 suggest that organizational attributes such as age, size, and client severity and resource dependencies such as reliance on government revenue affect survival, but their effects change over time. By the mid-1990s, director involvement in state and local policy making was positively associated with subsequent survival; later that decade, directors' professional credentials affected survival as well. Results also show that serving clients with multiple substance abuse problems became a survival liability by the late 1990s. Facilities that treat clients with multiple addictions may need additional financial support to serve these particularly vulnerable clients.

In light of increasing pressure to deliver climate action targets and the growing role of citizens in raising the importance of the issue, deliberative democratic processes (e.g. citizen juries and citizen assemblies) on climate change are increasingly being used to provide a voice to citizens in climate change decision-making. Through a comparative case study of two processes that ran in the UK in 2019 (the Leeds Climate Change Citizens' Jury and the Oxford Citizens' Assembly on Climate Change), this paper investigates how far citizen assemblies and juries are increasing citizen engagement on climate change and creating more citizen-centred climate policymaking. Interviews were conducted with policymakers, councillors, professional facilitators and others involved in running these processes to assess motivations for conducting these, their structure and the impact and influence they had. The findings suggest the impact of these processes is not uniform: they have an indirect impact on policy making by creating momentum around climate action and supporting the introduction of pre-planned or pre-existing policies rather than a direct impact by truly being citizen-centred policy making processes or conducive to new climate policy. We conclude with reflections on how these processes give elected representatives a public mandate on climate change, that they help to identify more nuanced and in-depth public opinions in a fair and informed way, yet it can be challenging to embed citizen juries and assemblies in wider democratic processes.