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Outcomes of corporate greed.

OBJECTIVE
This study is the context portion of a larger study that described the experience of 30 nurses in Texas, USA who worked in for-profit psychiatric hospitals during a documented period of corporate deviance. The objective of the contextual portion was to describe the major findings in 1991-1992 of investigating agencies that probed the scandal.


DESIGN
Exploratory descriptive.


SAMPLE
Over 1,240 pages and 40 hours of corporate records obtained under subpoena, and written and oral testimony before the USA House Select Committee on Children, Youth, and Families.


METHODS
Content analysis, triangulating sources, and comparing as well as cross-checking themes.


FINDINGS
Four themes: insurance games, dumping patients, patient abuse, and playing with language.


CONCLUSIONS
Organizational deviance may become more widespread in profit-driven systems of care. Lobbying for whistleblower protection, collective advocacy, and creative educational reforms are used.