The case study features online consultations and in person hearings intended to reform the mental health, mental illness and addiction services in the Canadian healthcare system. The study, conducted by The Standing Senate Committee on Social Affairs, Science and Technology, includes four reports. The final report made 118 recommendations to reform the mental health and illness and addiction services.
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This case study features Conseils de quarter, or "neighborhood councils," which are infra-municipal participatory forums that serve as consultative bodies mandated by law in French cities with more than 80,000 residents.
In respect to the question of why participatory innovations are gaining support and what stimulates their development, democratic innovations are usually seen as a response to the general dissatisfaction with representative democracies. Since their main target is to supplement democracy and improve its quality, both citizens and governments in the West tend to be interested in participatory innovations.
G1000 is a project to revitalize and "advise" Belgium's current representative democratic system by complementing it with deliberative democracy. It is a response to the increasing ineffectiveness of the representative democracy system, as evidenced in part by the 2010-11 parliamentary crisis.
This case study was written by Sandy Heierbacher, Director of the National Coalition for Dialogue & Deliberation (NCDD), in 2001 as part of an independent consultancy for the Center for Disease Control's National Immunization Program.