Faced with low levels of citizen interest in community affairs, the Municipality of Reggio Emilio decided to experiment with participatory budgeting in District 8. Exactly 256 citizens took part in the process, which took place between September 2007 and February 2008. 17 of the 123 proposals made in meetings with citizens were included in the 2008 budget. These were related to the community's quality of life. Participants felt satisfied with the process, and there is hope that future initiatives will be even more successful.
In April 2001, the Canadian government established the Romanow Commission to deliberate with citizens on the future of healthcare in Canada. However, the commission overlooked the serious issue of engaging marginalised groups such as Aboriginal people, and did not provide separate participatory spaces for such groups. While some Aboriginal people participated in the dialogues, the outcomes did not fully reflect Aboriginal health issues.
Advancing the Future for Adults with Autism is an organization that works closely with America Speaks to better the lives of adults with autism. In 2009 AFFA held a National Town Hall Meeting to create a national policy agenda which AFFA plans to propose to Congress.