Reaction of a harassed administrator.

CMHC's do not currently have the capacity to deal successfully with the complex issues of citizen participation in governance, service delivery and evaluation. The primary obstacle is the continuous financial crisis in which the CMHC finds itself, and the associated disparity between special CMHC funding and the funding of mainstream health services. Until the financial dilemmas of CMHC's are solved, citizen participation in their operations will remain problematic.