“…For example, early in this century an ambitious effort to cultivate local initiatives, the Cincinnati Social Unit Plan, was attempted (Shaffer, 1971). From the late 1950s to the early 1970s, the Ford Foundation Gray Area Projects, War on Poverty, Model Cities and community mental health and health planning efforts provided exceptional opportunities for the involvement of local residents in policy making and program development and implementation (Altshuler, 1970;Gilbert, 1970;Kolter, 1969;Marris & Rein, 1967;Mott 1969;Moynihan, 1969;National Commission on Community Health Services, 1966;Spiegel, 1968;Van Til & Van Til, 1970;Verba, 1967). This same period was notable for efforts to mobilize youth/students, ethnic groups, women, gay men and lesbians, persons with disabilities, the elderly, the poor and groups that sought to influence other policies, for example the effort to stop the war in Vietnam.…”