[Elsewhere and otherwise.]

The network of mental health services is constantly in movement. From a relatively simple model it has become a complex service with a multiple ideology, its results are indetermined and have now to be revised. While commenting on the elaboration of a politic in mental health, the authors describe an experience where the mental health services in a Montreal region were diversified and reorganised in sub-regions. They then give an idea of the situation, the arms hoped for, the organisational mode, and the sub-regions; the main problems encountered are identified as well as the stakes and the areas of action. They uncover the particularities and the different realities that are the mainstay of the Greater Montreal.