Making systems work for people.

The Guest Editor for this special theme issue on "organizational dilemmas" discusses factors affecting the delivery of mental health services from the perspective of "psychopolitics," a concept that refers to the complex forces, relationships, and interactions within and around mental health service systems. The author outlines briefly the contents of the theme issue, and makes a plea for the development of effective strategies for shaping organizational structures to meet client needs. Education, communication, and the cultivation of cooperative rather than adversarial relationships will help to resolve organizational dilemmas.