This article reports the results of a case study that evaluated a psychogeriatric service in the
United Kingdom. The case study was an attempt to develop a methodology combining natural
istic and scientific approaches to assist the management of a public sector service. Use was made
of stakeholder analysis and naturalistic evaluation to complement an economic, cost effective
ness analysis to enable a service strategy to be developed. The approach was found to be of
benefit in the areas of extending access to decision making and improving the information used
but was expensive to support and required a high level of commitment and a willingness to
compromise from all stakeholders.
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