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Involvement in decision making: the devil is in the detail

towards more effective use of the range of enablers to SDM that Slade has identified, other critical factors may block progress. Key impediments to SDM may arise because informal politics in institutions constrain exploration of what is possible and because government formal politics constrains the range of possible decisions in ways that may be palpably unjust. Full engagement with SDM may challenge practitioners with the prospect of participation in processes that may radically shift existing power balances in services systems, and with the challenge of perhaps engaging in formal political activism where there are critical constraints to implementation of SDM that relate to political policies on social justice.