There is some continuity of people involved, but primarily it's a structural issue. They lack clinical expertise and they lack an efficient administrative process. It's completely lacking. Structural changes, systemic changes, need to be made.
In the context of the lack of structure, individuals can engage in empire building or control or whatever they want to do, and that can be rampant. This is the reason why we say there needs to be an audit. We believe, as a result of that lack of structure and the lack of administrative effectiveness, there are clients out there in our community who are not receiving services, and we want them found.