Good Intentions OverRuled is about empowerment, so it is also about power. This book shows how power is exerted in the routine organizational processes that determine what can be done in everyday life, since modern societies are controlled by regulations, policies, professional practice, legislation, budgets, and other forms of organization. Good Intentions OverRuled sparks debate about empowerment by using a method called institutional ethnography, developed by the Canadian sociologist Dorothy Smith. Mental health day programs are explored from the standpoint of seven occupational therapists in Atlantic Canada. Described in this ethnography are the local, provincial, federal, and international processes used to organize power in Canada's mental health services. The aim is to inspire professional, lay, academic, and other persons (including those who use mental health services) to change the organization of power so that we promote rather than overrule empowerment.