From an analysis of active citizenship’s practices introduced by the Tuscany Region, the article aims to examine the involvement’s path of persons with disabilities, their families and associations, in the elaboration of the "Social Plan for Disability" of the SdS Florence Northwest. This practice analyzed is characterized for an innovative and integrated use of the opportunities provided by the regional normative, building a process of participation that has enabled the local community to find shared answers to deal with some issues remained, for a long time, unresolved. The investigation allowed us to examine how a conscious use of the possibilities provided by the institution’s system, may help to trigger trends of collaboration and sharing among the different actors of the system (public institutions and private companies, third sector and private citizens). However, the analysis revealed that the same institutional context, which has defined the resources for this activation, also represents the main obstacle to the possibility that these paths contribute to overcoming the traditional approach to the health policy, which is sectorial and directive, to assign a leading role to the local community in identifying, first of all, questions of the most important of the health and, therefore, in generating the resources needed to cope with it.
Keywords: Participation, collaborative governance, social innovation, social care and health integration, community approach, consensus building