This work aims at investigating how different governments, and political contexts, perform public service organisations as hybrid organisations in the case of health social assistance care services. Run using qualitative methods (interviews and direct observation), it presents a descriptive comparative study upon five local PSOs, from five European countries, engaged in delivering services for people with autism. Analysing their developmental paths in the light of neo-institutional theories, the study points out that the trigger for the development of hybrid organisations lies in the users and governments have the crucial role of being the enabler of the process, within an evolving complex relationship between public sector and third sector, as well as society at large.

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