 In each CSSS, PCR plans for : 1- an interdisciplinary team in an education center working with primary care physicians and offering to referred patients a pre-determined sequence of clinical interventions over a 2-year-period; 2- a program supporting primary care physicians continuing education, documentation and clinical guidelines, referral system to second line of care; 3- networking between actors of Réseau local de services RLS insuring clinical information transfer required for efficient patient management. 