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PurposeThe purpose of this article is to critically consider the role of partnerships in regeneration. There has been a proliferation of partnerships at local, sub‐regional and regional levels, that has brought new people together around a shared agenda, and has sought to challenge and change the ways in which mainstream public services are delivered.Design/methodology/approachThis article uses a qualitative approach drawing on previous research work and using narrative to construct a series of metaphors to provide greater levels of explanation and understanding of partnerships.FindingsThe current approach to partnership working arises principally from analysis of the weaknesses of fragmented services, it is also attractive to those who seek to open up the cosy, inefficient and, at times, corrupt worlds of local government. This is shown through an innovative typology of partnerships.Research limitations/implicationsWhile there are sound policy reasons for engaging in the game of partnerships, there are dangers in underestimating the capacity of public agencies to adopt and adapt the language of partnership, without genuinely engaging with the intent behind the policy.Practical implicationsThe implications from this article have practical relevance for those working in public policy and for those involved in partnerships.Originality/valueBy drawing upon examples of the abuse of partnership arrangements, this article provides an original perspective on those phenomena that might be an indication of trouble.

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Abstract. Aim: This study investigates the characteristics of older patients with substance abuse disorders admitted to a psychiatric department serving about 250.000 inhabitants. Methods: The clinical diagnoses were made according to ICD-10. The data of the patients with substance abuse were compared to a matched sample of psychiatric inpatients without substance abuse as well as to a group of former substance abusers with long-term abstinence. Results: 19.3 % of the 941 patients aged > 65 years showed current substance abuse, 9.4 % consumed alcohol, 7.9 % took benzodiazepines or z-drugs (zolpidem and zopiclone), and 7.0 % smoked tobacco. Multiple substance abuse was rather common (30.8 %). About 85 % of the substance abusers had psychiatric comorbidity, and about 30 % showed severe withdrawal symptoms. As with the rest of the patients, somatic multimorbidity was present in about 70 % of the substance abusers. Remarkable was the lower rate of dementia in current substance abusers. Conclusion: These results underscore that substance abuse is still a challenge in the psychiatric inpatient treatment of older people.