Integrating Distressed Urban Areas Distressed urban areas threaten social cohesion in urban regions the very centre of our economies. This problem can be traced to no single cause; rather it represents a combination of environmental economic social and cultural circumstances that take spatial form in different parts of inner cities and suburbs. Traditional policies have not succeeded in halting the downward spiral that effects these areas because they were unable to address the complex and area based nature of the problem at the local level. The aim of this study is to describe this phenomenon and analyse policies implemented in OECD countries so as to come up with multisectoral policies that are better suited to the problems they have to address.Policy objectives include attracting investment creating jobs rebuilding sound economic and social foundations and more generally combatting the isolation from which distressed urban areas suffer. Different levels of government civic society and the private sector all have roles to play. There is an urgent need for integrative policies based on reinforcement of the local dimension and on partnerships that bring all the actors together.