Managed mental health--community mental health revisited?

Despite the considerable differences between them, community and managed mental health care have much in common, particularly with regard to their values and objectives. While their differences in such things as auspice and funding may be more apparent than their commonalities, both community and managed mental health emphasize alternatives to hospitalization, continuity of care, and responsibility for a defined population. Neither managed nor community mental health care was welcomed by a mental health establishment that resisted change, although the source of the opposition was somewhat different. Inflated expectations led to disenchantment with community mental health care and could well have the same effect on managed mental health.