In order to achieve true community participation in mental health care, a redistribution of decision-making power is needed. Currently, this power is almost exclusively in the hands of psychiatric institutions and the state. Community participation would require greater representation from community organizations. This paper describes the history of the alternative resources movement in Quebec. This movement has challenged the health care system and promoted innovative therapeutic approaches. In this process, community organizations have been faced with the difficult task of gaining more power while maintaining strong links with the communities they serve.