The rapid expansion of managed care raises questions about services for those at risk for, or those suffering from, mental and addictive disorders. Managed care requires communities to assess the issues affecting clients and the treatment providers. This type of care is designed to be cost effective. While treatment can be effective, it must be determined how much treatment and what components of treatment are most successful. The current push to shorten time in treatment can have destructive consequences. Specific outcome data is needed to support an expansion of treatment. This paper helps communities recognize and address the issues concerning the consequences of this type of health care. A list is included of national organizations, publications, and the names of community leaders who are expert in the field to provided additional information. (JDM)