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Abstract
The privatization of public services and utilities is a worldwide phenomenon reflecting trans‐national corporate hegemony and a shift of investment capital from productive to financial sources of profit. In one state, the privatization of mental health services was associated with the destruction of community mental health capacities and inpatient care for the seriously and persistently mentally ill. This was associated with increased rates of violence, homelessness, and imprisonment of psychiatric patients along with the deprofessionalization and demoralization of clinicians. An effective response of political activism and alliance‐building among professionals, unions, patients, and advocacy groups is described.