Psychiatry represents an institution at the intersection of social solidarity and exclusion, with the specific configuration of these two elements differing in various historical and cultural contexts. Looking at the history of psychiatric care, one could argue that its evolutions were achieved through various crises (the crisis of the asylum and the anti-psychiatry movement, psychiatry's inability to care for mentally ill living in the streets, human rights abuses…). For various reasons, the resolutions of these crises often relied on the creativity of groups or individuals with very practical consequences for introducing new forms of care. Often through such creative solutions, all Western countries have undertaken significant reorganization of their psychiatric care systems in the past 50 years, which also inspired changes to psychiatric care in less developed countries. This workshop calls for reflection on the impact of 'crisis rhetoric' with regard to specific social, political and legal circumstances, and the role of imagination in informing the practices of caring and curing. We aim to explore how ideas on the appropriate forms of psychiatric care reflect specific cultural expectations and ideologies, and how the role of family, community, profession and the state in taking care of the mentally ill is negotiated in different contexts. Finally, we want to address the ways in which the anthropological perspective and research has been involved in, and is still challenged by these transformations. Contributions in each of the three sessions relate to different aspects of social processes in mental health care: Communities (1-3); Systems and Trajectories (4-7); and Alternatives (8-10).