Too often the mental health system relies only on tertiary and primary care systems with no investments on the secondary level (specialists working in the community). This results is a weak primary care response to mental health problems (moderate and severe cases go to psychiatric hospitals) and is an endless reproduction of the hegemony of psychiatric hospital. Human and financial resources should shift from tertiary to secondary level in order to create  a strong and effective collaboration between primary care and secondary specialist care and to avoid a large number of hospitalizations. Long term care for moderate and severe cases can be provided at secondary and primary care.