A community/public health nurse caring for mental health patients in the late 1990s noticed changes ...

A community/public health nurse caring for mental health patients in the late 1990s noticed changes in the services that were available for this population. What led to these changes?
 
  a. Communities began banding together to demand increased funding from the federal budget.
  b. Psychiatrists were given some power to speak for their patients about services necessary to facilitate their recovery.
  c. Psychiatric patients and their families organized and became involved in policy development.
  d. States convinced the federal government that they could not cope with the demands of this population.