In the late 1970s, the Government of Quebec adopted the Charter of the French Language (Bill 101), which changed the management of language in the delivery of health and social services. At the same time, numerous reports, study committees and policies transformed institutional and community practices with respect to people with mental health problems. What impact has this period of great change, when policy responses were implemented to address linguistic concerns, had on the mental healthcare of Quebec Anglophones? In this article, we will trace the overall evolution of the sociopolitical process that has surrounded the issue of the accessibility of mental health services for Anglophones, paying particular attention to the situation in Montreal.