When developing a teaching plan for the community about managed care models and their effect on clients with chronic mental illnesses, which of the following factors should the nurse include as detrimental to this population? Select all that apply.

D Loss of the principle of 'least restrictive alternative.' A Restriction in the range and quantity of services. B Hospitalization reserved for emergency services. C Nonshifting funding to outpatient services when clients are moved to these services. E Lack of sufficient numbers of group homes and supervised apartments.