I wanted to respond to the locked door policy at Soteria Jerusalem. I understand why some might object, but I think their approach is still fundamentally different than traditional wards. House members arrive on a voluntary basis, and in the same way most drug rehabilitation facilities don’t allow residents to leave unattended because of high relapse rates in early sobriety, the staff in Jerusalem recognize psychosis can be hazardous (mainly to the person experiencing it and not necessarily others as is commonly misunderstood). Unlike closed wards where patients won’t see the light of day until they’re finally released, staff still go out with members on a regular basis. This is a difficult question and maybe the best policy is to recognize “if an individual cannot forcibly be detained under existing criminal laws, then we must tolerate their freedom if only to protect our own” (https://www.madinamerica.com/2016/06/forced-treatment-is-torture/). With that said, I still think in most cases a supportive peer could convince most people to accept voluntary treatment founded on recovery principles.