Your commentary is excellent regarding forced outpatient treatment. I have been working in community mental health as residential manager, crisis unit manager, crisis responder, intensive case manager, licensed clinician and clinical services supervisor for 30 years.across 4 states (1985-current). Whether urban or rural, developing enough alliance with those suspicious, averse, and just not interested in treatment for severe mental illness is the best path to treatment acceptance and a reason to change. Acceptance, hearing the life narratives, and meeting comfort and human needs is the only way to relieve mistrust, fears real and unreal, and achieve stability of functioning. Forced treatment is denigrating, militaristic, and guarantees enmity and escalation of risk. Thank you for your eloquence and work. Best regards from a weary, but still standing, treatment professional.