In this issue, three Best Practices columns and an Open Forum commentary address the use of coercive practices in recovery-oriented care. However, a service system strained for resources and experiencing high staff turnover and demoralization cannot create and sustain a recovery orientation. Indeed, rates of coercion are likely to be high in such a system. The most promising way to reduce coercion is to create an accessible recovery-oriented system that draws people into treatment because it provides what they need and want, thereby reducing the need to push them into services.

Richard J. Bonnie, Advance Directives: A Tool for Reducing Coercion, 63 Psychiatric Services 411 (May, 2012).