In a unique approach this book links policy theory and research with the expertise of service providers and users to explore the major debates concerning the provision of mental health services. Many of these dilemmas revolve around questions of who makes the choices and who has control. The book examines the power and demands of the disparate groups involved in the provision and use of services before considering the different practice options and their implicit values and goals. This book will inform critical debate among all those involved in the mental health enterprise and challenge health professionals to consider their own practice. It is timely and relevant reading for practitioners and managers at every level in all disciplines and from all agencies as well as service users and carers.