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Advocates, clinicians, recipients of services and family members face dilemmas as they try to honor the values for personal choice, self-determination and independence for persons with mental disabilities. At the same time, they try to face responsibilities to protect vulnerable people from harm.

Designed to spark discussion among persons with different points of view, a symposium on the topic of choice and responsibility convened participants from many walks of life from all over the United States. This monograph contains edited papers and case studies from the symposium.

Lead seminar papers focus on clinical and legal parameters of choice=making in different service and daily living areas, while practical case studies, drawn from the experiences of service providers and the Commission on Quality of Care, raise the issues from the frontlines of service delivery. - from Amzon