Is the course of severe mental illness inevitable deterioration? What are we to make of first-person accounts by consumers of their recovery, or the accounts of clinicians engaged in helping people recover from severe mental illness? Nora Jacobson, Ph.D., and Dianne Greenley, M.S.W., J.D., describe a model developed in Wisconsin to help state programs move toward a "recovery-oriented" mental health system. The model incorporates experiences of those who describe themselves as being in recovery—hope, healing, empowerment, and connection—as well as external conditions that make those experiences possible—implementation of the principle of human rights, a positive culture of healing, and recovery-oriented services (see page 482). In a related commentary, Herbert Peyser, M.D., characterizes Dr. Jacobson and Ms. Greenley's article as a "hopeful exposition and a forceful advocacy that does not claim to be objective." He wonders whether clinicians enamored of the recovery model have lost sight of the degree to which some patients lose their freedom to mental illnesses (see page 486).