This issue of Psychiatric Services contains five varied and innovative articles on our understanding of seclusion and restraint, with an introduction by guest editor Alisa B. Busch, M.D., M.S. Dennis C. Donat, Ph.D., outlines key resources and tools for establishing quality improvement programs aimed at reducing seclusion, restraint, and the use of as-needed medications, emphasizing the use of behavioral approaches (see page 1105). Janice LeBel, Ed.D., and Robert Goldstein, Ph.D., present an economic analysis of the monetary costs of seclusion and restraint, dispelling concerns that decreasing seclusion and restraint is not affordable (page 1109). Gregory M. Smith, M.S., and his coauthors describe in detail how the Pennsylvania state hospital system dramatically reduced—and nearly eradicated—seclusion and restraint between 1990 and 2000 (page 1115). Two companion articles by B. Christopher Frueh, Ph.D., and Cynthia S. Robins, Ph.D., and their colleagues give powerful expression to patients' experiences with traumatic and harmful events in psychiatric settings (page 1123 and 1134). Finally, two commentaries—one by Charles G. Curie, M.A., A.C.S.W., administrator of the Substance Abuse and Mental Health Services Administration, and one by Robert W. Glover, Ph.D., executive director of the National Association of State Mental Health Program Directors—articulate a vision for our mental health system as one of recovery in which patients have choices in their treatment (page 1139 and 1141).