Some of the primary goals of psychiatric rehabilitation are recovery, empowerment, independence, and improved quality of life. These goals can be achieved through the delivery of a variety of services in several settings. However, psychiatric rehabilitation services, such as supported employment, skills training, and peer support, do not constitute rehabilitation; services exist to help make the process of recovery "available, attractive, and possible for the individual … who must do the very real work of self-change" (3). A core value of psychiatric rehabilitation is that all people have the right of self-determination, including the right to participate in all decisions that affect their lives. Sam's definition of the problem, his interest (or lack of interest) in treatment, and his setting of goals for his life are the starting point and the framework within which our intervention must operate.