From the shadow of these developments a new movement has emerged that has become a powerful force in moving the future direction of service development to consumer- and family-driven service systems. Recovery for persons with mental health and substance use disorders is a powerful idea that promises hope, self-respect, independence, affiliation, personal growth, and empowerment. In this light, it will no longer be acceptable for psychiatrists to simply be caretakers, more concerned with stabilization and maintenance than with reclaiming lives. The principles of recovery, in conjunction with knowledge of theories of change and motivational techniques, provide powerful tools for psychiatrists to help guide clients toward their desired goals. The recovery approach enhances clinical practice by providing a basis for hope and trust and a structure for communication and therapeutic alliance that is applicable even within the constraints of present systems of care.