Debate regarding the balance between a lack of an integrated system of community based mental health care, compulsory care, individual rights & freedoms in the context of serious mental illness, is not a new one. It contains a delicate, changing balance of rights & obligations. The evolution of Ontario's Mental Health Act is discussed illustrating how the current mental health system evolved, unwell & untreated persons reside in communities. Deficiencies are highlighted in applying mental health legislation to situations of persons with persistent psychosis, are treatment non-collaborative,...