This training uses a videotaped vignette and a series of dialogic sessions to explore a complicated clinical dilemma encountered by one homeless outreach team. Learners will be encouraged to identify the core ethical and legal dilemmas raised by the scenario including the tension between beneficence and autonomy and the mandate to offer treatment to individuals in the least restrictive environment. Additional issues raised by the scenario include the ethical implications of using lies, manipulation, and police power in order to achieve therapeutic aims. Learners will also gain an understanding of processes of medicalization and demedicalization and their impact on care for those with severe mental illness. The moral tensions and moral distress that characteristically arise in the Los Angeles County context where needed services can be scarce will also be addressed.