Reflecting current understanding of the complexities of sexual activity among persons with chronic mental illness, the text draws upon the collective wisdom and experience of experts from a variety of settings. Clinicians, advocates, consumers, researchers, legal experts, and administrators all contribute to document the concerns about sexual behavior and the consequent health risks for this at-risk population. The research presented here is particularly timely in view of recent emphases on patient choice, recovery, and advocacy, and can be used to provide guidance to clinicians, mental health administrators, policymakers, advocates, and researchers.