Do psychiatric advance directives facilitated by peer workers (PW-PAD) reduce coercion and improve clinical outcomes among people with schizophrenia, bipolar I disorder, or schizoaffective disorder? In this randomized clinical trial, 394 adults with schizophrenia, bipolar I disorder, or schizoaffective disorder with a previous compulsory hospitalization were randomized into 2 groups (ratio 1:1). Participants in the PW-PAD group experienced significantly fewer compulsory admissions than those in the control group. These findings support the use of peer worker–facilitated psychiatric advance directives to prevent compulsory rehospitalization in people with severe mental illness. Click here for the study.