This chapter examines a range of treatment pressures in mental health care. Conceptual and morally relevant distinctions can be drawn between interventions commonly termed ‘coercive’. These include ‘compulsion’, ‘coercion’ (narrowly defined) and ‘inducements’. These may be placed on a rough hierarchy of moral seriousness. The huge variation in the use of coercion, for example, involuntary detention between, and indeed within, countries suggests extensive overuse. Justifications for coercive interventions are discussed and a ‘capacity-best interests’ (or ‘decision-making ability – will and preferences’) framework is recommended as applicable across the whole range of interventions. Measures that may reduce the need for coercion are briefly examined. Promising measures are being reported but need further validation. Best supported so far are ‘advance statements’ (such as ‘psychiatric advance directives’ or ‘joint crisis plans’) which enhance patients’ involvement in their treatment and interventions shown to decrease recourse to restrictive practices in inpatient settings.