Since 1948, the Fountain House “working community” has worked to address the isolation and social stigmatization faced by people with mental illness. This volume describes in detail its evidence-based, cost-effective, and replicable model, which produces substantive outcomes in employment, schooling, housing, and general wellness. Through an emphasis on personal choice, professional and patient collaboration, and, most important, “the need to be needed,” Fountain House demonstrates that people with serious mental illness can not only live but also contribute and thrive in society.