Over the past 20 years, my organization, the Treatment Advocacy Center, has worked with more than 30 states to modernize their civil commitment standards to include factors beyond overt dangerousness. This reform effort gained vital advocacy support from families who had faced the nightmare of seeing an obviously ill loved one denied care simply because they had not yet become violent. As evidenced by these families’ experiences, demanding immediate evidence of danger delays the provision of care, often leading to unjustifiable deterioration and unnecessary criminalization.