Legal and mental health experts discuss consumer decision-making, human rights and ethics in the context of mental health legislation. We hear about the move from substituted to supportive decision making under the Mental Health Act 2014. And how this affects mental health professionals, their legal obligations and how, in practice, appropriate support can be provided to people with disabilities to make informed medical decisions. We learn about how compulsory medical treatment orders work and how the Mental Health Tribunal determines whether someone has or lacks capacity to make decisions themselves.