Involuntary commitment continues to resonate in Community Mental Health Services (CMHS), resulting in a revolving door between the community and psychiatric hospital. The forty-year-old Jamaican CMHS model is an innovative approach of community and family engagement involving negotiation between clinicians, patients, family, and the community, to achieve patient self-determination and voluntary therapeutic compliance. This presentation will describe the latest developments of the Jamaican CMHS model implemented in urban catchment parishes of Kingston and St. Andrew serving the Bellevue Mental Hospital (BVH), and to examine quantitative and qualitative data supporting its use. A record review quantitatively compared the number of acute crisis interventions by the CMHS with psychiatric hospital admissions for the years 2010 and 2011. Three case studies are also presented to illustrate the Jamaican CMHS model and its outcomes in improving patient compliance and stability. Acute crisis interventions within the community rose from 658 in 2010 to 694 (5.5%) in 2011, while acute admissions to the BVH by the CMHS fell from 131 to 61 (53.4%), resulting in a 10% reduction in total admissions. Case study findings illustrate the model’s utility for improving patient compliance and stability, and fostering active community participation in the treatment process. The model facilitates agentic participation of these persons in their treatment and demonstrates a practical community mental health service model developed in a Third World country that meets the needs of the population efficiently and cost effectively. This is a practical counter to the model foisted on the Third World by the Nature article of late 2011 on global mental health.