Mental health care is based on the encounter between the user and the professional, where qualities that lead to relief and improvement can be created. The meeting takes place in, and is influenced by, its context, that is, its local community and society at large. This chapter is based on the structural perspective and the development towards a risk society, which is characterised by new threats, risks and uncertainties. Terrorist acts and environmental threats are examples of such man-made activities. In combination with individualisation and increased dependence on communication technology, they lead to increased demands on the individual and a greater dependence on experts. This is especially true for people with mental health problems. To meet this situation of growing uncertainty and greater individual responsibility, mental health-care needs to develop working methods that go beyond the traditional biomedical perspective. Shared decision-making and collaboration planning are examples of such methods inspired by a person-centred and recovery-oriented perspective. Building durable relationships based on trust and confidence is crucial to successful mental health care.