Elyn R. Saks is Professor of Law, Psychology, and Psychiatry and the Behavioral Sciences at the University of Southern California Gould School of Law; Adjunct Professor of Psychiatry at the University of California, San Diego, School of Medicine among other appointments. Dr. Lisa Doupe is an MD and a Fellow of the American College of Occupational and Environmental Medicine. She is a General Practice Psychotherapist specialized in care of persons whose high-risk behaviors involve them with the justice system. They discuss autonomy for persons with psychosis-related and other mental illnesses, how questions of autonomy arise, the importance of autonomy, the idea of autonomy shared with family caregivers, and key safeguards, such as the person’s freedom to change their minds about sharing autonomy. They discuss electronic health records’ impact on persons’ autonomy. They say what more they would they like to see done to promote autonomy and shared autonomy with appropriate safeguards.