Right, agreeing to take meds is not a bigger issue. These people are assessing risk, and if someone says they'll take meds, then there's less of a reason to go IP where it's only about med management. I have done this, and was better off for it. There was no threat--promise or else. It was more of, how can we make the least restrictive decision here?

As for building trust, I think you might not know the parameters until something gets pushed, and that means taking a risk. But I think you can make a good case for getting help without going IP. Do they have crisis teams that do home visits as an alternative to IP?