The purpose of this article is to explore the judicialization of mentally ill accused involved in a mental health court. Inspired by institutional ethnographic methods, this research sought to unveil the practices and discourses inherent to the court’s work, and the participant’s experiences of such interventions. In particular, this article will focus on the practices and discourses of the socio-health juridical actors that deploy the interventions along three axes: accompaniment in a juridical context, self-governance through the promotion of autonomy, and the management of risk through therapeutic means.