By the adoption of the United Nation Convention on the Rights of Persons with Disabilities (UNCRPD), many European countries have committed to providing conditions for persons with disabilities to actively participate in the community. This paper sets out to explore the relevance of ‘Active Citizenship’ for persons with psychosocial disabilities with a focus on the role of the state through social policy. The analysis points at the complexity of the relationship between mental health issues and society by taking into account various conceptual models of disability, but also different conceptions of the citizen. Furthermore, the article discusses the role of the state through the analysis of main international reports and strategies on mental health in Europe and concludes on pointing at important challenges facing the realisation of the goal of full inclusion and Active Citizenship.