In this issue three articles from the University of North Carolina's Sheps Center provide new county-level estimates of the number of persons with mental illnesses, the number of mental health care providers, and the number of counties in which the shortage of providers indicates unmet needs. If health care coverage is expanded at the national level as a result of reform, these estimates may take on greater relevance. Over three-quarters of counties were found to have a severe shortage of prescribers, with more than half of the need unmet. Mental health prescribers are currently represented by an estimated 32,000 psychiatrists and 8,000 advanced practice nurses nationwide. Not surprisingly, needs are higher in poorer, more rural counties, especially those in the center of the country.