The report ends with eight pages of bulleted lists of recommendations directed at key stakeholders: SMHAs, state-level consumer organizations, and provider organizations. Recommendations cover three main areas: leadership, administration and management, and policy and funding. For example, in the area of leadership, “All SMHAs should have a full-time, state-employed consumer leading their Office of Consumer Affairs and that position should be on an executive level.” “States that do not have consumer organizations should fund a statewide organizing effort and seek the support from other states that are further along.” In this area, state consumer organizations are advised to “partner with civil rights organizations to address issues and include people who have criminal justice involvement.” In the policy and funding area, all SMHAs should fund consumer-operated services, using a meaningful portion of the block grant. Consumer organizations are also advised to set up a “big tent” to ensure that the voices of all consumers are heard, including people with co-occurring substance, developmental, communicative, and medical disorders; consumers in the active-duty military and veterans; youths, transition-age youths, and older adults; and various ethnic, sexual-orientation, and cultural minority groups. A 48-page appendix with separate tools for consumers, local communities, and SMHAs to assess levels of consumer involvement is also available.