Two submissions to a new column, Mental Health Care Reforms in Asia, provide updates on efforts in China and Japan to improve services and systems. Samson Tse, M.Sc., Ph.D., and colleagues describe China’s National Mental Health Law, approved in October 2012. The law calls for building a strong community service system, and the authors describe four strategic directions for the future (page 613). In April 2013, Japan designated mental disorders as the fifth “priority disease” for national medical services, after cancer, stroke, heart attacks, and diabetes. Hiroto Ito, Ph.D., and coauthors provide an overview of Japan’s Regional Health Care Strategic Plan, which aims to reallocate resources from institutions to the community (page 617). Two research reports from China offer additional insights into the challenges that China faces in a new era. Ning Li, Ph.D., and colleagues analyzed data from a national survey that documented the prevalence of disabilities in China. Fifty-two percent of those with a mental disability had never used a mental health service. Several factors were associated with a greater likelihood of service use (page 638). Since 1980, the city of Shenzhen has developed from a small town to a teeming city, attracting millions of rural laborers looking for a better life. Zhaoguo Wei, M.S., and colleagues analyzed data from interviews with more than 7,100 of these migrant workers to determine the prevalence of DSM-IV mental disorders and service use (page 645).