To ensure that consumer perspectives inform service design and delivery, many research groups are eliciting input from service users, as indicated by three studies. In East London, Claudia Hallett, B.Sc., and colleagues interviewed outpatients with schizophrenia and bipolar disorder to explore what they wanted to learn about their illness and what sources and formats they preferred for learning this information. About two-thirds reported wanting to learn more, and “cause of the illness” was the top information need. Nine of ten patients preferred to learn through one-to-one conversations with their psychiatrist (page 764). For people with serious mental illness, disengagement from care can lead to repeated hospitalizations, homelessness, and incarceration. When Thomas E. Smith, M.D., and colleagues interviewed individuals in New York City with established histories of service disengagement, they learned that most were willing to participate in services and endorsed their value but said that the services were not relevant to their needs. Their care providers, however, expressed different views (page 770). In seven focus groups with New York service users, Sara M. Bergstresser, Ph.D., M.P.H., and colleagues explored how voting and other forms of political engagement are related to a sense of social inclusion and “social recovery” (page 819).