The issue is whether we truly are prepared to challenge—and, more important, to change—existing practices when they no longer serve those core values. Our track record over the past 50 years in this regard has not necessarily been stellar. How readily did we see the conflict between institutional care of those with chronic mental illness and our values of commitment to family? As biomedical science blossomed, how quickly did we expand our perspective beyond psychological mechanisms to embrace biological mechanisms of and treatments for mental disorders as well? As patients present an increasingly complex matrix of needs, how consistently have psychiatry, nursing, psychology, social work, and other disciplines unified as effective teams to meet these diverse needs?