In this month's issue, a special section edited by Marion Z. Goldstein, M.D., focuses on improving the quality of mental health services provided in nursing homes. In the first of five articles, a literature review by Stephen J. Bartels, M.D., and his colleagues concludes that the majority of effective interventions blend psychiatric consultation with training and education of nurses and primary care physicians (see page 1390). Next, Cameron J. Camp, Ph.D., and his coauthors describe nonpharmacologic interventions for a variety of behavioral problems of nursing home residents with dementia (see page 1397). In the third article, Marisue Cody, Ph.D., R.N., and her colleagues discuss barriers to the use of nonpharmacologic approaches that are inherent in this treatment setting and that are imposed by outside entities and forces (see page 1402). Next, J. Michael Ryan, M.D., and his coauthors review studies of psychotropic drugs commonly used in nursing homes and outline critical areas for research (see page 1407). Finally, Joel E. Streim, M.D., and his associates discuss regulatory oversight, payment policies, and quality improvement in the provision of mental health services in nursing homes (see page 1414).