I envy the dissemination process that Resnick and Rosenheck describe in this issue for supported employment: what great resources they had—$16 million, time, technical assistance, fidelity assessment, and the Department of Veterans Affairs closed system of care itself. How do we mental health professionals improve our performance? Demonstration projects and pilots that implement evidence-based practices work only as long as their funds flow, then they stop working. We know what works, such as supported employment and integrated treatment for co-occurring serious mental illness and substance use disorders, so why conduct more demonstrations? We need wholesale transformation—systemwide implementation of what works.