An article in the October 1974 issue of this journal described "an unusual community treatment program" in Madison, Wisconsin. The article included preliminary data from the first outcome evaluation—for 89 patients—of what is now known as assertive community treatment (ACT). This issue of Psychiatric Services includes three new reports on ACT, which has held up under 35 years of scrutiny. Paul McCrone, Ph.D., and colleagues in London conducted an 18-month cost-effectiveness analysis of ACT and of usual care provided by community teams. Although costs did not differ significantly, ACT participants reported greater satisfaction and treatment engagement, which prompted the authors to estimate the cost of a one-unit improvement in satisfaction (page 908). Somaia Mohamed, M.D., Ph.D., and colleagues, researchers from the Department of Veterans Affairs (VA), examined whether VA's ACT program is effective in reaching veterans in rural areas. The findings highlight challenges in providing ACT services to rural clients with the frequency and intensity required for this treatment approach (page 914). ACT is not without its critics, and some claim that ACT teams are inherently coercive. In a statewide survey of 23 ACT teams, Lorna L. Moser, Ph.D., and Gary R. Bond, Ph.D., assessed the extent of teams' use of "agency control," including such practices as involuntary outpatient commitment, representative payeeship, and intensive medication monitoring (page 922).