Ideally, the preferences of consumers carry a great deal of weight in treatment planning, and consumers, their family members, and their mental health care providers all have the same goals for treatment. However, Ellen P. Fischer, Ph.D., and her colleagues report that they did not find a high level of consensus in 60 sets of stakeholders, each comprising a patient with schizophrenia, a member of his or her family, and a provider. The study used interviews in which participants rated the order of importance and the relative importance of various treatment outcome domains, such as increased energy, decreased hostility, and improved work performance, and various service domains, such as regular pharmacotherapy appointments, social skills training, and substance use treatment. Providers and family members also ranked the items in the order they thought the consumer would rank them. Analyzing rankings by pairs and by sets, the authors found low levels of agreement. The consumers' goals and preferences were poorly understood, and family members' and providers' rankings reflected their own preferences more than the consumers' (see page 724).