Three studies from Italian research teams highlight that country's focus on improving treatment and systems. In this issue, Paola Bollini, M.D., Dr.P.H., and colleagues report on the efforts of senior clinicians and researchers to develop a set of core quality indicators to assess the appropriateness of schizophrenia treatment. The indicators, which were then tested with a sample of more than 800 patients in the Piedmont region of Italy, helped identify areas for improvement (page 782). Lorenza Magliano, M.D., Ph.D., and co-authors present the results of a multisite survey that explored the views of nearly 250 patients with schizophrenia about their disorder. Survey results were then shared with a large subgroup of patients to elicit their opinions about how the findings could be used to improve care and aid recovery (page 795). In the second appearance of a new column launched in May about mental health care reforms in Europe, Andrea Gaddini, M.D., and colleagues report on a one-day nationwide census of acute psychiatric facilities in Italy. The study sought to determine the point prevalence rate of admissions and to explore differences between public and private facilities (page 722).