There are a myriad of reasons why individuals with serious mental illness are less likely than others to receive adequate general medical care, especially preventive services. Druss and colleagues organize these into patient, provider, and system factors and preÂsent a randomized, clinical trial of a model that tries to improve preventive health services by addressing barriers in each of these domains. The core of the model involved having a "medical care manager" within a community mental health setting whose activities were designed around overcoming hypothesized barriers across all three domains. For example, some patients with serious mental illness may simply be unaware of the risks involved in not engaging in basic preventive care, while others may not know where or how to go to get these kinds of services even if they were aware of the need. As such, there is an educational component to the care manager's role involving both information about where and how to receive preventive services in the area, what kind of preventive services are available in the area, as well as the potential benefits of utilizing these services and the risks in not doing so. The care managers utilized a motivational interviewing approach to strengthen client autonomy and evoke personal reasons that a client may wish to take advantage of these services (3). They also helped clients create "action plans" delineating what specific steps are involved. To address provider barriers, the care managers established relationships with a cadre of willing providers and, with client permission, kept them informed of relevant changes in the clients' health status, medications, etc. Perhaps most importantly, they also engaged in some very practical help to address system barriers, such as providing clients with money for public transportation to get to appointments and even taking them to appointments when necessary.