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This report quotes with approval the statement Freud made in 1918 advocating that mental treatment should be made available to everybody through institutes and consultation centers as is surgical aid today. Referring to statistics Dr. Vogel demonstrates the great need for psychiatric care and the lack of psychiatric clinic facilities to provide it. Communities tire of being told what mental hygiene can do without ever being actually shown what it can accomplish. Two specific primary steps are proposed in organizing a mental hygiene program: (1) establishment of a department of mental hygiene or mental health, headed by a full time psychiatrist of special qualifications, in each state under the direction of the state health department; (2) organization of a mental hygiene or psychiatric clinic in every community. Larger cities must be encouraged and aided in the formation of full time mental hygiene units. Small communities should be furnished with centralized service in the form of traveling or part time clinical units. Training programs for