Primary prevention: Up the revolution!

In a recent article George Albee stated that the fourth mental health revolution was on the verge of beginning. This revolution would be primary prevention oriented. The present article examines evidence that such a revolution is underway or ready to begin and concludes that the evidence is not strong for such a position. A continuing problem is that the front-line personnel in community mental health centers do not appear to know what primary prevention is, and, even if they do, they are under pressure to provide fee-for-service treatment to individuals. Suggestions are made to remedy this situation.