I am only commenting on chapter 3 at this time- still working on chapter 4. However, I wanted to say that chapter 3 was helpful for me in hearing the different studies that have taken place to show the importance of spiritual care in mental health. At this point in healthcare we are having to prove the added value of every program we offer, and it’s great to have this reference to show actual academic studies on this topic. The hospital I work for is focused on research and scientific/academic studies. It is sometimes hard for some of my colleagues to see the importance of spirituality as a vital part of the treatment plan, even though we are a Catholic health system and state we believe in holistic care. Having data to show real positive benefits of a healthy spiritual life on your mental health is priceless to me!