Aims – Taking the scientific literature on psychotherapy as a starting point, the paper suggests a few remarks for the debate over psychological treatments in the mental health services in Italy. Methods – A survey of reviews and papers on process and outcome of psychological treatments and on psychotherapeutic practice in mental health services. Results – The paper examines some organizing hypotheses in order to increase psychological treatments supplies. Conclusion – The practicability of such solutions requires on the one hand more attention for empirically supported psychological treatments in mental health professionals training and, on the other hand, that various health services become able to be different in their treatments supply.