This conceptual paper describes the current state of mental health services, identifies critical problems, and suggests how to solve them. I focus on the potential contributions of artificial intelligence and precision mental health to improving mental health services. Toward that end, I draw upon my own research, which has changed over the last half century, to highlight the need to transform the way we conduct mental health services research. I identify exemplars from the emerging literature on artificial intelligence and precision approaches to treatment in which there is an attempt to personalize or fit the treatment to the client in order to produce more effective interventions. Keywords Mental health services • Artificial intelligence • Machine learning • Precision mental health • Randomized clinical trials (RCTs) • Precision medicine "AI will bring many wonders. It may also destabilize everything from nuclear détente to human friendships. We need to think much harder about how to adapt... it is changing human knowledge, perception and reality-and, in so doing, changing the course of human history. We seek to understand it and its consequences and encourage others across the disciplines to do the same."-Kissinger et al. 2019, pp. 24-26 "AI is one of the most profound things we're working on as humanity. It's more profound than fire or electricity."-Alphabet CEO Sundar Pichai, in Thompson and Bodoni 2020. This article is part of a special issue, Festschrift for Leonard Bickman: The Future of Children's Mental Health Services.