TO THE EDITOR: I would agree with Mr. Thakur regarding the basic assumptions of our article on readmission to the psychiatric hospital. I do have concerns regarding some aspects of his suggestions. First, it is accurate to state that our research was based, in part, on the assumption that providers and payers agree that treatment is not a goal of inpatient care. There is little time during brief hospitalizations to engage in treatment, particularly of severe and persistent mental illness. I do not think this is a particularly controversial assumption, at least in the United States. However, it is important to note again, as we stated in the article, that this logic does not hold for systems of care. There may be circumstances in which readmission rates to the psychiatric hospital are useful quality indicators for integrated systems of care.