Thomas Grisso has an interesting chapter on research; he makes recommendations that could improve clinical evaluations. The approach would use criteria for research on behaviors for which assessments are sought by courts. Hence, it would focus on the accuracy of clinical judgments about behaviors, factors related to the behaviors, and the factors clinicians actually rely on in arriving at their expert opinions for courtroom use. Marnie Rice, Grant Harris, and Vernon Quinsey observe that, although considerable funds are expended to assess responsibility for criminal offenses, the end result is often the long-term confinement of such people to hospitals, where life is little different than if they had been sent to prisons. Their thesis is that too many resources are expended on forensic assessment and too little on subsequent efforts at intervention. Although Dorothea Dix’s arguments in 1845 for additional funds to care for the seriously mentally ill sound the same as many current appeals, Jeffrey Rubin points out that the system we have today continues to be dominated by decisions made about financing the delivery of care, and that these decisions affect the quality of assessments in the forensic mental health system as well.