The premise of Dr. Segal’s critique of our analysis is that time at risk for hospitalization is an inverse function of the duration of outpatient commitment. According to this premise, subjects who received 6 months of outpatient commitment were only at risk for hospitalization during the remaining 6 months of the study year, i.e., when they were not in outpatient commitment. In fact, our research subjects remained at risk for hospitalization each day of their outpatient commitment. Unlike in Dr. Segal’s parole analogy, the outpatient commitment days did not have to be consecutive; the total period in outpatient commitment could have been interrupted by hospitalizations, and hospital readmission did not have to curtail the total period of outpatient commitment. Indeed, early hospital readmission was, for some patients, an occasion for receiving a renewal of outpatient commitment for an extended period, thereby placing them on the path to eventually spending more than 180 days in outpatient commitment.