Continuity of care after hospital discharge for persons with serious mental illness is essential to positive outcomes. Greg A. Greenberg, Ph.D., and Robert A. Rosenheck, M.D., examined six years of data from 139 VA medical centers to identify factors related to continuity of care. They were particularly interested in institutional factors, which are potentially controllable by administrators. The strongest institutional predictor of continuity of care was an emphasis on outpatient care as reflected by a more generous proportion of the institution's mental health budget. Facility size, however, had little relationship to continuity of care, implying that large and complex facilities can achieve continued service delivery. In Taking Issue, Lee H. Beecher, M.D., calls on researchers to be sure to include patient and family feedback when evaluating continuity of care (see page 529).