Two articles in this month's issue look at trends in the use of hospitalization in treatment. Shinobu Watanabe-Galloway, Ph.D., and Wanqing Zhang, M.D., M.Ed., found that despite efforts to reduce hospital use by persons with serious mental illness, rates have increased significantly. An examination of data on 327,000 discharges from a national survey of general hospitals showed that discharges involving serious mental illness increased by about 35% between 1995 and 2002—from 29 discharges per 10,000 in the adult U.S. population to 39 per 10,000 (page 496). Using an 11-state database, a group of researchers led by Kathryn Rost, Ph.D., found that rural patients with depression had a significantly greater chance of being hospitalized than their urban counterparts. The authors note that greater use of the hospital does not appear to produce any clinical benefits, because rural and urban patients with depression report identical outcomes over one year (page 503).