Many readers of Lamberti's article will now view it through a far different lens, sifting for clues to avert tragedies such as the recent shootings at Virginia Tech. Here we must be quite circumspect. As Lamberti points out, most states have laws authorizing "mandated outpatient treatment"—requiring that some people get ongoing outpatient mental health treatment—and it appears that the Virginia Tech assailant was at least nominally mandated to outpatient treatment in 2005. However, although Virginia's commitment law permits use of mandated outpatient treatment, it sets a criterion for its use identical to the criterion of imminent dangerousness for inpatient treatment, offers little guidance on enforcement in the event of treatment nonadherence, and provides no administrative infrastructure to make the law work. Virginia, already undergoing an exhaustive review of its commitment laws, will doubtless ask if a well-implemented mandated outpatient treatment statute is warranted.